Assessment of Dentally Related Function in Individuals with Cognitive Impairment: The Dental Activities Test

Xi Chen, Sheryl Zimmerman, Guy G. Potter, Philip D. Sloane, Lauren W. Cohen, David Reed

Research output: Research - peer-reviewArticle

Abstract

Objectives: To develop and validate the Dental Activities Test (DAT), a clinical tool for measuring dentally related function in cognitively impaired older adults. Design: Cross-sectional study design. Setting: Three assisted living residences in North Carolina. Participants: Assisted living residents with normal to impaired cognition aged 50 and older; not blind, deaf, or severely physically disabled; and English speaking (N = 90). Measurements: Items for the DAT were developed based on focus group discussions, literature review, and clinical relevance. Cronbach alpha, interrater reliability, and test–retest reliability were examined, and construct validity was assessed in relation to correlations with cognitive and functional assessments. Correlations between the DAT and oral health measures were also analyzed to evaluate the concurrent validity of the DAT. Results: The DAT has excellent internal consistency reliability (Cronbach alpha 0.90), test-retest reliability (correlation coefficient (r) = 0.84), and interrater reliability (r = 0.90). In terms of construct validity, higher DAT scores were significantly associated with better cognitive function, as well as better activity of daily living and instrumental activity of daily living function. Finally, the DAT was significantly associated with oral hygiene and gingival health. Conclusion: The DAT is a reliable and valid instrument to measure dentally-related function in older adults with cognitive impairment.

LanguageEnglish (US)
Pages580-585
Number of pages6
JournalJournal of the American Geriatrics Society
Volume65
Issue number3
DOIs
StatePublished - Mar 1 2017

Fingerprint

Tooth
Cognitive Dysfunction
Activities of Daily Living
Reproducibility of Results
Cognition
Oral Hygiene
Oral Health
Disabled Persons
Focus Groups
Cross-Sectional Studies
Health

Keywords

  • cognitive impairment
  • functional assessment
  • oral health
  • oral self-care function

ASJC Scopus subject areas

  • Geriatrics and Gerontology

Cite this

Assessment of Dentally Related Function in Individuals with Cognitive Impairment : The Dental Activities Test. / Chen, Xi; Zimmerman, Sheryl; Potter, Guy G.; Sloane, Philip D.; Cohen, Lauren W.; Reed, David.

In: Journal of the American Geriatrics Society, Vol. 65, No. 3, 01.03.2017, p. 580-585.

Research output: Research - peer-reviewArticle

@article{e5f404ded5484aa498f35da611fbce13,
title = "Assessment of Dentally Related Function in Individuals with Cognitive Impairment: The Dental Activities Test",
abstract = "Objectives: To develop and validate the Dental Activities Test (DAT), a clinical tool for measuring dentally related function in cognitively impaired older adults. Design: Cross-sectional study design. Setting: Three assisted living residences in North Carolina. Participants: Assisted living residents with normal to impaired cognition aged 50 and older; not blind, deaf, or severely physically disabled; and English speaking (N = 90). Measurements: Items for the DAT were developed based on focus group discussions, literature review, and clinical relevance. Cronbach alpha, interrater reliability, and test–retest reliability were examined, and construct validity was assessed in relation to correlations with cognitive and functional assessments. Correlations between the DAT and oral health measures were also analyzed to evaluate the concurrent validity of the DAT. Results: The DAT has excellent internal consistency reliability (Cronbach alpha 0.90), test-retest reliability (correlation coefficient (r) = 0.84), and interrater reliability (r = 0.90). In terms of construct validity, higher DAT scores were significantly associated with better cognitive function, as well as better activity of daily living and instrumental activity of daily living function. Finally, the DAT was significantly associated with oral hygiene and gingival health. Conclusion: The DAT is a reliable and valid instrument to measure dentally-related function in older adults with cognitive impairment.",
keywords = "cognitive impairment, functional assessment, oral health, oral self-care function",
author = "Xi Chen and Sheryl Zimmerman and Potter, {Guy G.} and Sloane, {Philip D.} and Cohen, {Lauren W.} and David Reed",
year = "2017",
month = "3",
doi = "10.1111/jgs.14772",
volume = "65",
pages = "580--585",
journal = "Journal of the American Geriatrics Society",
issn = "0002-8614",
publisher = "Wiley-Blackwell",
number = "3",

}

TY - JOUR

T1 - Assessment of Dentally Related Function in Individuals with Cognitive Impairment

T2 - Journal of the American Geriatrics Society

AU - Chen,Xi

AU - Zimmerman,Sheryl

AU - Potter,Guy G.

AU - Sloane,Philip D.

AU - Cohen,Lauren W.

AU - Reed,David

PY - 2017/3/1

Y1 - 2017/3/1

N2 - Objectives: To develop and validate the Dental Activities Test (DAT), a clinical tool for measuring dentally related function in cognitively impaired older adults. Design: Cross-sectional study design. Setting: Three assisted living residences in North Carolina. Participants: Assisted living residents with normal to impaired cognition aged 50 and older; not blind, deaf, or severely physically disabled; and English speaking (N = 90). Measurements: Items for the DAT were developed based on focus group discussions, literature review, and clinical relevance. Cronbach alpha, interrater reliability, and test–retest reliability were examined, and construct validity was assessed in relation to correlations with cognitive and functional assessments. Correlations between the DAT and oral health measures were also analyzed to evaluate the concurrent validity of the DAT. Results: The DAT has excellent internal consistency reliability (Cronbach alpha 0.90), test-retest reliability (correlation coefficient (r) = 0.84), and interrater reliability (r = 0.90). In terms of construct validity, higher DAT scores were significantly associated with better cognitive function, as well as better activity of daily living and instrumental activity of daily living function. Finally, the DAT was significantly associated with oral hygiene and gingival health. Conclusion: The DAT is a reliable and valid instrument to measure dentally-related function in older adults with cognitive impairment.

AB - Objectives: To develop and validate the Dental Activities Test (DAT), a clinical tool for measuring dentally related function in cognitively impaired older adults. Design: Cross-sectional study design. Setting: Three assisted living residences in North Carolina. Participants: Assisted living residents with normal to impaired cognition aged 50 and older; not blind, deaf, or severely physically disabled; and English speaking (N = 90). Measurements: Items for the DAT were developed based on focus group discussions, literature review, and clinical relevance. Cronbach alpha, interrater reliability, and test–retest reliability were examined, and construct validity was assessed in relation to correlations with cognitive and functional assessments. Correlations between the DAT and oral health measures were also analyzed to evaluate the concurrent validity of the DAT. Results: The DAT has excellent internal consistency reliability (Cronbach alpha 0.90), test-retest reliability (correlation coefficient (r) = 0.84), and interrater reliability (r = 0.90). In terms of construct validity, higher DAT scores were significantly associated with better cognitive function, as well as better activity of daily living and instrumental activity of daily living function. Finally, the DAT was significantly associated with oral hygiene and gingival health. Conclusion: The DAT is a reliable and valid instrument to measure dentally-related function in older adults with cognitive impairment.

KW - cognitive impairment

KW - functional assessment

KW - oral health

KW - oral self-care function

UR - http://www.scopus.com/inward/record.url?scp=85011649993&partnerID=8YFLogxK

UR - http://www.scopus.com/inward/citedby.url?scp=85011649993&partnerID=8YFLogxK

U2 - 10.1111/jgs.14772

DO - 10.1111/jgs.14772

M3 - Article

VL - 65

SP - 580

EP - 585

JO - Journal of the American Geriatrics Society

JF - Journal of the American Geriatrics Society

SN - 0002-8614

IS - 3

ER -