MSc, Dentistry Department, School of Life Sciences, Pontifícia Universidade Católica do Paraná - PUCPR, Curitiba, Brazil.
Professor, Dentistry Department, School of Life Sciences, Pontifícia Universidade Católica do Paraná - PUCPR, School of Life Sciences, Curitiba, Brazil.
Caries Res. 2023;57(2):95-105. doi: 10.1159/000529886. Epub 2023 Mar 1.
The objective of this systematic review was to analyze the quality of the food frequency instruments/scales used in dentistry while considering their psychometric properties. The databases consulted were PubMed (August 7, 2020), Scopus (August 27, 2020), Web of Science (August 27, 2020), Cumulative Index to Nursing and Allied Health Literature (CINAHL) and Dentistry and Oral Sciences Source (via EBSCO) (August 28, 2020), LILACS and BBO (August 25, 2020), gray literature: Proquest (October 1, 2020), Capes Theses Bank (October 1, 2020), Brazilian Digital Library of Theses and Dissertations (October 1, 2020), Google Scholar (October 2, 2020), and proceedings of the International Association for Dental Research (IADR) (October 10, 2020). All databases were updated on December 12, 2022. Articles were initially selected by reading the 6,421 titles and 13 abstracts selected, followed by reading the 8 articles included for full text reading to confirm the eligibility criteria, with the aid of Rayyan software. Databases of the construction and/or validation of instruments/scales for assessing food consumption for use in dentistry (in clinical contexts and/or epidemiological studies), with or without assessment of their psychometric properties, were included. Review studies, letters to editors, and research protocols were excluded. Risk of bias assessment was performed according to the Consensus-Based Standards for the Selection of Health Measurement Instruments (COSMIN) checklist. The extracted data were author, country, instrument language, sample, assessment instrument, instrument structure, type of food, instruments compared with the clinical condition, adaptation of an existing instrument, and psychometric properties evaluated. The selection, risk of bias analysis, and data extraction processes were performed by two independent evaluators. Seven studies were identified. The instruments available in the literature were in English, Japanese, Creole, and Malay. Only one study performed translation and cross-cultural validation of an instrument, whereas the others were construction studies. One study did not assess psychometric properties. Regarding the quality assessment and general classification of the studies by the COSMIN checklist, all were considered "inadequate," with reliability (test-retest) being the most validated psychometric property; only one study carried out the validation of all psychometric properties measured in COSMIN. Regarding the quality of the instruments presented, all the studies were classified as "inadequate" in the general assessment. Advances are needed in the validation process.
本系统评价的目的是分析牙科领域使用的食物频率仪器/量表的质量，并考虑其心理测量特性。检索的数据库包括 PubMed（2020 年 8 月 7 日）、Scopus（2020 年 8 月 27 日）、Web of Science（2020 年 8 月 27 日）、护理与联合健康文献累积索引（CINAHL）和牙科学与口腔科学资源（通过 EBSCO）（2020 年 8 月 28 日）、LILACS 和 BBO（2020 年 8 月 25 日）、灰色文献：Proquest（2020 年 10 月 1 日）、Capes 论文库（2020 年 10 月 1 日）、巴西学位论文数字图书馆（2020 年 10 月 1 日）、Google Scholar（2020 年 10 月 2 日）和国际牙科研究协会（IADR）会议录（2020 年 10 月 10 日）。所有数据库于 2022 年 12 月 12 日更新。最初通过阅读 6421 个标题和 13 个摘要进行了文章选择，然后阅读了 8 篇全文阅读文章，以确认纳入标准，同时借助 Rayyan 软件进行辅助。纳入了用于评估牙科（临床环境和/或流行病学研究）中食物消耗的仪器/量表的构建和/或验证的文章，包括评估其心理测量特性的文章。排除了综述研究、致编辑的信和研究方案。根据共识基础健康测量仪器选择标准（COSMIN）检查表进行了偏倚风险评估。提取的数据包括作者、国家、仪器语言、样本、评估仪器、仪器结构、食物类型、与临床情况比较的仪器、现有仪器的改编以及评估的心理测量特性。两名独立评估员进行了选择、偏倚风险分析和数据提取过程。确定了 7 项研究。文献中可用的仪器为英语、日语、克里奥尔语和马来语。只有一项研究对仪器进行了翻译和跨文化验证，而其他研究则是构建研究。一项研究未评估心理测量特性。根据 COSMIN 检查表进行的质量评估和研究的一般分类，所有研究均被认为是“不充分的”，具有可靠性（重测）是最验证的心理测量特性；只有一项研究进行了 COSMIN 中测量的所有心理测量特性的验证。关于提出的仪器的质量评估，所有研究在总体评估中均被归类为“不充分”。在验证过程中需要进一步改进。
