Community dentistry and oral epidemiology最新文献_第7页

Psychometric Validation of the FACE-Q Dental Module in Patients With Malocclusions FACE-Q牙模块在错颌患者中的心理测量验证。

IF 1.8 3区医学 Q2 DENTISTRY, ORAL SURGERY & MEDICINE

Community dentistry and oral epidemiology

Pub Date : 2025-06-04 DOI: 10.1111/cdoe.13045

Ali Tassi, Anne F. Klassen, Jessica Li, Karen W. Y. Wong Riff, Charlene Rae

Objective

The FACE-Q Craniofacial Module is a patient-reported outcome measure (PROM) developed for children and young adults with craniofacial conditions. We hypothesised that some of its scales may be applicable to other populations. The aim of this study was to assess the validity and reliability of FACE-Q scales for patients with dental malocclusions.

Methods

The FACE-Q Dental Module includes 5 scales from the Craniofacial Module that measure appearance (Face, Jaws, Smile and Teeth) and function (Eating/Drinking). Data were collected from patients aged 8–29 years who presented with a dental malocclusion (pre-treatment) or 1–2 years after orthodontic treatment (post-treatment) at a large university-based orthodontic specialty clinic in Canada between September 2018 and March 2020. Patients completed a paper questionnaire booklet, and data were entered into a Research Electronic Data Capture (REDCap) survey. The psychometric analysis was performed using Rasch Measurement Theory (RMT) analysis.

Results

The sample of 434 patients was aged 9 to 29 years, with 249 female and 185 male participants. The sample included 252 pre-treatment and 182 post-treatment patients. The 4 appearance scales evidenced strong psychometric performance; all 37 items had ordered thresholds with good item fit to the Rasch model. Reliability was high, with person separation index and Cronbach alpha values, with and without extremes ≥ 0.86. As hypothesised, those participants who had a major difference in appearance, and those who reported liking their appearance less, scored lower on the appearance scales (p < 0.001). In the RMT analysis, the Eating/Drinking scale evidenced low reliability and poor targeting with close to 40% of particpants scoring at the ceiling.

Conclusion

The FACE-Q Dental Module provides a means to collect evidence-based outcomes data from children and young adults who undergo orthodontic care for dental malocclusions.

目的：FACE-Q颅面模块是为患有颅面疾病的儿童和年轻人开发的一种患者报告的结果测量（PROM）。我们假设其中的一些尺度可能适用于其他人群。本研究的目的是评估FACE-Q量表对牙齿错颌患者的效度和信度。方法：Face - q牙科模块包括颅面模块的5个量表，用于测量外观（面部、颌骨、微笑和牙齿）和功能（饮食）。数据收集自2018年9月至2020年3月期间在加拿大一家大型大学正畸专科诊所就诊的8-29岁牙错（治疗前）或正畸治疗后1-2年（治疗后）患者。患者填写纸质问卷，数据输入研究电子数据采集（REDCap）调查。心理测量分析采用Rasch测量理论（RMT）分析。结果：434例患者，年龄9 ~ 29岁，其中女性249例，男性185例。样本包括252例治疗前患者和182例治疗后患者。4个外貌量表均表现出较强的心理测量表现；所有37个项目都有有序的阈值，项目适合Rasch模型。信度高，人分离指数和Cronbach α值，有无极值≥0.86。正如假设的那样，那些在外表上有很大差异的参与者，以及那些报告不太喜欢自己外表的参与者，在外表量表上得分较低(p结论：FACE-Q牙科模块提供了一种收集基于证据的结果数据的方法，这些数据来自接受牙齿错合正畸治疗的儿童和年轻人。

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引用次数: 0

Practice-Level Variation in the Provision of Subsidised Dental Services to Adult Danes in 2019: A Register-Based Study 2019年向丹麦成人提供资助牙科服务的执业水平差异：一项以注册为基础的研究

IF 1.8 3区医学 Q2 DENTISTRY, ORAL SURGERY & MEDICINE

Community dentistry and oral epidemiology

Pub Date : 2025-06-03 DOI: 10.1111/cdoe.13048

Eero Raittio, Vibeke Baelum

Objectives

The aim was to investigate practice-level variation in common dental diagnostic, preventive, and care services provided for Danish adults who underwent a dental examination.

Methods

This was a nationwide register-based study. Subsidised dental services delivered during the 13-week period subsequent to the provision of one of three eligible dental examinations (extended, basic, or recall examination) during the first 9 months of 2019 were investigated. Bayesian multilevel regression models were used to estimate the practice-level average predicted probability of supragingival care, subgingival care, individual prevention, bitewing radiographs, and endodontic treatment, and the average predicted count of extractions and direct restorations while adjusting for individual sociodemographics and dental treatments received during the previous 10 years.

