Leao A, Sheiham A
Department of Epidemiology and Public Health, University College, London, UK.
Community Dent Health. 1996 Mar;13(1):22-6.
This study outlines the development of a socio-dental method which includes measures of the impacts of oral health status on the quality of daily living. The measure, the Dental Impact on Daily Living (DIDL), has five dimensions: Comfort, Appearance, Pain, Performance and Eating Restriction (CAPPER). DIDL differs from other socio-dental indicators in that it assesses the dental impacts on daily living, the relative importance respondents attribute to each impact dimension and their oral status. Weighting is assigned by every person through an easy to use scale using a sliding arrow that the subject moves. DIDL generates an impact score for each dimension. In addition, since impacts do not usually occur separately, a single total impact score is also estimated to assess total oral impacts. The instrument was tested using item-analysis, factor analysis, validation and reliability tests. The measure was tested in Brazil on a sample of 662 people, aged 35 to 44 years, of two social classes and both genders. Three different levels of oral status were used: high DMFT, medium DMFT and low DMFT. Estimating the relative importance people attributed to the different dimensions was important as shown by the fact that differences between sub-groups were found. DIDL attempts to assess how oral health is perceived by individuals and how the mouth and teeth affect people. Combined with clinical status measures, DIDL should prove a valuable tool to assess need.
本研究概述了一种社会口腔医学方法的发展情况，该方法包括衡量口腔健康状况对日常生活质量的影响。这种衡量方法即日常生活中的口腔影响（DIDL），有五个维度：舒适度、外观、疼痛、功能和饮食限制（CAPPER）。DIDL与其他社会口腔医学指标的不同之处在于，它评估口腔对日常生活的影响、受访者赋予每个影响维度的相对重要性以及他们的口腔状况。每个人通过使用一个易于操作的滑动箭头量表来进行加权赋值。DIDL会为每个维度生成一个影响分数。此外，由于这些影响通常不会单独出现，所以还会估算一个单一的总影响分数来评估总体口腔影响。该工具通过项目分析、因子分析、效度检验和信度检验进行了测试。该衡量方法在巴西对662名年龄在35至44岁之间、来自两个社会阶层且涵盖男女两性的样本进行了测试。使用了三种不同水平的口腔状况：高龋失补指数（DMFT）、中龋失补指数和低龋失补指数。正如发现亚组之间存在差异这一事实所表明的那样，估算人们赋予不同维度的相对重要性很重要。DIDL试图评估个体对口腔健康的认知以及口腔和牙齿对人们的影响。与临床状况测量相结合，DIDL应能证明是一种评估需求的有价值工具。
