Division of Graduate Orthodontics, Schulich School of Medicine & Dentistry, Western University, London, ON, Canada.
Bachelor of Health Sciences, McMaster University, Hamilton, ON, Canada.
Orthod Craniofac Res. 2021 Nov;24(4):553-560. doi: 10.1111/ocr.12474. Epub 2021 Mar 15.
The FACE-Q Craniofacial Module for children and young adults is a patient-reported outcome measure (PROM) designed to measure outcomes for patients aged 8 to 29 years with facial conditions. The aim of this study was to establish content validity of a relevant subset of the module for its use in orthodontic patients with malocclusion.
Experts in orthodontics were emailed and invited to provide feedback through a Research Electronic Data Capture survey. Patient feedback was obtained through cognitive interviews with patients aged 8 to 29 years recruited from a university-based orthodontic clinic in Canada.
Expert opinion and patient interviews were used to obtain feedback on the content of 4 appearance (face, smile, teeth and jaws) and 1 function (eating and drinking) scales hypothesized to be relevant to orthodontic malocclusions, and to elicit new concepts. Interviews were audio-recorded, transcribed, and coded using a line-by-line approach.
Twenty-one experts and 15 patients participated. Expert feedback led us to drop 9, retain 40, revise 4 and add 16 new items. At the conclusion of cognitive interviews no items were dropped, 55 were retained, 5 were revised and 8 new items were added. The final set of 68 items demonstrated content validity for orthodontic patients.
Expert feedback and cognitive interviews enabled us to revise and refine 5 scales as part of the FACE-Q Craniofacial Module for use in orthodontic patients. These scales were included in the internationalfield-test of the FACE-Q Craniofacial Module.
儿童和青年的 FACE-Q 颅面模块是一种患者报告的结果测量（PROM），旨在衡量 8 至 29 岁患有面部疾病的患者的结果。本研究的目的是为用于错畸形的正畸患者建立该模块的相关子集的内容有效性。
正畸专家通过电子邮件收到邀请，并通过 Research Electronic Data Capture 调查提供反馈。通过在加拿大一家大学正畸诊所招募的 8 至 29 岁的患者进行认知访谈，获得了患者的反馈。
专家意见和患者访谈用于获得对假设与正畸错畸形相关的 4 个外观（面部、微笑、牙齿和颌骨）和 1 个功能（进食和饮水）量表的内容反馈，并引出新概念。访谈采用逐行方法进行录音、转录和编码。
21 名专家和 15 名患者参与了研究。专家反馈导致我们删除了 9 项，保留了 40 项，修订了 4 项，并添加了 16 项新的项目。在认知访谈结束时，没有删除任何项目，保留了 55 项，修订了 5 项，添加了 8 项新的项目。最终的 68 项项目为正畸患者提供了内容有效性。
专家反馈和认知访谈使我们能够修改和完善 5 个量表，作为用于正畸患者的 FACE-Q 颅面模块的一部分。这些量表被纳入了 FACE-Q 颅面模块的国际现场测试。
