J Oral Facial Pain Headache. 2016 Spring;30(2):107-19. doi: 10.11607/ofph.1592.
To determine if retrospective self-report of oral parafunctional behaviors potentially relevant to pain conditions is valid, by comparing oral parafunctional behaviors via a self-report instrument (Oral Behaviors Checklist [OBC]) with in-field reports of oral parafunction.
Individuals with a range of oral parafunctional behaviors, as identified by the OBC, were recruited, and 22 completed the field study. Using the Ecological Momentary Assessment paradigm, each subject was randomly prompted about eight times per day, for a target of 7 days, via portable handheld computer to report current behaviors among 11 queried items. Before and after the field study, a paper version of the OBC was administered. Separately, 74 individuals participated in a test-retest study of the paper OBC. Analyses included regression, correlation, intraclass correlation coefficient (ICC) and area under the receiving operating curve (AUC).
Pre- and postfield study administration of the OBC exhibited substantial reliability (ICC = 0.65), indicating no reactivity during the intervening in-field data collection. Reliability across in-field days was low, indicating high variability in which behavior occurred on which day. Nonobservable behaviors were reported more frequently than observable behaviors. Self-report via OBC was linear with in-field data collection methods (R2 values ranged from 0.1 to 0.7; most values were within 0.3 to 0.4). The predictive value of the self-report total score was AUC (0.88) relative to the in-field study score. Separate test-retest reliability of the OBC was almost perfect (ICC = 0.88).
The OBC is a reliable and valid way to predict behaviors in the natural environment and will be useful for further pain research.
通过比较自我报告的口腔功能紊乱行为(通过口腔行为检查表[OBC])与现场报告的口腔功能紊乱行为,来确定回顾性自我报告与疼痛状况相关的口腔功能紊乱行为是否具有有效性。
通过 OBC 确定了具有一系列口腔功能紊乱行为的个体,其中 22 名个体完成了现场研究。使用生态瞬间评估范式,通过便携式手持计算机随机每天提示每位受试者约 8 次,目标为 7 天,以报告当前在 11 个查询项目中的行为。在现场研究之前和之后,都使用了 OBC 的纸质版本。此外,74 名个体参加了 OBC 纸质版本的测试-重测研究。分析包括回归、相关性、组内相关系数(ICC)和接收者操作特征曲线下的面积(AUC)。
OBC 的预现场和现场研究管理表现出较高的可靠性(ICC = 0.65),表明在中间的现场数据收集期间没有反应性。现场研究期间的可靠性较低,表明行为发生的日期变化很大。不可观察的行为比可观察的行为报告更为频繁。OBC 的自我报告与现场数据收集方法呈线性关系(R2 值范围为 0.1 到 0.7;大多数值在 0.3 到 0.4 之间)。自我报告总分的预测值与现场研究得分的 AUC(0.88)相关。OBC 的单独测试-重测可靠性几乎是完美的(ICC = 0.88)。
OBC 是预测自然环境中行为的可靠且有效的方法,将对进一步的疼痛研究很有用。