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Updated: Sep 26, 2025

Oral Health Assessment by Lay Personnel for Older Adults
Published on: February 2, 2020
A parsimonious and comprehensive screening tool for adult health behaviors
Ya-Wen Kuo1,2, Shu-Hung Chang3, Cheng-Hsien Huang4
1Department of Nursing, Chang Gung University of Science and Technology, Chiayi, Taiwan.
Background:
A practical screening tool for early detection of unhealthy behaviors among adults to provide tailored care can have an important role in public health nursing.
Purpose:
To develop a screening tool with valid psychometric properties for adult health behaviors (AHBs).
Methods:
A cross-sectional study was conducted between March 2018 and September 2019 in central-southern Taiwan. The AHBs development included qualitative and quantitative measurement of items based on literature reviews and expert opinion and exploration and confirmatory factor analysis.
Results:
A total of 765 community adult participants: 377 women and 388 men, with a mean age of 39.3 (SD = 10.6), ranging from 20 to 64 years completed the AHBs screening tool. Analysis of the 23-items AHBs scale identified six dimensions - stress management, physical activity, health responsibility, life appreciation, healthy eating, and oral hygiene accounting for 67.3% of the variance. Total scale scores were significantly associated with a criterion variable of life satisfaction.
Conclusion:
The AHBs scale is a suitable screening tool that can be used to identify adults' unhealthy behaviors early, which is useful for public health nurses to conduct a regular assessment and initiate individualized health programs.
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