Faculty of Dentistry, The University of Hong Kong, Hong Kong, China; Department of Stomatology, School of Medicine, Xiamen University, Xiamen, China.
Faculty of Dentistry, The University of Hong Kong, Hong Kong, China; Department of Stomatology, School of Medicine, Xiamen University, Xiamen, China.
Int Dent J. 2024 Feb;74(1):15-24. doi: 10.1016/j.identj.2023.07.004. Epub 2023 Jul 22.
This study aimed to systemically review the tools developed for evaluating oral health-related quality of life (OHRQoL) in preschool children.
Two reviewers systematically searched English-language publications within PubMed, Embase, Scopus, and Web of Science. They screened the titles and abstracts and retrieved the full texts of the selected publications. Studies which developed, validated, or culturally adapted an OHRQoL tool used in preschool children were included. They recorded information regarding tool characteristics, item configuration, discriminative validation, the aim of assessment, and the target group.
The study included 59 publications and identified 12 tools for assessing OHRQoL in preschool children. Seven tools were tailored for preschool ages. Most of the scales were generic oral health measures. Dental caries was the most commonly used oral condition for assessing a tool's discriminative validity. Eight tools required parental proxy reports. Three tools were both child-administrated and parent-administrated. One tool was designed to be answered solely by children. Ten tools assessed the oral health-related impact on children, including oral condition-related, functioning, environmental, and emotional/social domains. Four tools included items regarding the impact on both children and family.
This review identified 12 tools developed for evaluating OHRQoL in preschool children, 7 of which were tailored for preschool age. The 12 tools were validated but incomprehensive due to the subjective and multidimensional nature of the OHRQoL concept. Researchers can choose a suitable tool for their studies by understanding the basic characteristics and item setting of the tools. Researchers can have an overview of the tools developed for evaluating OHRQoL in preschool children. They can use the findings from this review to choose a suitable tool for their studies regarding the OHRQoL in preschool children.
本研究旨在系统综述评估学龄前儿童口腔健康相关生活质量（OHRQoL）的工具。
两名审查员系统地检索了 PubMed、Embase、Scopus 和 Web of Science 中的英文文献。他们筛选了标题和摘要，并检索了所选文献的全文。纳入了开发、验证或文化适应用于学龄前儿童的 OHRQoL 工具的研究。他们记录了工具特征、项目配置、区分效度、评估目的和目标人群的信息。
该研究纳入了 59 篇文献，确定了 12 种用于评估学龄前儿童 OHRQoL 的工具。7 种工具针对学龄前儿童量身定制。大多数量表是通用口腔健康测量。龋齿是评估工具区分效度最常用的口腔状况。8 种工具需要家长代理报告。3 种工具既可以由儿童管理，也可以由家长管理。一种工具仅设计由儿童回答。10 种工具评估了对儿童的口腔健康相关影响，包括口腔状况相关、功能、环境和情感/社会领域。4 种工具包含了关于对儿童和家庭影响的项目。
本综述确定了 12 种用于评估学龄前儿童 OHRQoL 的工具，其中 7 种是专门为学龄前儿童设计的。这些工具经过了验证，但由于 OHRQoL 概念的主观性和多维性，不够全面。研究人员可以通过了解工具的基本特征和项目设置来选择适合他们研究的工具。研究人员可以全面了解用于评估学龄前儿童 OHRQoL 的工具。他们可以利用本综述的研究结果，为他们关于学龄前儿童 OHRQoL 的研究选择合适的工具。
