How well do parents identify their child's baby teeth? Engagement and accuracy of parent-reported information on a tooth checklist survey

IF 1.8 3区医学 Q2 DENTISTRY, ORAL SURGERY & MEDICINE

Community dentistry and oral epidemiology Pub Date : 2024-04-28 DOI:10.1111/cdoe.12971

Mona Le Luyer, Molly E. Boll, Simone A. M. Lemmers, Samantha J. Stoll, Alison G. Hoffnagle, Andrew D. A. C. Smith, Erin C. Dunn

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引用次数: 0

Abstract

Objectives

Naturally exfoliated primary teeth are being increasingly collected in child development studies. Most of these odontological collections and tooth biobanks use parent-reported information from questionnaires or tooth checklists to collect data on offspring teeth. To the best of the authors' knowledge, no studies have assessed parental engagement in tooth checklists, nor parental accuracy in identifying their child's baby tooth. This study aimed to evaluate these dimensions by analysing data from the about this tooth checklist returned with donated primary teeth in a natural experimental study called STRONG (the Stories Teeth Record of Newborn Growth).

Methods

Parental self-reported information were analysed on checklists returned with 825 primary teeth belonging to 199 children. The percentage of blank answers was calculated for each question. The accuracy of parents-reported tooth identification was evaluated by comparing parental ratings to researchers' ratings. Reliability of researchers' tooth identification was first evaluated by calculating intra-observer and inter-observer agreements, as well as Cohen's Kappa values. The percentage of accuracy of parents' tooth identification (relative to researcher's) was then calculated, and logistic regressions were used to evaluate if time elapsed between when exfoliation occurred and the checklist was completed associated with parental accuracy in tooth identification.

Results

Parents returned 98.4% of the checklists and completed 74.9% to 97.7% of the questions. Excellent reliability was demonstrated for researchers' intra- and inter-rater tooth identification (agreement percentages >90%; Cohen's Kappa values >.83). Moderate accuracy of parents-reported tooth identifications was found, with parents correctly identifying 49.5% of the donated tooth. Better parental accuracies were highlighted for partial identifications (87.1% of correct jaw, 75.6% of correct tooth type, and 65.8% of correct lateralization). Logistic regressions showed the odds of correct parental identifications decreased on average by 1.8% every 30 days of distance between tooth exfoliation and checklist completion.

Conclusions

While parental engagement is high, parents-reported tooth identifications have moderate accuracy, which decreases over time. High accuracy is however found for partial identifications. Parent-reported information on the accompanying questionnaire of naturally exfoliated primary teeth collection or tooth biobanks, even when filled in a long time after exfoliation took place, should be encouraged. However, expert identifications of teeth should remain best practice.

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父母识别孩子乳牙的能力如何？牙齿检查表调查中家长报告信息的参与度和准确性

目的在儿童发育研究中，越来越多地收集自然脱落的乳牙。这些牙科学收集和牙齿生物库大多使用调查问卷或牙齿核对表中父母报告的信息来收集后代牙齿的数据。据作者所知，还没有研究评估过家长对牙齿检查表的参与度，以及家长识别孩子乳牙的准确性。本研究旨在通过分析在一项名为 STRONG（新生儿生长故事牙齿记录）的自然实验研究中，随捐赠的乳牙一起交回的关于该牙齿检查表的数据，对这些方面进行评估。方法：对 199 名儿童的 825 颗乳牙交回的检查表上的家长自我报告信息进行分析。每个问题都计算了空白答案的百分比。通过比较家长评分和研究人员评分，评估家长报告的牙齿识别准确性。首先通过计算观察者内部和观察者之间的一致性以及 Cohen's Kappa 值来评估研究人员牙齿识别的可靠性。然后计算家长识别牙齿的准确率（相对于研究人员的准确率），并使用逻辑回归评估从脱落发生到完成核对表之间的时间间隔是否与家长识别牙齿的准确率有关。结果家长交回了 98.4% 的核对表，完成了 74.9% 到 97.7% 的问题。研究人员对牙齿的内部识别和相互识别具有极高的可靠性（一致率为 90%；Cohen's Kappa 值为 0.83）。家长报告的牙齿识别准确率为 49.5%。家长对部分牙齿识别的准确率较高（87.1%的颌骨识别正确，75.6%的牙齿类型识别正确，65.8%的侧位识别正确）。逻辑回归显示，从牙齿脱落到完成核对表之间的距离每隔 30 天，家长正确识别的几率平均下降 1.8%。不过，部分识别的准确率较高。应鼓励家长在自然脱落原牙收集或牙齿生物库的随附调查表上报告信息，即使是在脱落发生很长时间后填写。不过，专家鉴定牙齿仍应是最佳做法。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Community dentistry and oral epidemiology 医学-公共卫生、环境卫生与职业卫生

CiteScore

4.40

自引率

8.70%

发文量

审稿时长

6 months

期刊介绍： The aim of Community Dentistry and Oral Epidemiology is to serve as a forum for scientifically based information in community dentistry, with the intention of continually expanding the knowledge base in the field. The scope is therefore broad, ranging from original studies in epidemiology, behavioral sciences related to dentistry, and health services research through to methodological reports in program planning, implementation and evaluation. Reports dealing with people of all age groups are welcome. The journal encourages manuscripts which present methodologically detailed scientific research findings from original data collection or analysis of existing databases. Preference is given to new findings. Confirmations of previous findings can be of value, but the journal seeks to avoid needless repetition. It also encourages thoughtful, provocative commentaries on subjects ranging from research methods to public policies. Purely descriptive reports are not encouraged, nor are behavioral science reports with only marginal application to dentistry. The journal is published bimonthly.