{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,5,13]],"date-time":"2026-05-13T09:10:15Z","timestamp":1778663415775,"version":"3.51.4"},"reference-count":45,"publisher":"Wiley","license":[{"start":{"date-parts":[[2026,5,13]],"date-time":"2026-05-13T00:00:00Z","timestamp":1778630400000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by-nc\/4.0\/"},{"start":{"date-parts":[[2026,5,13]],"date-time":"2026-05-13T00:00:00Z","timestamp":1778630400000},"content-version":"tdm","delay-in-days":0,"URL":"http:\/\/doi.wiley.com\/10.1002\/tdm_license_1.1"}],"funder":[{"DOI":"10.13039\/100010414","name":"Health Research Board","doi-asserted-by":"publisher","id":[{"id":"10.13039\/100010414","id-type":"DOI","asserted-by":"publisher"}]}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Gerodontology"],"abstract":"<jats:title>ABSTRACT<\/jats:title>\n                  <jats:sec>\n                    <jats:title>Background<\/jats:title>\n                    <jats:p>The Modified Oral Status Survey Tool (MOSST) is a novel instrument designed to assess oral health and function in older adults for whom traditional dental indices are unsuitable. Originally developed for older adults with intellectual disabilities (ID), its reliability and content validity are established, but its concurrent validity against clinical standards is unclear.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Objective<\/jats:title>\n                    <jats:p>This study aimed to assess the concurrent validity of the MOSST by comparing its scores with established clinical indices for caries, gingival inflammation, and oral cleanliness in older adults with ID.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>\n                      A validation study was conducted within Wave 6 of the Intellectual Disability Supplement to the Irish Longitudinal Study on Ageing (IDS\u2010TILDA). Dentate older adults with ID (\n                      <jats:italic>n<\/jats:italic>\n                      \u2009=\u200945; age range [40\u201370\u2009years]) were assessed by a calibrated dentist using MOSST, the International Caries Detection and Assessment System (ICDAS), the Modified Gingival Index (MGI), and the Plaque Index (PI). Agreement between MOSST items and clinical indices was analysed using Cohen's kappa and Spearman's rank correlation coefficients.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>\n                      Data from 45 participants were analysed. The MOSST demonstrated perfect agreement with ICDAS\u2010merged stage for extensive caries lesion (\n                      <jats:italic>\u03ba<\/jats:italic>\n                      \u2009=\u20091.00), the MGI for gingival inflammation (\n                      <jats:italic>\u03ba<\/jats:italic>\n                      \u2009=\u20091.00), and the PI for oral cleanliness (\n                      <jats:italic>\u03ba<\/jats:italic>\n                      \u2009=\u20091.00). Spearman's correlations were also perfect (\n                      <jats:italic>p<\/jats:italic>\n                      \u2009=\u20091.00) across all domains with no significant difference between MOSST and indices identified.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusions<\/jats:title>\n                    <jats:p>MOSST demonstrates excellent concurrent validity with gold\u2010standard clinical measures. Its accurate identification of cavitated caries, gingival inflammation, and plaque accumulation supports its use as a practical, non\u2010dental tool for oral health assessment and research in older adults where traditional dental methods are inappropriate.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1111\/ger.70092","type":"journal-article","created":{"date-parts":[[2026,5,13]],"date-time":"2026-05-13T08:21:43Z","timestamp":1778660503000},"update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":0,"title":["Concurrent Validity of the Modified Oral Status Survey Tool"],"prefix":"10.1111","author":[{"ORCID":"https:\/\/orcid.org\/0009-0004-0714-8697","authenticated-orcid":false,"given":"Hoda","family":"Tayebi\u2010Hillali","sequence":"first","affiliation":[{"name":"Medical \u2013 Surgical Dentistry Research Group (OMEQUI), Health Research Institute of Santiago de Compostela (IDIS) University of Santiago de Compostela (USC)  Santiago de Compostela Spain"},{"name":"School of Nursing and Midwifery, Trinity College Dublin University of Dublin  Dublin