Results

The final sample included 445 516 examinations conducted in 1593 dental practices. Supragingival care after basic or recall examinations showed the lowest practice-level variation, with around two-fold difference between top and bottom 2.5%. Individual preventive services after recall examinations showed the highest variation with over 30-fold difference between top and bottom 2.5%. All other outcomes showed around 3- to 8-fold differences between practices at top and bottom 2.5% across all examination types. The differences across practices were smaller—1.2- to 3.0-fold—when the top 25% and bottom 25% were compared instead.

Conclusions

This study found considerable variation in diagnostic, preventive, and treatment services provided for Danish adults who underwent a dental examination. The findings highlight the need for research that can inform evidence-based practice through the development of quality clinical practice guidelines, continuing education programmes, and closer surveillance of care delivery.

目的：目的是调查为接受牙科检查的丹麦成年人提供的普通牙科诊断、预防和护理服务的实践水平差异。方法：这是一项全国性的基于登记的研究。对2019年前9个月进行三次合格牙科检查（延长检查、基本检查或召回检查）之一后的13周内提供的补贴牙科服务进行了调查。使用贝叶斯多水平回归模型估计实践水平平均预测牙龈上护理、牙龈下护理、个人预防、咬牙x线片和根管治疗的概率，以及拔牙和直接修复的平均预测计数，同时调整个人社会人口统计学和过去10年接受的牙科治疗。结果：最终样本包括1593个牙科诊所进行的445516次检查。基础检查或回忆检查后的龈上护理显示出最低的实践水平差异，上下相差约两倍，为2.5%。个别预防服务在召回检查后的差异最大，最高和最低的2.5%之间的差异超过30倍。所有其他结果显示，在所有考试类型中，最高和最低2.5%的做法之间的差异约为3至8倍。当比较前25%和后25%时，不同行业之间的差异就小了1.2到3.0倍。结论：本研究发现，丹麦成年人接受牙科检查时，在诊断、预防和治疗服务方面存在相当大的差异。研究结果强调，需要开展研究，通过制定高质量的临床实践指南、继续教育规划和更密切地监测护理服务，为循证实践提供信息。

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引用次数: 0

Exploring Barriers and Facilitators to Dietary Assessment and Advice in the Paediatric Population Attending Dental Clinics: A Scoping Review 探索障碍和促进饮食评估和建议的儿科人口参加牙科诊所：范围审查。

IF 2.1 3区医学 Q2 DENTISTRY, ORAL SURGERY & MEDICINE

Community dentistry and oral epidemiology

Pub Date : 2025-05-27 DOI: 10.1111/cdoe.13046

Lauren Hallewell, Raul Bescos, Zoe Brookes, Robert Witton, Patricia Casas-Agustench

Objectives

This scoping review aimed to identify barriers and facilitators, from both dental clinic staff and caregivers, to effectively providing and implementing dietary assessment and advice (for both oral and/or systemic health) in dental clinics managing paediatric patients.

Methods

A protocol was developed a priori (Open Science Framework- https://osf.io/bp4ts.) and followed the PRISMA-ScR guidelines. Studies published in English from 1990 to December 2024 in MEDLINE, Cochrane Library, Embase and CINAHL databases were searched. Additional journal searches targeted articles on dietary assessment or advice in dental clinics treating paediatric patients (aged ≤ 18 years), exploring barriers and facilitators for caregivers and dental clinic staff.

Results

Of 4736 studies identified, 32 were included, with 5 additional studies included from manual searching. Sixteen studies were quantitative, 13 were qualitative, and 8 mixed methods. Across studies, 77 barriers and 45 facilitators were identified in providing and implementing dietary assessment and advice in the paediatric population attending dental clinics. Results were mapped to the Theoretical Domains Framework. Common barriers for dental staff included time constraints and financial compensation, while caregivers cited controlling children's dietary habits as a major barrier.

Conclusions

Understanding the main barriers and facilitators in providing and implementing dietary assessment and advice in dental clinics treating paediatric patients is crucial to improving preventive healthcare.

目的：本范围综述旨在确定牙科诊所工作人员和护理人员在牙科诊所管理儿科患者时有效提供和实施饮食评估和建议（针对口腔和/或全身健康）的障碍和促进因素。方法：先验地制定了一个协议（开放科学框架- https://osf.io/bp4ts.），并遵循PRISMA-ScR指南。检索MEDLINE、Cochrane Library、Embase和CINAHL数据库中1990年至2024年12月发表的英文研究。额外的期刊检索针对的是牙科诊所治疗儿科患者（年龄≤18岁）的饮食评估或建议的文章，探索护理人员和牙科诊所工作人员的障碍和促进因素。结果：在4736项研究中，32项被纳入，另外5项研究来自人工检索。定量研究16项，定性研究13项，混合研究8项。在这些研究中，确定了77个障碍和45个促进因素，在向到牙科诊所就诊的儿科人口提供和实施饮食评估和建议方面。结果被映射到理论领域框架。牙科工作人员的常见障碍包括时间限制和经济补偿，而护理人员则认为控制孩子的饮食习惯是主要障碍。结论：了解在牙科诊所治疗儿科患者时提供和实施饮食评估和建议的主要障碍和促进因素对改善预防保健至关重要。

