Psychometric Validation of the FACE-Q Dental Module in Patients With Malocclusions

IF 2.1 3区 医学 Q2 DENTISTRY, ORAL SURGERY & MEDICINE
Ali Tassi, Anne F. Klassen, Jessica Li, Karen W. Y. Wong Riff, Charlene Rae
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Abstract

Objective

The FACE-Q Craniofacial Module is a patient-reported outcome measure (PROM) developed for children and young adults with craniofacial conditions. We hypothesised that some of its scales may be applicable to other populations. The aim of this study was to assess the validity and reliability of FACE-Q scales for patients with dental malocclusions.

Methods

The FACE-Q Dental Module includes 5 scales from the Craniofacial Module that measure appearance (Face, Jaws, Smile and Teeth) and function (Eating/Drinking). Data were collected from patients aged 8–29 years who presented with a dental malocclusion (pre-treatment) or 1–2 years after orthodontic treatment (post-treatment) at a large university-based orthodontic specialty clinic in Canada between September 2018 and March 2020. Patients completed a paper questionnaire booklet, and data were entered into a Research Electronic Data Capture (REDCap) survey. The psychometric analysis was performed using Rasch Measurement Theory (RMT) analysis.

Results

The sample of 434 patients was aged 9 to 29 years, with 249 female and 185 male participants. The sample included 252 pre-treatment and 182 post-treatment patients. The 4 appearance scales evidenced strong psychometric performance; all 37 items had ordered thresholds with good item fit to the Rasch model. Reliability was high, with person separation index and Cronbach alpha values, with and without extremes ≥ 0.86. As hypothesised, those participants who had a major difference in appearance, and those who reported liking their appearance less, scored lower on the appearance scales (p < 0.001). In the RMT analysis, the Eating/Drinking scale evidenced low reliability and poor targeting with close to 40% of particpants scoring at the ceiling.

Conclusion

The FACE-Q Dental Module provides a means to collect evidence-based outcomes data from children and young adults who undergo orthodontic care for dental malocclusions.

Abstract Image

FACE-Q牙模块在错颌患者中的心理测量验证。
目的:FACE-Q颅面模块是为患有颅面疾病的儿童和年轻人开发的一种患者报告的结果测量(PROM)。我们假设其中的一些尺度可能适用于其他人群。本研究的目的是评估FACE-Q量表对牙齿错颌患者的效度和信度。方法:Face - q牙科模块包括颅面模块的5个量表,用于测量外观(面部、颌骨、微笑和牙齿)和功能(饮食)。数据收集自2018年9月至2020年3月期间在加拿大一家大型大学正畸专科诊所就诊的8-29岁牙错(治疗前)或正畸治疗后1-2年(治疗后)患者。患者填写纸质问卷,数据输入研究电子数据采集(REDCap)调查。心理测量分析采用Rasch测量理论(RMT)分析。结果:434例患者,年龄9 ~ 29岁,其中女性249例,男性185例。样本包括252例治疗前患者和182例治疗后患者。4个外貌量表均表现出较强的心理测量表现;所有37个项目都有有序的阈值,项目适合Rasch模型。信度高,人分离指数和Cronbach α值,有无极值≥0.86。正如假设的那样,那些在外表上有很大差异的参与者,以及那些报告不太喜欢自己外表的参与者,在外表量表上得分较低(p结论:FACE-Q牙科模块提供了一种收集基于证据的结果数据的方法,这些数据来自接受牙齿错合正畸治疗的儿童和年轻人。
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
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
82
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.
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