Towards an operational definition of oral frailty: A e-Delphi study.

Parisius, Karl G H; Verhoeff, Merel C; Lobbezoo, Frank; Avivi-Arber, Limor; Duyck, Joke; Hirano, Hirohiko; Iijima, Katsuya; Janssens, Barbara; Kossioni, Anastassia; Lin, Chia-Shu; McKenna, Gerald; Müller, Frauke; Schimmel, Martin; Visser, Anita; Watanabe, Yutaka; Gobbens, Robbert J J (2024). Towards an operational definition of oral frailty: A e-Delphi study. Archives of gerontology and geriatrics, 117, p. 105181. Elsevier 10.1016/j.archger.2023.105181

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OBJECTIVES

Building upon our recently developed conceptual definition of oral frailty (the age-related functional decline of orofacial structures), this e-Delphi study aims to develop an operational definition of oral frailty by identifying its components.

METHODS

We used a modified e-Delphi study to reach a consensus among international experts on the components of oral frailty. Twelve out of fifteen invited experts in the field of gerodontology participated. Experts responded to three rounds of an online 5-point scale questionnaire of components to be included or excluded from the operational definition of oral frailty. After each round, scores and rationales were shared with all experts, after which they could revise their position. A consensus was reached when at least 70% of the experts agreed on whether or not a component should be included in the operational definition of oral frailty.

RESULTS

The experts achieved a high level of agreement (80 - 100%) on including eight components of oral frailty and excluding nineteen. The operational definition of oral frailty should include the following components: 1) difficulty eating hard or tough foods, 2) inability to chew all types of foods, 3) decreased ability to swallow solid foods, 4) decreased ability to swallow liquids, 5) overall poor swallowing function, 6) impaired tongue movement, 7) speech or phonatory disorders, and 8) hyposalivation or xerostomia.

CONCLUSION

This e-Delphi study provided eight components that make up the operational definition of oral frailty. These components are the foundation for the next stage, which involves developing an oral frailty assessment tool.

Item Type:

Journal Article (Original Article)

Division/Institute:

04 Faculty of Medicine > School of Dental Medicine > Department of Reconstructive Dentistry and Gerodontology

UniBE Contributor:

Schimmel, Martin

Subjects:

600 Technology > 610 Medicine & health

ISSN:

1872-6976

Publisher:

Elsevier

Language:

English

Submitter:

Pubmed Import

Date Deposited:

18 Sep 2023 11:46

Last Modified:

28 Dec 2023 09:51

Publisher DOI:

10.1016/j.archger.2023.105181

PubMed ID:

37713933

Uncontrolled Keywords:

International consensus Modified e-Delphi study Operational definition Oral frailty Oral function

BORIS DOI:

10.48350/186355

URI:

https://boris.unibe.ch/id/eprint/186355

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