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引用次数: 0

Testing Dental Anxiety and Self-Care Behaviours as Mediators of the Association Between Executive Functioning and Oral Health Among Young Adults 测试牙齿焦虑和自我保健行为在年轻人执行功能和口腔健康之间的中介作用。

IF 2.1 3区医学 Q2 DENTISTRY, ORAL SURGERY & MEDICINE

Community dentistry and oral epidemiology

Pub Date : 2025-05-27 DOI: 10.1111/cdoe.13047

Adam A. Rogers, Anne E. M. Halvari, Anne-Kristin Solbakk, Jan-Are K. Johnsen

Background

Increased support for oral health during young adulthood is needed to address trends in oral disease over the life course. Executive functioning (EF) may play a role in supporting oral health but has received little attention. EF represents the capacity to control cognitive information, feelings and behaviour. The current study aimed to explore the association between EF and oral health among young adults and investigate potential mediators.

Methods

Young adults aged 18–30 years were recruited from five universities within Norway to take part in a cross-sectional digital survey. Participants self-reported EF, toothbrushing, flossing, dental fear and anxiety (DFA), and provided ratings on two measures of oral health: self-rated oral health (SROH) and self-reported oral health-related quality of life (OHRQoL). Separate analyses were conducted for each outcome. Linear regression was used to test the association between EF and oral health, and whether toothbrushing, flossing, or DFA mediated this effect.

Results

Data from 344 participants were analysed. Average SROH was quite good (M = 4.13), several participants (60.5%) reported some impact on OHRQoL. In the SROH model, EF difficulties directly predicted oral health (β = −0.26), and DFA mediated the relationship (ab = −0.03, p < 0.05). In the OHRQoL model, EF difficulties again predicted performances impacted (β = 0.27), and DFA mediated the relationship (ab = 0.04, p < 0.05).

Conclusion

EF is related to oral health outcomes among young adults and the relationship is mediated by DFA. Studies are encouraged to continue exploring these relationships, with longitudinal studies needed to provide more insight into the potential role of EF as a protective factor for the development of DFA and oral health problems.

背景：需要增加对青年期口腔健康的支持，以应对生命过程中口腔疾病的趋势。执行功能（EF）可能在支持口腔健康方面发挥作用，但很少受到关注。EF代表了控制认知信息、感觉和行为的能力。本研究旨在探讨EF与年轻人口腔健康之间的关系，并研究潜在的中介因素。方法：从挪威的五所大学招募18-30岁的年轻人参加横断面数字调查。参与者自我报告EF、刷牙、使用牙线、牙齿恐惧和焦虑（DFA），并提供两项口腔健康指标的评分：自评口腔健康（SROH）和自评口腔健康相关生活质量（OHRQoL）。对每个结果分别进行分析。线性回归用于检验EF与口腔健康之间的关系，以及刷牙、牙线或DFA是否介导了这种影响。结果：分析了344名参与者的数据。平均SROH相当好（M = 4.13），一些参与者（60.5%）报告对OHRQoL有一定影响。在SROH模型中，EF困难直接预测口腔健康（β = -0.26）， DFA介导了这一关系（ab = -0.03, p）。结论：EF与青壮年口腔健康结果相关，且这种关系由DFA介导。研究鼓励继续探索这些关系，需要进行纵向研究，以更深入地了解EF作为DFA发展和口腔健康问题的保护因素的潜在作用。

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引用次数: 0

Stakeholder Attitudes, Experiences and Perceptions of the New South Wales Primary School Mobile Dental Program 利益相关者的态度，经验和新南威尔士州小学流动牙科计划的看法。

IF 1.8 3区医学 Q2 DENTISTRY, ORAL SURGERY & MEDICINE

Community dentistry and oral epidemiology

Pub Date : 2025-05-20 DOI: 10.1111/cdoe.13044

Kanchan Marcus, Carmen Huckel-Schneider, Anagha Killedar, Madhan Balasubramanian, Arash Rudman, Woosung Sohn, Prithivi Sivaprakash, Sarah Norris, Graeme Liston, Naomi Wilson, Kara Clarke, Andrew Wilson

Objectives

Tooth decay is a leading cause of total disease burden among Australian children. In 2019, the state government of New South Wales, Australia implemented the Primary School Mobile Dental Program (PSMDP) across five local health districts. Understanding stakeholder satisfaction of the PSMDP is an important measure of quality, to determine appropriateness as relevant to the needs of populations. The aim of the study was to explore parent/caregiver and provider attitudes, experiences, and perceptions of the PSMDP.

