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Calibration of Self-Reported Oral Health to Clinically Determined Standard

根据临床确定的标准校准自我报告的口腔健康

基本信息

批准号：
7681569
负责人：
HONGHU LIU
金额：
$ 12.36万
依托单位：
UNIVERSITY OF CALIFORNIA LOS ANGELES
依托单位国家：
美国
项目类别：
财政年份：
2008
资助国家：
美国
起止时间：
2008-09-02 至 2011-08-31
项目状态：
已结题

来源：
https://reporter.nih.gov/project-details/7681569
关键词：
Adult Affect Attention Bacteria Belief Blood Blood Circulation Calibration Caring Characteristics Clinical Clinical assessments Cultural Backgrounds Data Dental Dental Care Dental Insurance Dental caries Development Diabetes Mellitus Disease Evaluation Health Health Care Costs Health Status Heart Diseases High Prevalence Incidence Individual Infection Lung diseases Measures Methods Modeling Mouth Diseases National Health and Nutrition Examination Survey Oral health Organ Osteoporosis Outcome Patient Self-Report Patients Perception Persons Population Premature Infant Prevalence Prevention Research Procedures Process Quality of life Research Resources Risk Route Screening procedure Socioeconomic Status Source Staging Stream Stroke Systemic disease Travel Underserved Population care burden cost indexing low socioeconomic status programs statistics tool

项目摘要

DESCRIPTION (provided by applicant): Oral health is vital to a person's overall health, and yet the incidence and prevalence of dental problems and oral diseases remain quite high. Statistics show that severe gum disease affects almost 15% of adults, and a large proportion of adults show at least some signs of gum disease. Furthermore, preliminary evidence also indicates that oral health is closely related to systemic diseases through a number of routes such as blood circulation; due the complexity involved with the process and procedures of clinical encounters and the increasing overall costs of health care, dental exam and treatment are more complicated and expensive. The reality is that underserved populations do not have the ability to identify a usual source of care, lack dental insurance to support the provision of care, and are burdened by competing needs. Self-report is the most efficient, non-invasive and cost-effective method for obtaining patient health outcomes and would be ideal for evaluating oral health status, particularly for oral health screening with large populations. However, due to factors such as personal perceptions, cultural background, competing priorities with existing systemic diseases, and the level of understanding of the importance of oral health, self-reported oral health status often differs significantly from clinically determined oral health status. This discrepancy between self-reported and clinically determined oral health status severely limits the direct use of self-reported oral health in dental examination, treatment, prevention, and research. Therefore, methods and tools that can leverage and calibrate self- reported oral health measures to clinically determine oral health standards would be particularly valuable in dental care. To create such useful tools, we propose to use the nationally representative oral health data of National Health and Nutrition Examination Survey (NHANES) to: (1) evaluate the distribution of self-reported oral health, clinically determined oral health, and general overall health; (2) evaluate the relationship between the aforementioned health measures as well as the relationship between those measures and subject characteristics; (3) create summarized indices for self-report and clinical assessment that can objectively and completely measure oral health; (3) analyze the discrepancies between self-reported and clinically determined oral health and identify the determinants of these discrepancies; and (4) create and select optimal calibration models and tools that can calibrate self-reported oral health to the standard of clinically determined oral health. Project Narrative: Using nationally representative oral health data, this study examines the discrepancy between self-reported and clinically determined oral health, identifies the determinants of the discrepancy, and creates models and tools that can calibrate self-reported oral health measures to clinically determined standards. The models and tools created in this study will be particularly useful in federal, state and local oral health screening programs, dental prevention and research with large populations, and can save a significant amount of resources in dental care.

描述（由申请人提供）：口腔健康对一个人的整体健康至关重要，但牙齿问题和口腔疾病的发病率和患病率仍然相当高。统计数据显示，严重的牙龈疾病影响了近15%的成年人，并且很大一部分成年人至少表现出一些牙龈疾病的迹象。此外，初步证据亦显示，口腔健康与全身性疾病有密切关系，可透过多个途径，例如血液循环;由于临床诊疗的过程和程序复杂，加上整体医疗费用不断增加，牙科检查和治疗更加复杂和昂贵。现实情况是，得不到充分服务的人口没有能力确定通常的护理来源，缺乏牙科保险来支持提供护理，并承受着相互竞争的需求。自我报告是获得患者健康结果的最有效，非侵入性和成本效益最高的方法，是评估口腔健康状况的理想方法，特别是对于大规模人群的口腔健康筛查。然而，由于个人观念、文化背景、与现有系统性疾病竞争的优先事项以及对口腔健康重要性的理解水平等因素，自我报告的口腔健康状况往往与临床确定的口腔健康状况有显着差异。自我报告和临床确定的口腔健康状况之间的这种差异严重限制了在牙科检查，治疗，预防和研究中直接使用自我报告的口腔健康状况。因此，可以利用和校准自我报告的口腔健康测量以临床确定口腔健康标准的方法和工具在牙科护理中将是特别有价值的。为了创建这样有用的工具，我们建议使用全国健康与营养检查调查（NHANES）的全国代表性口腔健康数据：（1）评估自我报告的口腔健康，临床确定的口腔健康和一般整体健康的分布;（2）评估上述健康指标之间的关系以及这些指标与受试者特征之间的关系;（3）为自我报告和临床评估创建可以客观和完整地测量口腔健康的汇总指数;（3）分析自我报告和临床确定的口腔健康之间的差异，并确定这些差异的决定因素;以及（4）创建和选择最佳校准模型和工具，可以将自我报告的口腔健康校准到临床确定的口腔健康标准。项目叙述：使用全国代表性的口腔健康数据，本研究探讨自我报告和临床确定的口腔健康之间的差异，确定差异的决定因素，并创建模型和工具，可以校准自我报告的口腔健康措施，以临床确定的标准。在这项研究中创建的模型和工具将特别有用的联邦，州和地方口腔健康筛查计划，牙科预防和研究与大量的人口，并可以节省大量的资源，在牙科保健。