Development and Preliminary Validation of a Novel Instrument to Assess Re-Injury Associated Anxiety Following Traumatic Orofacial and Dental Injury in Young Boxers.

IF 2.3 3区医学 Q2 DENTISTRY, ORAL SURGERY & MEDICINE

Dental Traumatology Pub Date : 2025-01-19 DOI:10.1111/edt.13039

Mugilan Ravi, Nitesh Tewari, Vijay Prakash Mathur, Partha Haldar, Rachna Bhargava, Raman Deep, Morankar Rahul, Kalpana Bansal, Shubhi Goel, Sruthila Raghuthaman

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引用次数: 0

Abstract

Background/aim: An injury sustained during sports activity can lead to the development of reinjury anxiety and hamper performance. Although tools exist to assess re-injury anxiety, a domain of interest in the field of sports medicine, research in the psychological impact of an orofacial injury is rudimentary. The present study envisaged to develop an instrument to assess the presence of reinjury anxiety following orofacial and dental injury in boxers aged between 10 and 16 years.

Methods: In Phase 1, items were generated following literature search and focus-group discussions (FGD). In Phase 2, a group discussion was conducted with three experienced boxing coaches to assess face validity, followed by two rounds of scrutiny by expert groups to assess the content validity through the content-validity-index (CVI), respectively. In Phase 3, the modified tool was pre-tested on an independent sample of young boxers. Finally, in Phase 4, to determine dimensionality, the modified tool was administered to 183 young boxers and their responses were subject to an exploratory factor analysis through Principal component analysis, followed by Promax rotation to determine the factor loading. Internal consistency reliability was measured through calculation of Cronbach's-alpha.

Results: From the 29-items devised initially, the tool was sequentially modified. Analysis of the responses by the second expert group, an average Scale-level-CVI of 0.9 and Universal agreement of 0.526 was obtained, which resulted in the inclusion of 20 items for the final phase of the study. From the factor analysis, the items were found to fit to a five-factor structure, which explained 56.4% of the variance in the constructs. Internal consistency of the tool was measured to be 0.74.

Conclusion: A 10-item oral re-injury anxiety scale for young boxers (ORAS-YB) tool was developed. It was found to have high face and content validity, and acceptable reliability. Further research with a larger sample is required to confirm the factor structure and determine test-retest reliability of the developed tool.

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一种评估年轻拳击手创伤性口面部和牙齿损伤后再损伤相关焦虑的新仪器的开发和初步验证。

背景/目的：在体育活动中持续的损伤可导致再损伤焦虑的发展并妨碍运动表现。尽管存在评估再伤焦虑的工具，这是运动医学领域的一个感兴趣的领域，但对口面部损伤的心理影响的研究还处于初级阶段。本研究设想开发一种工具来评估10至16岁拳击手口腔面部和牙齿损伤后再损伤焦虑的存在。方法：在第一阶段，通过文献检索和焦点小组讨论（FGD）产生项目。在第二阶段，由3名经验丰富的拳击教练进行小组讨论，评估面部效度，然后由专家小组分别通过内容效度指数（CVI）评估内容效度。在第三阶段，修改后的工具在一个独立的年轻拳击手样本上进行了预测试。最后，在第四阶段，为了确定维度，我们对183名年轻拳击手进行了改进的工具，并通过主成分分析对他们的反应进行了探索性因子分析，然后通过Promax旋转来确定因子负荷。内部一致性信度通过计算Cronbach's-alpha来衡量。结果：从最初设计的29个项目开始，对工具进行了依次修改。对第二专家组的回答进行分析，得到的平均量表水平cvi为0.9，普遍同意度为0.526，因此纳入了20个项目用于研究的最后阶段。因子分析发现，这些项目符合一个五因子结构，这解释了56.4%的结构方差。测量该工具的内部一致性为0.74。结论：编制了青少年拳击手口腔再损伤焦虑量表（ORAS-YB）。结果表明，该量表具有较高的表面效度和内容效度，信度可接受。进一步的研究需要更大的样本来确认因素结构和确定所开发的工具的重测信度。

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

Dental Traumatology 医学-牙科与口腔外科

CiteScore

6.40

自引率

32.00%

发文量

审稿时长

6-12 weeks

期刊介绍： Dental Traumatology is an international journal that aims to convey scientific and clinical progress in all areas related to adult and pediatric dental traumatology. This includes the following topics: - Epidemiology, Social Aspects, Education, Diagnostics - Esthetics / Prosthetics/ Restorative - Evidence Based Traumatology & Study Design - Oral & Maxillofacial Surgery/Transplant/Implant - Pediatrics and Orthodontics - Prevention and Sports Dentistry - Endodontics and Periodontal Aspects The journal"s aim is to promote communication among clinicians, educators, researchers, and others interested in the field of dental traumatology.