Methods

This study reports on the qualitative component of a mixed methods study examining parent/caregiver and provider (oral health staff) experiences of the program. Two of the five local health districts were selected for study sampling. Parents/caregivers were recruited using flyers administered via schools and oral health teams. Interviews were conducted between 2022 and 2023. The interviews lasted 20–60 min, were recorded, and transcribed verbatim. A critical realist lens was applied, and thematic analysis was conducted. Data saturation was achieved, and bias was reduced through member checking, researcher reflexivity, and team triangulation of the data.

Results

In total, 79 individuals (58 parents/caregivers and 21 providers) were interviewed. Analysis revealed six key themes: (1) oral healthcare access, (2) informed consent, (3) parental attendance, (4) rewarding experiences, (5) operational barriers, and (6) communication clarity. The PSMDP promoted oral healthcare access while some parents/caregivers reported informed consent challenges. Providers cited rewarding experiences but face operational barriers including time constraints. Stakeholders diverged on parental attendance at school dental appointments, and most importantly, parents/caregivers requested follow-up communication clarity and coordination, particularly in feedback letters.

Conclusions

Qualitative findings identified generally positive attitudes and experiences with the PSMDP, and implications have been identified that would support the scale-up and sustainability of the PSMDP across the state. Study insights could be useful for similar programs, such as extending the attendance time per child, giving greater consideration to parental involvement, and improving communication and follow-up coordination.

目的：蛀牙是澳大利亚儿童总疾病负担的主要原因。2019年，澳大利亚新南威尔士州政府在五个地方卫生区实施了小学流动牙科计划（PSMDP）。了解利益相关者对PSMDP的满意度是质量的重要衡量标准，以确定与人群需求相关的适当性。本研究的目的是探讨家长/照顾者和提供者对PSMDP的态度、经验和看法。方法：本研究报告了一项混合方法研究的定性部分，该研究检查了该计划的父母/照顾者和提供者（口腔卫生人员）的经验。在五个地方卫生区中选择了两个进行研究抽样。通过学校和口腔健康小组发放的传单招募父母/照顾者。采访在2022年至2023年间进行。访谈持续20-60分钟，录音并逐字抄写。运用批判现实主义视角，进行主题分析。通过成员检查、研究人员反身性和数据的团队三角化，实现了数据饱和，减少了偏见。结果：共采访79人（58名家长/照顾者和21名服务提供者）。分析揭示了六个关键主题：(1)口腔保健可及性，(2)知情同意，(3)父母出席，(4)奖励经验，(5)操作障碍，(6)沟通清晰度。PSMDP促进了口腔保健的获取，而一些家长/照顾者报告了知情同意的挑战。供应商们列举了一些有益的经验，但面临着包括时间限制在内的运营障碍。利益相关者在家长参加学校牙科预约方面存在分歧，最重要的是，家长/照顾者要求后续沟通清晰和协调，特别是在反馈信中。结论：定性调查结果确定了PSMDP的总体积极态度和经验，并确定了支持PSMDP在全州范围内扩大规模和可持续性的影响。研究的见解可能对类似的项目有用，比如延长每个孩子的出勤时间，更多地考虑父母的参与，改善沟通和后续协调。

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引用次数: 0

Oral Health Promotion Interventions in Residential Aged Care Facilities – A Systematic Review of Behaviour Change Techniques Used in Interventions 长者住宿护理机构的口腔健康促进干预措施-干预措施中使用的行为改变技术的系统回顾。