Ireland"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Caoimhin Mac Giolla","family":"Phadraig","sequence":"additional","affiliation":[{"name":"Dublin Dental University Hospital &amp; School of Dental Science, Trinity College University of Dublin  Dublin Ireland"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Isabel C.","family":"Oleg\u00e1rio","sequence":"additional","affiliation":[{"name":"School of Dentistry RCSI University of Medicine and Health Sciences  Dublin Ireland"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Jean","family":"Moynihan","sequence":"additional","affiliation":[{"name":"School of Nursing and Midwifery, Trinity College Dublin University of Dublin  Dublin Ireland"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Laura","family":"Hunt","sequence":"additional","affiliation":[{"name":"School of Nursing and Midwifery, Trinity College Dublin University of Dublin  Dublin Ireland"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-8783-8089","authenticated-orcid":false,"given":"Lewis","family":"Winning","sequence":"additional","affiliation":[{"name":"Dublin Dental University Hospital &amp; School of Dental Science, Trinity College University of Dublin  Dublin Ireland"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-5129-6399","authenticated-orcid":false,"given":"Philip","family":"McCallion","sequence":"additional","affiliation":[{"name":"School of Social Work Temple University  Philadelphia Pennsylvania USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Mary","family":"McCarron","sequence":"additional","affiliation":[{"name":"School of Nursing and Midwifery, Trinity College Dublin University of Dublin  Dublin Ireland"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0009-0005-0455-7417","authenticated-orcid":false,"given":"Katrina","family":"Byrne","sequence":"additional","affiliation":[{"name":"School of Nursing and Midwifery, Trinity College Dublin University of Dublin  Dublin Ireland"},{"name":"Dublin Dental University Hospital &amp; School of Dental Science, Trinity College University of Dublin  Dublin Ireland"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"311","published-online":{"date-parts":[[2026,5,13]]},"reference":[{"key":"e_1_2_11_2_1","volume-title":"World Health Statistics 2020","author":"World Health Organization","year":"2020"},{"key":"e_1_2_11_3_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.ridd.2010.12.018"},{"key":"e_1_2_11_4_1","doi-asserted-by":"publisher","DOI":"10.2105\/AJPH.2016.303240"},{"key":"e_1_2_11_5_1","doi-asserted-by":"publisher","DOI":"10.1111\/jar.12417"},{"key":"e_1_2_11_6_1","doi-asserted-by":"publisher","DOI":"10.1136\/jech.2010.111773"},{"key":"e_1_2_11_7_1","doi-asserted-by":"publisher","DOI":"10.2105\/AJPH.2014.302182"},{"key":"e_1_2_11_8_1","doi-asserted-by":"publisher","DOI":"10.1136\/bmjopen\u20102019\u2010029040"},{"key":"e_1_2_11_9_1","doi-asserted-by":"publisher","DOI":"10.1111\/j.1754\u20104505.2010.00136.x"},{"key":"e_1_2_11_10_1","doi-asserted-by":"publisher","DOI":"10.1111\/jphd.12077"},{"key":"e_1_2_11_11_1","doi-asserted-by":"publisher","DOI":"10.1111\/jir.12628"},{"key":"e_1_2_11_12_1","doi-asserted-by":"publisher","DOI":"10.1111\/jir.12786"},{"key":"e_1_2_11_13_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.ridd.2016.09.020"},{"key":"e_1_2_11_14_1","doi-asserted-by":"publisher","DOI":"10.1111\/jar.13225"},{"key":"e_1_2_11_15_1","volume-title":"Health Equity for Persons With Disabilities: Guide for Action","author":"Organization WH","year":"2024"},{"key":"e_1_2_11_16_1","doi-asserted-by":"publisher","DOI":"10.1111\/cdoe.12843"},{"key":"e_1_2_11_17_1","doi-asserted-by":"publisher","DOI":"10.1111\/j.1365\u20102788.2005.00618.x"},{"key":"e_1_2_11_18_1","doi-asserted-by":"publisher","DOI":"10.1111\/jar.12132"},{"key":"e_1_2_11_19_1","doi-asserted-by":"publisher","DOI":"10.1111\/jir.13097"},{"key":"e_1_2_11_20_1","doi-asserted-by":"publisher","DOI":"10.1186\/s12877\u2010019\u20101349\u2010y"},{"key":"e_1_2_11_21_1","doi-asserted-by":"publisher","DOI":"10.1111\/ger.12654"},{"key":"e_1_2_11_22_1","doi-asserted-by":"publisher","DOI":"10.1186\/s12903\u2010024\u201004025\u2010y"},{"key":"e_1_2_11_23_1","doi-asserted-by":"publisher","DOI":"10.1902\/jop.1967.38.6.610"},{"issue":"1","key":"e_1_2_11_24_1","first-page":"3","article-title":"A Modified Gingival Index for Use in Clinical Trials","volume":"8","author":"Lobene R. 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