测量口腔健康：口腔身体状况健康指数。

Measuring oral health: The Physical Oral Health Index.

作者信息

Reissmann Daniel R, Aarabi Ghazal, Härter Martin, Heydecke Guido, Kriston Levente

机构信息

Department of Prosthetic Dentistry, Center for Dental and Oral Medicine, University Medical Center Hamburg-Eppendorf, Hamburg, Germany.

Department of Prosthetic Dentistry, Center for Dental and Oral Medicine, University Medical Center Hamburg-Eppendorf, Hamburg, Germany; Department of Periodontics, Preventive and Restorative Dentistry, Center for Dental and Oral Medicine, University Medical Center Hamburg-Eppendorf, Hamburg, Germany.

出版信息

J Dent. 2022 Mar;118:103946. doi: 10.1016/j.jdent.2022.103946. Epub 2022 Jan 10.

DOI:10.1016/j.jdent.2022.103946

PMID:35017019

Abstract

OBJECTIVES

Oral health is an important component of a person's general health. Studies focusing on this issue need valid and reliable tools to assess oral health. Aim was to develop a comprehensive measure for physical oral health and to establish its measurement properties.

METHODS

The construct physical oral health was defined based on a systematic literature review and a modified Delphi technique in an expert panel (n = 31). The preliminary tool was applied in a multicenter study (n = 609) to gain empirical data on acceptance, item characteristics, reliability, and responsiveness. Validity was assessed as correlation of sores with patients' and experts' global oral health ratings and Oral Health Impact Profile (OHIP) summary score. Based on findings of field testing, the tool was modified to derive the final version of the Physical Oral Health Index (PhOX). Finally, measurement properties of the PhOX were determined.

RESULTS

The PhOX consists of 14 items covering all relevant oral health structures and conditions. For repeated measures, reliability of the summary score was high (ICC = 0.87). The summary score was correlated in the expected direction to patients' (r = 0.43) and examiners' (r = 0.55) global oral health ratings and to OHIP summary scores (r = -0.41). Among patients receiving dental treatments between two assessments, PhOX summary scores increased from baseline to follow-up statistically significantly (p = 0.002).

CONCLUSIONS

The newly developed PhOX is a methodologically sound and easy to apply tool for the comprehensive assessment of physical oral health.

摘要

目的

口腔健康是个人整体健康的重要组成部分。专注于该问题的研究需要有效且可靠的工具来评估口腔健康。目的是开发一种用于口腔身体健康的综合测量方法并确定其测量属性。

方法

基于系统的文献综述和专家小组（n = 31）采用的改良德尔菲技术定义了口腔身体健康这一概念。在一项多中心研究（n = 609）中应用初步工具，以获取关于可接受性、项目特征、信度和反应度的实证数据。效度通过得分与患者和专家的整体口腔健康评分以及口腔健康影响程度量表（OHIP）总分的相关性进行评估。根据现场测试结果，对该工具进行修改以得出口腔身体健康指数（PhOX）的最终版本。最后，确定了PhOX的测量属性。

结果

PhOX由14个项目组成，涵盖所有相关的口腔健康结构和状况。对于重复测量，总分的信度较高（组内相关系数=0.87）。总分与患者（r = 0.43）和检查者（r = 0.55）的整体口腔健康评分以及OHIP总分呈预期方向的相关性（r = -0.41）。在两次评估之间接受牙科治疗的患者中，PhOX总分从基线到随访有统计学显著增加（p = 0.002）。