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Updated: May 13, 2026
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Oral Health Assessment by Lay Personnel for Older Adults
Published on: February 2, 2020
CONTENT DOMAINS OF ORAL HEALTH-RELATED QUALITY OF LIFE IN OLDER ADULTS: A SYSTEMATIC REVIEW AND CONCEPTUAL SYNTHESIS
The Journal of Evidence-Based Dental Practice
|May 11, 2026
Summary
This study reviewed oral health-related quality of life (OHRQoL) instruments for older adults, identifying 7 key domains. The findings offer a content map to refine OHRQoL measures and guide geriatric oral health care.
Area of Science:
- Geriatric Oral Health
- Health Measurement
- Quality of Life Research
Background:
- Oral health-related quality of life (OHRQoL) is crucial in geriatric care, but its definition is inconsistent.
- This inconsistency limits comparability and clinical application of OHRQoL studies in older adults.
Purpose of the Study:
- To systematically review OHRQoL instruments used in older adults.
- To analyze the item content of these instruments.
- To clarify content domains and develop a refined content map for OHRQoL in the elderly.
Main Methods:
- Conducted a systematic search across multiple databases (PubMed/MEDLINE, EMBASE, CINAHL, PsycINFO, Web of Science).
- Included studies developing or validating OHRQoL instruments for individuals aged 60 years or older.
- Performed inductive content analysis on item-level data and assessed risk of bias.
Main Results:
- Identified 33 studies, 16 distinct instruments, and 589 items related to OHRQoL in older adults.
- Content analysis revealed 7 major domains (oral health status, self-perception, function, behavior, burden, adaptation, overall evaluation) and 23 subdomains.
- Developed a content map synthesizing these domains, highlighting variability in OHRQoL conceptualization.
Conclusions:
- An empirical content map of OHRQoL conceptualization in older adults was created.
- This map provides evidence for developing and refining OHRQoL instruments.
- The findings can support personalized oral health care and tailored interventions for the elderly.
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