Division of Clinical Epidemiology, Kyushu Dental University, Kitakyushu, Japan.
University of Florida College of Dentistry, Gainesville, FL, USA.
Int Dent J. 2019 Jun;69(3):183-191. doi: 10.1111/idj.12447. Epub 2018 Oct 23.
This study aimed to identify (i) which practice-based research agendas had the highest priority among patients and (ii) whether priorities varied significantly with patient age and gender.
We conducted a cross-sectional questionnaire survey of 482 patients from 11 outpatient dental practices. The patients were shown 31 items concerning practice-based research questions and asked to select the three items in which they were most interested. We generated a rank order of the 31 items. Subsequently, the 31 items were categorised into 10 groups, and we performed subgroup analyses according to age and gender using chi-square tests.
"Age-specific care to maintain oral health (n = 86)" was rated as the most interesting research question. When data were analysed according to age, patients less than 40 years old rated "Orthodontic treatment", "Esthetic dental care" and "Topical fluoride application" as interesting questions significantly more frequently than did patients 40 years old or older (P < 0.01)?, while patients 40 years old or older rated "Regular dental check-ups", "Dental implant", "Diet and food" and "Social health insurance" as more interesting than did patients less than 40 years old (P < 0.05). When data were analysed according to gender, female patients rated the questions on aesthetic dental care as more interesting than did male patients (P < 0.01), whereas male patients rated questions on toothbrushing as more interesting than did female patients (P < 0.05).
Patients assessed "Age-specific care to maintain oral health" as the highest priority among a broad range of research topics. This study also quantified patient priorities for research agendas according to age and gender group. Designing future research with these priorities in mind will promote patient-centred evidence.
本研究旨在确定:(i) 患者最关注哪些基于实践的研究议程;(ii) 患者的年龄和性别是否会显著影响其关注重点。
我们对来自 11 家门诊牙科诊所的 482 名患者进行了横断面问卷调查。患者被展示了 31 项与基于实践的研究问题相关的项目,并被要求从中选择他们最感兴趣的三个项目。我们生成了 31 项的排名顺序。随后,将 31 项内容分为 10 组,并使用卡方检验根据年龄和性别进行亚组分析。
“针对特定年龄的口腔保健(n = 86)”被评为最有趣的研究问题。当根据年龄分析数据时,年龄小于 40 岁的患者比 40 岁或以上的患者更频繁地认为“正畸治疗”、“美容牙科护理”和“局部氟化物应用”为有趣的问题(P < 0.01),而 40 岁或以上的患者则认为“定期口腔检查”、“种植牙”、“饮食和食物”和“社会健康保险”更有趣(P < 0.05)。当根据性别分析数据时,女性患者比男性患者更关注美容牙科护理相关的问题(P < 0.01),而男性患者则认为刷牙相关的问题更有趣(P < 0.05)。
患者将“针对特定年龄的口腔保健”评估为广泛研究课题中的最高优先级。本研究还根据年龄和性别组量化了患者对研究议程的优先事项。考虑到这些优先事项设计未来的研究将有助于促进以患者为中心的证据。