IF 2.1 3区医学 Q2 DENTISTRY, ORAL SURGERY & MEDICINE

Community dentistry and oral epidemiology

Pub Date : 2025-05-05 DOI: 10.1111/cdoe.13042

Nesa Aurlene, Sindhu Ravichandran, Melanie Bish, Santosh Kumar Tadakamadla

<div> <section> <h3> Background</h3> <p><b>T</b>he oral health status of older people living in residential aged care facilities (RACFs) is found to be very poor. Many oral health promotion interventions have been tested in RACF settings around the world with varying degrees of success.</p> </section> <section> <h3> Aim</h3> <p>The aim of this systematic review is to analyse the health promotion strategies used in oral health promotion interventions in RACF settings and map the behaviour change techniques (BCTs) used in interventions to the Behaviour Change Techniques Taxonomy Version 1 (BCTTV1). This will help us identify the BCTs that are used and how effective they are in improving oral health outcomes for residents and the knowledge, attitudes and skills of caregivers in providing mouth care assistance to residents of RACFs.</p> </section> <section> <h3> Methods</h3> <p>A database search was conducted in MEDLINE, Cochrane CENTRAL, Cochrane Database of Systematic Reviews (CDSR), EMBASE, PsycINFO, CINAHL and Web of Sciences databases to screen for articles relevant to the topic of the review; after full-text review a total of 31 articles comprising both randomised controlled trials and non-randomised intervention studies were included in this review. Risks of bias in randomised studies were assessed using the ROB2 tool and ROBINS-I was used to evaluate non-randomised studies. The description of intervention content in each study was coded for the presence of BCTs by two independent review authors trained in coding BCTs according to BCTTv1.</p> </section> <section> <h3> Results</h3> <p>The most commonly used BCTs were ‘demonstration of behaviour’, ‘instruction on how to perform behaviour’ and ‘credible source’. These BCTs were effective in improving oral health outcomes and knowledge of caregivers on short-term follow-up. A higher number of BCTs were coded in studies that showed significant improvement in oral health outcomes of residents on long-term follow-up with rarely used BCTs related to ‘monitoring and feedback’ being coded in majority of studies that showed consistent improvement in oral health outcomes of residents.</p> </section> <section> <h3> Conclusion</h3> <p>This review identified the most commonly used BCTs used in health promotion interventions to improve oral health among older people in RACFs and found that majority of interventions were targeted towards ‘knowledge transfer’ and were inconsistent in improving oral health outcome

背景：居住在住宅养老机构的老年人口腔健康状况很差。许多促进口腔健康的干预措施已在世界各地的RACF环境中进行了测试，取得了不同程度的成功。目的：本系统综述的目的是分析RACF环境中口腔健康促进干预措施中使用的健康促进策略，并将干预措施中使用的行为改变技术（bct）映射到行为改变技术分类法第1版（BCTTV1）。这将有助于我们确定所使用的bct，以及它们在改善居民口腔健康结果方面的效果，以及护理人员在向社区住客提供口腔护理援助方面的知识、态度和技能。方法：检索MEDLINE、Cochrane CENTRAL、Cochrane系统评价数据库（CDSR）、EMBASE、PsycINFO、CINAHL和Web of Sciences数据库，筛选与综述主题相关的文章；全文综述后，本综述共纳入31篇文章，包括随机对照试验和非随机干预研究。使用ROB2工具评估随机研究的偏倚风险，使用ROBINS-I评估非随机研究。每项研究的干预内容描述均由两名接受过bct编码培训的独立综述作者根据BCTTv1编码bct。结果：最常用的btc是“行为示范”、“如何执行行为的指导”和“可靠来源”。这些bct在短期随访中有效地改善了口腔健康结果和护理人员的知识。在长期随访中显示居民口腔健康结果显著改善的研究中，编码了更多的bct，而在大多数显示居民口腔健康结果持续改善的研究中，编码了与“监测和反馈”相关的很少使用的bct。结论：本综述确定了健康促进干预措施中最常用的bct，以改善racf老年人的口腔健康，并发现大多数干预措施以“知识转移”为目标，并且在长期改善居民口腔健康结果方面不一致。需要使用理论行为改变框架进行良好的研究，以制定促进口腔健康的干预措施，因为目前使用的大多数策略在改善口腔健康结果方面没有表现出一致的有效性。

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引用次数: 0

Development and Content Validity of the International Association for Disability and Oral Health Universal Case Mix Tool: A Consensus Study 国际残疾和口腔健康协会通用病例混合工具的发展和内容有效性：一项共识研究。

IF 1.8 3区医学 Q2 DENTISTRY, ORAL SURGERY & MEDICINE

Community dentistry and oral epidemiology

Pub Date : 2025-04-30 DOI: 10.1111/cdoe.13041

Caoimhin Mac Giolla Phadraig, Denise Faulks, Colman McGrath, Alison Dougall, Gustavo Molina

