Development of an oral health literacy instrument for elderly


  • Pannapa Jittimanee Science Program in Health education and Health Promotion Faculty of Public Health Burapha University
  • Yuwadee Rodjakpai Faculty of Public Health, Burapha University
  • Nipa Maharatchapong Faculty of Public Health, Burapha University


measurement, elderly, oral health literacy


Oral health is an important component of general health and quality of life. Meanwhile, oral disease is still a major elderly health problem. Thus, the purpose of this research was to develop tools for measuring oral health literacy (OHL) in the elderly population using the Delphi technique. Questionnaires were designed to systematically collect opinions from oral health professionals (dentists). Eighteen oral health experts answered three rounds of questions. Then the median and inter quartile range (IQR) of the data set were determined for conclusions from the experts The research instrument used in the first round was an open-ended questionnaire. The result from the first questionnaire were used to design the second round questionnaire. It used questions with a five-rating scale. The questionnaires were sent to the experts to evaluate and give suggestion. The researcher analyzed the questionnaires using median and inter quartile range (IQR), the results from the questionnaire were used for adjusting the third round of questions. The final version of the questionnaire was distributed to the same group of experts. The data from the third round were analyzed using the same methods as for the second round.

The result of the study were as follows: 1) Consensus indicators from experts’ opinions were divided into 6 aspects: (1.1) Access skills: 6 indicators, (1.2) Cognitive skills: 10 indicators, (1.3) Communication skills: 4 indicators, (1.4) Self – management skills: 7 indicators, (1.5) Media literacy skills: 6 indicators, (1.6) Decision skills: 4 indicators.

Oral health promotion guidelines for the elderly should begin by evaluating OHL levels of the elderly to promote oral health literacy.


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How to Cite

Jittimanee, P., Rodjakpai, Y., & Maharatchapong, N. (2019). Development of an oral health literacy instrument for elderly. Journal of Public Health Nursing, 33(3), 114–131. Retrieved from



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