Abstract
BackgroundOral health is an important component of daily functioning and well-being. A comprehensive patient-reported oral health measure is needed to gauge the impact of oral health status on children and adolescents. This study aims to develop oral health item banks and associated short-form surveys for children and adolescents 2–17 year olds.MethodsUsing children and adolescents, ages 2–17 years, selected from diverse dental sites in Greater Los Angeles Area, we propose to develop state-of-the-science methods to create oral health item banks to effectively measure oral health outcomes for children and adolescents. Methods include a literature review of existing measures, focus groups, cognitive interviews, drafting and field testing of survey items, and evaluation of the psychometric properties of the measures.ResultsBased on the systematic literature search and focus groups, we identified core (physical health, mental health, and social function domains) and peripheral (e.g., need and access) oral health domains. We then drafted survey items and revised them based on 66 cognitive interviews (27 children/adolescents and 39 parents) with 39 families. The revised items will be administered in a field test of 500 children and adolescents ages 2–17, and their parents.ConclusionsThe qualitative methods used in the initial phases of the project (focus group and cognitive interviews) are the initial steps in the development of oral health item banks and associated short-form surveys for children and adolescents. The oral health items can potentially be used to create effective computerized adaptive test and/or create ad hoc short forms targeting specific areas of oral health to survey large populations of children with much less cost compared with traditional clinical oral health examination.
Highlights
Oral health is an important component of daily functioning and well-being
After comprehensive and systematic literature search on existing oral health items, surveys and instrument relative to children and adolescents, ages 2–17 and their parents, initial core domains for the oral health item banks to be developed are listed in Table 1, which include physical health domains, mental health domains, and social function domains
These results provided valuable information about core domains for the oral health item banks to be developed and generated content for new items and evaluated with cognitive interviews and in a field test
Summary
Oral health is an important component of daily functioning and well-being. A comprehensive patient-reported oral health measure is needed to gauge the impact of oral health status on children and adolescents. This study aims to develop oral health item banks and associated short-form surveys for children and adolescents 2–17 year olds. Oral health is an important component of daily functioning and well-being. Healthy People 2020 [1] notes the importance of prevention and control of oral and craniofacial diseases, conditions, and injuries, and of enhancing access to preventive services and dental care. The need for oral health care is the most. Patient-reported outcomes (PROs) are important for assessing oral health status and evaluating the impact of dental care. Tsakos et al (2012)’s study has shown that children as young as 5 years old can provide accurate reports of the impact of oral disorders on their quality of life [10]
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