<div> <section> <h3> Objectives</h3> <p>To develop the International Association for Disability and Oral Health Universal Case Mix Tool (iADH UCMT) that rates case complexity in the delivery of oral healthcare.</p> </section> <section> <h3> Methods</h3> <p>A modified e-Delphi survey sought consensus on the content of a universal Case Mix Tool to rate the degree of adaptation over and above that required for the general population, with respect to time, resources and/or expertise necessary to provide high-quality care and equitable outcomes. The survey consisted of candidate domains, ratings and descriptors, following a scoping review of the literature. The consensus threshold was set a priori at ≥ 75% agreement. Expert agreement was sought on both content and wording, and free text comments were subsequently used to refine the exact wording of each domain and descriptor. A consensus meeting followed to rate descriptors for cultural acceptability and clarity, using 5-point Likert scales. Terms were aligned linguistically to ensure consistency across domains, scores and descriptors, and a glossary of definitions was refined.</p> </section> <section> <h3> Results</h3> <p>From the 70 registrants, 40 completed the survey (participation rate 59.7%). Respondents demonstrated a high level of agreement regarding the appropriateness of the seven domains, with agreement ranging from 90% to 100%. Consensus for rating descriptors was also high (85%–95%). Twenty-seven panellists and five development team members attended the consensus meeting, where cultural acceptability (means ranged from 4.6 to 4.8) and clarity (means ranged from 4.2 to 4.7) were demonstrated across domains. This consensus process produced an iADH Universal Case Mix Tool consisting of seven domains: <i>Communication; Dental behaviour support; Medical status; Risk factors for oral disease and dysfunction; Autonomy; Legal and ethical barriers;</i> and, <i>Access to adapted care at the services, systems and policies level</i>. Each Domain has four possible ratings to reflect the degree of adaptation required with respect to time, resources and/or expertise necessary to provide high-quality care and equitable outcomes. The domains, ratings and descriptors were found to be appropriate, clear and culturally acceptable.</p> </section> <section> <h3> Conclusions</h3> <p>An international panel developed a Universal Case Mix Tool to rate complexity in the delivery of oral health care. Acceptable content validity was confirmed, and further psychometric testing is planned.</p> </section>

目的：开发国际残疾和口腔健康协会通用病例组合工具（iADH UCMT），评估口腔保健交付中的病例复杂性。方法：一项修改后的e-Delphi调查寻求对通用病例组合工具的内容达成共识，以评估在提供高质量护理和公平结果所需的时间、资源和/或专业知识方面超过普通人群所需的适应程度。该调查包括候选领域、评级和描述符，随后对文献进行了范围审查。共识阈值被先验地设定为≥75%的一致性。在内容和措辞上寻求专家的一致意见，随后使用自由文本注释来改进每个领域和描述符的确切措辞。随后召开了一次共识会议，使用李克特5分量表对描述符的文化可接受性和清晰度进行评分。术语在语言上进行了对齐，以确保跨领域、分数和描述符的一致性，并改进了定义术语表。结果：在70名登记者中，有40人完成调查，参与率为59.7%。受访者对这七个领域的适当性表现出高度的一致性，一致性从90%到100%不等。评级描述符的一致性也很高（85%-95%）。27名小组成员和5名开发团队成员参加了共识会议，其中跨领域展示了文化可接受性（平均值从4.6到4.8）和清晰度（平均值从4.2到4.7）。这一共识过程产生了一个由七个领域组成的iADH通用案例组合工具：通信；牙科行为支持；医疗状况;口腔疾病和功能障碍的危险因素；自治;法律和道德障碍；在服务、系统和政策层面获得适应的医疗服务。每个领域有四个可能的评级，以反映在提供高质量护理和公平结果所需的时间、资源和/或专业知识方面所需的适应程度。这些领域、评级和描述符被认为是适当的、清晰的和文化上可接受的。结论：一个国际小组开发了一个通用病例组合工具来评估口腔卫生保健提供的复杂性。确认了可接受的内容效度，并计划进行进一步的心理测试。

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引用次数: 0

Psychosocial Profiles of Older Adults by Dentition Status and Dental Utilisation History 老年人牙齿状况和牙科使用史的社会心理特征。

IF 1.8 3区医学 Q2 DENTISTRY, ORAL SURGERY & MEDICINE

Community dentistry and oral epidemiology

Pub Date : 2025-04-25 DOI: 10.1111/cdoe.13040

T. L. Finlayson, K. Moss, J. A. Jones, J. S. Preisser, J. A. Weintraub

Objective

Psychosocial factors can affect health. Patterns of psychosocial stressors and resources among older adults were examined for oral health status.

Methods

The Health and Retirement Study (HRS) is a representative sample of US adults > 50 years. Participants completed the 2018 HRS CORE survey and the Psychosocial and Lifestyle Questionnaire–Panel A “Leave Behind” survey (HRS-LB) (N = 4703). All measures were self-reported and stratified into outcome groups: (1) edentulous/dentate, (2) with/without a recent dental visit in the last 2 years. Psychosocial measures covered three domains: well-being, beliefs, and lifestyle. Specifically, loneliness, life satisfaction, perceived age, social status, control, mastery, and chronic stressors were included in this analysis. Latent class analysis (LCA) identified profiles of adults based on the distribution of psychological and social stressors and resources. Associations between latent classes and being edentulous and a recent dental visit were examined in logistic regression models.

