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Use of Patient Self-Report Oral Health Outcome Measures in Assessment of Dental Treatment Outcomes

Identifieur interne : 002484 ( Pmc/Checkpoint ); précédent : 002483; suivant : 002485

Use of Patient Self-Report Oral Health Outcome Measures in Assessment of Dental Treatment Outcomes

Auteurs : Wanda G. Wright ; Judith A. Jones ; Avron Spiro ; Sharron E. Rich ; Nancy R. Kressin

Source :

RBID : PMC:3539755

Abstract

Objective

To assess the sensitivity of a newly developed brief measure of oral health-related quality of life (OQOL).

Methods

Self-assessed oral health and OQOL were measured in three groups of patients who had presented for either prophylaxis (n = 32), endodontic care (n = 15), or for a denture (n = 16) in a dental school setting before and after treatment. Main outcome measures included the single-item self-report of oral health (OH-1) and the 6- and 12-item versions of a new OQOL instrument. General linear modeling was used to compute means of self-reported oral health by treatment group.

Results

Of the 63 patients who completed the baseline questionnaire, 44 (70 percent) returned questionnaires after treatment. The sample averaged 43 ± 15 years, 48 percent male and 55 percent with some college education. Ethnic representation included 35 percent White, 33 percent Black, and 32 percent other – mostly Latino. The mean self-reported number of teeth was 20.6. In terms of sensitivity, significant differences were observed between the treatment groups on the items assessing being upset (P < 0.05), feeling depressed (P < 0.05), and uncomfortable about the appearance of teeth or dentures (P < 0.05). However, magnitude of change, as measured by an effect size, was characterized as minimal to small in the recall and endodontic groups and borderline moderate in the denture group.

Conclusion

The measure was sensitive to differences within groups, with a small to borderline magnitude of change.


Url:
DOI: 10.1111/j.1752-7325.2008.00106.x
PubMed: 19054312
PubMed Central: 3539755


Affiliations:


