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Quality of Life Research
Published in: Quality of Life Research 6/2018

05-03-2018

Short form development for oral health patient-reported outcome evaluation in children and adolescents

Authors: Honghu Liu, Ron Hays, Yan Wang, Marvin Marcus, Carl Maida, Jie Shen, Di Xiong, Steve Lee, Vladimir Spolsky, Ian Coulter, James Crall

Published in: Quality of Life Research | Issue 6/2018

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Abstract

Purpose

Children and adolescents are vulnerable to dental problems and oral diseases. This paper presents the development of two multi-item self-report scales for use in assessing oral health status of children and adolescents.

Methods

Following the Patient-Reported Outcome Measurement Information System framework, survey questions were designed using a newly developed conceptual model. These items were administered to 334 children and adolescents (8–17 years) along with concurrent dental exams. Exploratory and confirmatory factor analyses were conducted and the item response theory graded response model was used to estimate item parameters and oral health status scores and to identify short-form items. The items were selected by high level of information and wide coverage of different domains to assess Child Oral Health Status Index (COHSI) and treatment referral recommendations (RR).

Results

The long form consists of 28 items. The short-form includes 12 items (8 for COHSI and 7 for RR with 3 common items).The intra-class correlations between long form and short-form were 0.90 for COHSI and 0.87 for RR.

Conclusion

The short-forms provide a possible solution for the longstanding challenge of oral health evaluation for large populations of children and adolescents. The calibrated long form provides the foundation for computer adaptive test administration. These oral health assessment toolkits can be used for oral health screening, surveillance program, policy planning, and research.
previous article Longitudinal and dynamic measurement invariance of the FACIT-Fatigue scale: an application of the measurement model of derivatives to ECOG-ACRIN study E2805
next article Evaluation of the Fecal Incontinence Quality of Life Scale (FIQL) using item response theory reveals limitations and suggests revisions

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Metadata
Title
Short form development for oral health patient-reported outcome evaluation in children and adolescents
Authors
Honghu Liu
Ron Hays
Yan Wang
Marvin Marcus
Carl Maida
Jie Shen
Di Xiong
Steve Lee
Vladimir Spolsky
Ian Coulter
James Crall
Publication date
05-03-2018
Publisher
Springer International Publishing
Published in
Quality of Life Research / Issue 6/2018
Print ISSN: 0962-9343
Electronic ISSN: 1573-2649
DOI
https://doi.org/10.1007/s11136-018-1820-9

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