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Abstract

ABSTRACT

Mucositis is a frequent side-effect of chemotherapy and radiotherapy. Assessment of oral cavity is important to detect alterations in the mouth and plan appropriate interventions. A reliable tool can help to have a better assessment of mucositis and a major knowledge about this phenomenon. Since no valid and reliable tool for the assessment of mucositis is still available in Italy, the aim of this study was to establish the validity and reliability of the Italian version of the Oral Assessment Guide (OAG). A panel of health care experts established the content validity of the tool both for the items and the descriptors. To establish the reliability of the tool, a sample of 14 inpatients with haematological diseases were recruited. Couples of dental hygienists separately performed 60 pairs of assessments (for a total of 120 assessments) on the sample. The Italian version of OAG was found to have an acceptable Content Validity Index (CVI) for items and related descriptors ranging between 0.67 and 1. Cronbach's alpha was 0.84, agreement of assessment ranged between 0.87 and 0.65 with Cohen's Kappa coefficient ranging from good to very good. This study showed that the Italian version of the OAG has good psychometric properties of validity and reliability to assess mucositis in patients undergoing chemotherapy. This tool will have a great importance to carry out future research in Italy aimed to improve the patient's outcomes particularly in terms of functional ability and quality of life. Parole Chiave: Mucositis, Oral Assessment Guide, Oral health, Chemotherapy, Validity and Reliability

RIASSUNTO

Le mucositi sono un frequente effetto indesiderato della chemio e radioterapia. La valutazione della cavití  orale è importante per rilevare alterazioni e pianificare interventi. Un valido strumento è indispensabile per valutare le mucositi in modo attendibile ed aumentare le nostre conoscenze sul fenomeno. In Italia al momento non è disponibile nessuno strumento valido ed affidabile per la valutazione delle mucositi. Lo scopo del presente studio è stato quello di stabilire la validití  e l'affidabilití  delle versione italiana dell'Oral Assessment Guide (OAG). Un gruppo di esperti ha stabilito la validití  di contenuto della strumento sia in riferimento agli item sia ai singoli descrittori. Per stabilire l'affidabilití  dello strumento è stato arruolato un campione di 14 pazienti ematologici sottoposti a chemioterapia sul quale coppie di igienisti dentali, in modo indipendente, hanno effettuato 60 coppie di valutazione (per un totale di 120). La versione italiana dell'OAG ha dimostrato di possedere una buona validití  di contenuto (CVI) sia per gli item che per i descrittori con un range di variabilití  compreso tra 0,67 e 1. L'alfa di Cronbach è risultato di 0,84, la concordanza delle valutazione è risultata compresa tra 0,87 e 0,65 con un Kappa di Cohen compreso tra buono e molto buono. Questo studio ha mostrato che la versione italiana dell'OAG possiede buone proprietí  psicometriche. Il suo utilizzo potrebbe risultare importante per future ricerche in Italia aventi lo scopo di migliorare gli outcomes dei pazienti, con particolare riferimento alle abilití  funzionale e alla qualití  della vita.

Key words: Mucosite, Oral Assessment Guide, Salute orale, Chemioterapia, Validití  e Affidabilití .

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D’Angelo, D., Vellone, E., Salvatori, C., De Marinis, M. G., & Alvaro, R. (2013). Validity and reliability of the Italian version of the oral assessment guide. PROFESSIONI INFERMIERISTICHE, 66(2). Recuperato da https://www.profinf.net/pro3/index.php/IN/article/view/27
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