A narrative review evaluates the Ageism Scale's effectiveness in measuring barriers to geriatric dental care across cultures, suggesting necessary adaptations.
The ASDS combines cross-culturally stable and context-specific elements. Core items on compliance, complexity and treatment barriers support its use as an indicator of attitudinal obstacles to geriatric dental care, while value- and training-related items require cultural adaptation. When evaluating the impact of dental education, the ASDS may be most informative alongside a general ageism scale and if cross-national comparisons follow tests of measurement invariance.
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Izumi et al. (2026) studied this question.
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