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PMC:3539755

Le document en format XML

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<name sortKey="Jones, Judith A" sort="Jones, Judith A" uniqKey="Jones J" first="Judith A." last="Jones">Judith A. Jones</name>
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<name sortKey="Spiro, Avron" sort="Spiro, Avron" uniqKey="Spiro A" first="Avron" last="Spiro">Avron Spiro</name>
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<name sortKey="Rich, Sharron E" sort="Rich, Sharron E" uniqKey="Rich S" first="Sharron E." last="Rich">Sharron E. Rich</name>
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<name sortKey="Kressin, Nancy R" sort="Kressin, Nancy R" uniqKey="Kressin N" first="Nancy R." last="Kressin">Nancy R. Kressin</name>
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<title level="j">Journal of public health dentistry</title>
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<sec id="S1">
<title>Objective</title>
<p id="P1">To assess the sensitivity of a newly developed brief measure of oral health-related quality of life (OQOL).</p>
</sec>
<sec id="S2">
<title>Methods</title>
<p id="P2">Self-assessed oral health and OQOL were measured in three groups of patients who had presented for either prophylaxis (
<italic>n</italic>
= 32), endodontic care (
<italic>n</italic>
= 15), or for a denture (
<italic>n</italic>
= 16) in a dental school setting before and after treatment. Main outcome measures included the single-item self-report of oral health (OH-1) and the 6- and 12-item versions of a new OQOL instrument. General linear modeling was used to compute means of self-reported oral health by treatment group.</p>
</sec>
<sec id="S3">
<title>Results</title>
<p id="P3">Of the 63 patients who completed the baseline questionnaire, 44 (70 percent) returned questionnaires after treatment. The sample averaged 43 ± 15 years, 48 percent male and 55 percent with some college education. Ethnic representation included 35 percent White, 33 percent Black, and 32 percent other – mostly Latino. The mean self-reported number of teeth was 20.6. In terms of sensitivity, significant differences were observed between the treatment groups on the items assessing being upset (
<italic>P</italic>
< 0.05), feeling depressed (
<italic>P</italic>
< 0.05), and uncomfortable about the appearance of teeth or dentures (
<italic>P</italic>
< 0.05). However, magnitude of change, as measured by an effect size, was characterized as minimal to small in the recall and endodontic groups and borderline moderate in the denture group.</p>
</sec>
<sec id="S4">
<title>Conclusion</title>
<p id="P4">The measure was sensitive to differences within groups, with a small to borderline magnitude of change.</p>
</sec>
</div>
</front>
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<journal-id journal-id-type="nlm-journal-id">0014207</journal-id>
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<journal-id journal-id-type="nlm-ta">J Public Health Dent</journal-id>
<journal-id journal-id-type="iso-abbrev">J Public Health Dent</journal-id>
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<journal-title>Journal of public health dentistry</journal-title>
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<article-title>Use of Patient Self-Report Oral Health Outcome Measures in Assessment of Dental Treatment Outcomes</article-title>
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<name>
<surname>Wright</surname>
<given-names>Wanda G.</given-names>
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<degrees>DDS, MS, MSD</degrees>
<aff id="A1">Department of Health Policy & Health Services Research, Boston University Goldman School of Dental Medicine</aff>
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<contrib contrib-type="author">
<name>
<surname>Jones</surname>
<given-names>Judith A.</given-names>
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<degrees>DDS, MPH, DScD</degrees>
<aff id="A2">Department of General Dentistry, Boston University School of Dental Medicine</aff>
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<contrib contrib-type="author">
<name>
<surname>Spiro</surname>
<given-names>Avron</given-names>
<suffix>III</suffix>
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<degrees>PhD</degrees>
<aff id="A3">Massachusetts’ Veterans Epidemiologic Research and Information Center, Veterans Affairs Boston Healthcare System; the Health Policy & Health Services Research, Boston University School of Dental Medicine; and the Department of Epidemiology, Boston University School of Public Health</aff>
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<contrib contrib-type="author">
<name>
<surname>Rich</surname>
<given-names>Sharron E.</given-names>
</name>
<degrees>MPH</degrees>
<aff id="A4">Department of Health Policy & Health Services Research, Boston University Goldman School of Dental Medicine</aff>
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<contrib contrib-type="author">
<name>
<surname>Kressin</surname>
<given-names>Nancy R.</given-names>
</name>
<degrees>PhD</degrees>
<aff id="A5">Center for Health Quality, Outcomes, & Economic Research, Edith Nourse Rogers Memorial Veterans Hospital; and the Department of General Internal Medicine, Boston University School of Medicine</aff>
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</contrib-group>
<author-notes>
<corresp id="FN1">Send correspondence and reprint requests to Wanda G. Wright, Department of Health Policy & Health Services Research, Boston University Goldman School of Dental Medicine, 715 Albany Street, 560, no. 342, Boston, MA 02118. Tel.: 617-638-4914; Fax: 617-638-6381;
<email>wgwright@bu.edu</email>
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<pub-date pub-type="nihms-submitted">
<day>24</day>
<month>11</month>
<year>2012</year>
</pub-date>
<pub-date pub-type="ppub">
<season>Spring</season>
<year>2009</year>
</pub-date>
<pub-date pub-type="pmc-release">
<day>08</day>
<month>1</month>
<year>2013</year>
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<volume>69</volume>
<issue>2</issue>
<fpage>95</fpage>
<lpage>103</lpage>
<permissions>
<copyright-statement>© 2008, American Association of Public Health Dentistry</copyright-statement>
<copyright-year>2008</copyright-year>
</permissions>
<abstract>
<sec id="S1">
<title>Objective</title>
<p id="P1">To assess the sensitivity of a newly developed brief measure of oral health-related quality of life (OQOL).</p>
</sec>
<sec id="S2">
<title>Methods</title>
<p id="P2">Self-assessed oral health and OQOL were measured in three groups of patients who had presented for either prophylaxis (
<italic>n</italic>
= 32), endodontic care (
<italic>n</italic>
= 15), or for a denture (
<italic>n</italic>
= 16) in a dental school setting before and after treatment. Main outcome measures included the single-item self-report of oral health (OH-1) and the 6- and 12-item versions of a new OQOL instrument. General linear modeling was used to compute means of self-reported oral health by treatment group.</p>
</sec>
<sec id="S3">
<title>Results</title>
<p id="P3">Of the 63 patients who completed the baseline questionnaire, 44 (70 percent) returned questionnaires after treatment. The sample averaged 43 ± 15 years, 48 percent male and 55 percent with some college education. Ethnic representation included 35 percent White, 33 percent Black, and 32 percent other – mostly Latino. The mean self-reported number of teeth was 20.6. In terms of sensitivity, significant differences were observed between the treatment groups on the items assessing being upset (
<italic>P</italic>
< 0.05), feeling depressed (
<italic>P</italic>
< 0.05), and uncomfortable about the appearance of teeth or dentures (
<italic>P</italic>
< 0.05). However, magnitude of change, as measured by an effect size, was characterized as minimal to small in the recall and endodontic groups and borderline moderate in the denture group.</p>
</sec>
<sec id="S4">
<title>Conclusion</title>
<p id="P4">The measure was sensitive to differences within groups, with a small to borderline magnitude of change.</p>
</sec>
</abstract>
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<funding-source country="United States">National Institute of Dental and Craniofacial Research : NIDCR</funding-source>
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