Results

About 30% reported no recent dental visit; 14% were edentulous. Three latent classes were identified; profiles had different distributions of psychosocial factors. About half (47%) were in Class A: “Satisfied/Connected” (n = 2230), 28% in Class B: “Satisfied/Lonely” (n = 1293), and 25% in Class C: “Unsatisfied/Lonely” (n = 1180). “Satisfied/Connected” adults had the fewest psychosocial risk factors, most resources, were dentate, and had a recent dental visit. “Unsatisfied/Lonely” adults exhibited the most psychosocial risk factors and fewest resources and lacked a recent dental visit. “Satisfied/Lonely” adults exhibited characteristics between Classes A and C. In fully adjusted regression models, Class B adults had 1.29 (1.03–1.62) times greater odds than Class A to be edentulous and 1.26 (1.07–1.50) times greater odds to not have a recent dental visit. Class C adults had 1.22 (0.97–1.53) times greater odds than Class A to be edentulous and 1.31 (1.10–1.57) times greater odds to not have a recent dental visit.

Conclusion

Adverse psychosocial factors are associated with edentulism and lack of routine dental visits. Exposure to psychosocial risk and resource factors can affect oral health. Health providers should assess older adults for loneliness and other psychosocial risk factors, and policies and programmes that support older adults' psychosocial needs should be expanded.

目的：心理社会因素可影响健康。对老年人的口腔健康状况进行了心理社会压力源和资源模式的检查。方法：健康与退休研究（HRS）是美国50岁以上成年人的代表性样本。参与者完成了2018年HRS CORE调查和心理社会和生活方式问卷- A组“落后”调查（HRS- lb）（N = 4703）。所有的测量都是自我报告的，并分为结果组：(1)无牙/有牙；(2)最近2年内有/没有牙科就诊。社会心理测量涵盖了三个领域：幸福、信仰和生活方式。具体来说，孤独、生活满意度、感知年龄、社会地位、控制、掌握和慢性压力因素都包括在这个分析中。潜在类别分析（LCA）基于心理和社会压力源和资源的分布来识别成人的特征。在逻辑回归模型中检验了潜在类别和无牙与最近牙科就诊之间的关系。结果：约30%的患者近期未就诊；14%无牙。确定了三个潜在类别；档案中心理社会因素的分布不同。大约一半（47%）的人属于A类：“满意/有联系”（n = 2230）， 28%的人属于B类：“满意/孤独”（n = 1293）， 25%的人属于C类：“不满意/孤独”（n = 1180）。“满意/有联系”的成年人的心理风险因素最少，资源最多，有牙齿，最近去看过牙医。“不满意/孤独”的成年人表现出最多的社会心理风险因素和最少的资源，并且缺乏最近的牙科检查。“满意/孤独”的成年人表现出介于A类和c类之间的特征。在完全调整的回归模型中，B类成年人无牙的几率是A类的1.29（1.03-1.62）倍，最近没有看牙医的几率是A类的1.26（1.07-1.50）倍。C类成年人无牙的几率是A类的1.22倍（0.97-1.53），最近没有看过牙医的几率是A类的1.31倍（1.10-1.57）。结论：不良心理社会因素与缺牙和缺乏常规牙科就诊有关。暴露于社会心理风险和资源因素会影响口腔健康。保健提供者应评估老年人的孤独感和其他社会心理风险因素，并应扩大支持老年人社会心理需求的政策和规划。

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引用次数: 0

Cross-Sectional Clinical Validation of the Periodontal Disease Self-Report Measure 牙周病自述量表的横断面临床验证。

IF 1.8 3区医学 Q2 DENTISTRY, ORAL SURGERY & MEDICINE

Community dentistry and oral epidemiology

Pub Date : 2025-04-07 DOI: 10.1111/cdoe.13038

Casey D. Wright, Arif Salman, Raul I. Garcia, Daniel W. McNeil, Brenda Heaton

Background

The Periodontal Disease Self Report (PDSR) measure was originally created and psychometrically validated using a nationwide sample via online data collection. No clinical parameters were included in the prior validation of the PDSR. Thus, this study evaluated potential evidence for the clinical validity of the measure by examining associations between the PDSR scores and various clinical parameters obtained from a new sample of participants in which full-mouth periodontal examinations were conducted.

Methods

Adults from a community sample (n = 114) provided demographic information, responded to the PDSR measure and received a full-mouth clinical periodontal examination. Individual self-report items, subscale scores and total scores obtained from the PDSR were evaluated against clinical parameters of periodontitis. Regression models and receiver operating characteristic statistics were also utilised to test the ability of the PDSR to predict clinical outcomes.

Results

PDSR total scores were positively correlated with mean probing depth (r = 0.50, p < 0.01) and mean clinical attachment loss (r = 0.52, p < 0.01). After accounting for common risk factors in periodontal disease, the PDSR predicted mean probing depth (β = 0.45, 95% CI: 0.02–0.04; ΔR² = 0.19). The area under the curve for the PDSR scores distinguishing between CDC/AAP no/mild periodontitis and moderate/severe periodontitis categories was 0.71 (95% CI: 0.62–0.81).

