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ORIGINAL ARTICLE
Year : 2016  |  Volume : 7  |  Issue : 2  |  Page : 153-157

Reliability of Malayalam version of Geriatric Oral Health Assessment Index among institutionalized elderly in Alleppey, Kerala (India): A pilot study


1 Department of Public Health Dentistry, Srinivas Institute of Dental Sciences, Mangalore, Karnataka, India
2 Department of Oral Biology, Faculty of Dentistry, Melaka Manipal Medical College, Manipal University, Udupi, Manipal, Karnataka, India
3 Dental Surgeon, Private Practitioner, Kerala, India
4 Department of Public Health Dentistry, Vokkaligara Sangha Dental College, Bengaluru, Karnataka, India
5 Department of Pedodontics and Preventive Dentistry, AME Dental College and Hospital, Raichur, Karnataka, India

Correspondence Address:
Kuldeep Singh Shekhawat
Department of Public Health Dentistry, Srinivas Institute of Dental Sciences, Mukka, Surathkal, Mangalore - 574 146, Karnataka
India
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Source of Support: None, Conflict of Interest: None


DOI: 10.4103/0976-237X.183050

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Background: Oral health has a profound effect on the daily activities of geriatric group. India being a multilingual country, it is essential that instruments used to evaluate the quality of life is in local languages. However, the validation and translational aspect are important before involving a larger cohort of geriatrics. Aim: To assess the reliability of Malayalam version of Geriatric Oral Health Assessment Index (GOHAI-m). Settings and Design: Institutionalized elderly in Alleppey, Kerala, cross-sectional study. Materials and Methods: The 12 items in GOHAI were translated into Malayalam using a back-translation technique. The comprehensibility of the Malayalam version was assessed by a pilot study. Fifty institutionalized elderly answered the questionnaire. Impact based on age and marital status was also assessed. Statistical Analysis: Independent sample t-test, Cronbach's alpha, test–retest reliability using intraclass correlation coefficient (ICC). Results: The mean GOHAI-m scores were higher for elderly participants with slightly more impact on quality of life such as for biting or chewing food, and lower mean GOHAI-m scores indicated a positive impact on quality of life such as their self-conscious of oral health. Cronbach's alpha of 0.677 was reached with 12 items. Item 12 had a negative item-total correlation, −0.016, the deletion of Item-12 increased the item correlation to 0.7. Test–retest reliability of 0.65 for ICC indicated moderate stability. Females had more impact than males (P < 0.05). Age and marital status had no impact on their quality of life. Conclusion: The primary analysis of GOHAI-m indicated moderate stability. The elimination of negative items depends on the objectives of the study and/or after conducting a larger study keeping in view various parameters of the study.


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