Conclusions

Clinical data support the use of the PDSR measure as a screening tool for periodontal disease. Additionally, the PDSR may offer added utility compared to other measures due to less reliance on information obtained via clinical encounters.

背景：牙周病自我报告（PDSR）测量最初是创建的，并通过在线数据收集使用全国样本进行心理测量学验证。PDSR的先前验证中没有包括临床参数。因此，本研究通过检查PDSR评分与各种临床参数之间的关系来评估该测量的临床有效性的潜在证据，这些参数来自于进行全口牙周检查的新样本。方法：来自社区样本（n = 114）的成年人提供了人口统计信息，对PDSR测量做出了回应，并接受了全口临床牙周检查。根据牙周炎的临床参数对PDSR获得的个体自我报告项目、亚量表得分和总分进行评估。回归模型和受试者工作特征统计也被用来检验PDSR预测临床结果的能力。结果：PDSR总分与平均探深呈正相关（r = 0.50, p 2 = 0.19）。区分CDC/AAP非/轻度牙周炎和中度/重度牙周炎类别的PDSR评分曲线下面积为0.71 （95% CI: 0.62-0.81）。结论：临床数据支持使用PDSR测量作为牙周病的筛查工具。此外，由于PDSR较少依赖于通过临床接触获得的信息，因此与其他测量方法相比，PDSR可以提供额外的效用。

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引用次数: 0

Changes in Oral Health-Related Quality of Life According to Public Oral Health Procedures in Parents of Young Children From the FinnBrain Birth Cohort Study 芬兰脑科出生队列研究中，根据公共口腔卫生程序，幼儿父母口腔健康相关生活质量的变化

IF 1.8 3区医学 Q2 DENTISTRY, ORAL SURGERY & MEDICINE

Community dentistry and oral epidemiology

Pub Date : 2025-04-04 DOI: 10.1111/cdoe.13039

Katri Palo, Mimmi Tolvanen, Auli Suominen, Hasse Karlsson, Linnea Karlsson, Satu Lahti

Objectives

The aim was to evaluate the association between public oral healthcare procedures and change in oral health-related quality of life (OHRQoL) over 4 years among parents in the FinnBrain Cohort Study, comparing those who did not visit public oral healthcare.

Methods

The study used data on parents of young children from the FinnBrain Birth Cohort Study (www.finnbrain.fi) and healthcare centers' national patient data register. OHRQoL was measured with the 14-item Oral Health Impact Profile (OHIP-14). Of those who had answered the OHIP-14 questionnaire at gestational week (gw) 34 and 4-year time points (n = 1552), 589 had visited a public oral healthcare service. OHIP-14 severity score, two thresholds of prevalence and their changes were evaluated according to gender and public oral healthcare visits (Mann–Whitney U test, ꭓ² test, and Wilcoxon signed ranks test). Correlations between treatment procedures and OHRQoL were evaluated among those who had visited public oral healthcare service. The association between OHRQoL and its change with different treatment procedures was evaluated by using Spearman correlation coefficients.

Results

OHRQoL did not change for the majority of parents, regardless of visiting public oral healthcare services, or if they received oral healthcare treatment or only preventive procedures. Change in OHRQoL and treatment procedures showed a weak association. OHRQoL worsened most for those receiving treatment in four or more procedure groups. Changes in OHRQoL were not clinically meaningful.

Conclusions

Oral healthcare procedures seem to have a limited impact on OHRQoL changes among parents of young children.

目的：在FinnBrain队列研究中，目的是评估公共口腔保健程序与4年来父母口腔健康相关生活质量（OHRQoL）变化之间的关系，比较那些没有去公共口腔保健的父母。方法：研究使用来自FinnBrain出生队列研究（www.finnbrain.fi）和卫生保健中心国家患者数据登记册的幼儿父母数据。OHRQoL采用14项口腔健康影响量表（OHIP-14）进行测量。在孕周（gw） 34和4年时间点（n = 1552）回答OHIP-14问卷的妇女中，有589人去过公共口腔保健服务机构。采用Mann-Whitney U检验、ꭓ2检验和Wilcoxon sign rank检验，根据性别和公共口腔保健就诊情况评估o嘻哈-14严重程度评分、患病率两个阈值及其变化情况。对就诊于公共口腔保健机构的患者进行治疗方式与OHRQoL的相关性评价。采用Spearman相关系数评价不同治疗方案对OHRQoL及其变化的相关性。结果：无论是否访问公共口腔保健服务机构，或是否接受口腔保健治疗或仅采取预防措施，大多数家长的OHRQoL均未发生变化。OHRQoL的变化与治疗方法呈弱相关性。接受四个或更多程序组治疗的患者OHRQoL恶化最严重。OHRQoL的变化无临床意义。结论：口腔保健程序似乎对幼儿父母的OHRQoL变化影响有限。

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引用次数: 0