QUALITY OF LIFE OUTCOMES FOR ORAL HEALTH CARE

该项目的目标是开发和验证一个模块 测量口腔保健的生活质量结果的仪器。 口腔健康调查显示了对这种仪器的需求。 在患有癌症的人中，生活质量较差 未经治疗的口腔疾病和不充分的牙齿护理。然而，最近 研究结果表明，用于测量口腔健康的仪器与 这类调查中的生活质量(OHRQOL)不适合用于 结果研究，部分是因为它们似乎捕捉到了 OHRQOL对短期变化反应迟钝。这个项目的目的是 从人力厅现有的五个生活质量工具中综合核心问题， 然后开发和评价核心的信度和效度 口腔保健效果评估工具。其他目标 Will：检查OHRQOL与一般健康相关的关系 生活质量；比较心理测量学和基于效用的测量 OHRQOL；并确定从哪些方面获得额外的解释力 将补充模块添加到仪器核心组中 问题。第二，对具有代表性人群的数据进行分析 在口腔健康调查中使用OHRQOL工具的将是 致力于综合一组与以下内容相关的问题 牙科护理变量和验证性定性研究将 用来评估这些问题的充分性。比较评级 程序将用于获取项目的患者偏好权重 在核心问卷和原型补充模块中。测试- 重测和内部一致性信度将在200 社区成员。有效性将在四个准实验中进行评估 接受口腔保健的患者的子研究：51 508例颞下颌关节紊乱病患者接受一般治疗 牙科护理，126名种植牙患者，56名牙科患者 艾滋病毒感染。其中两项子研究将同时评估 一般生活质量测量(SF-36)的变化和 健康状况的效用测量，和两个子研究将 评价人力厅生活质量补充模块的绩效。

The objective of this project is to develop and validate a modular instrument measuring quality of life outcomes from oral health care. The need for such an instrument has emerged from oral health surveys that have demonstrated poorer quality of life among people with untreated oral disease and inadequate dental care. However, recent findings suggest that instruments used to measure oral health related quality of life (OHRQOL) in such surveys are unsuited for use in outcomes research, in part because they appear to capture aspects of OHRQOL that are unresponsive to short term change. This project aims to synthesize core questions from five existing OHRQOL instruments, then develop and evaluate the reliability and validity of the core instrument for assessing effects of oral health care. Additional aims will: examine relationships between OHRQOL and generic health related quality of life; compare psychometric and utility-based measures of OHRQOL; and determine what additional explanatory power is gained from the addition of supplementary modules to the instruments core set of questions. Secondary, analysis of data from representative populations that have used OHRQOL instruments in oral health surveys will be undertaken to synthesize a set of questions that are associated with dental care variables, and confirmatory qualitative research will be used to assess the adequacy of those questions. Comparative rating procedures will be used to obtain patient-preference weights for items in the core questionnaire and prototype supplementary modules. Test- retest and internal consistency reliability will be evaluated among 200 community members. Validity will be assessed in four quasi-experimental sub-studies of patients receiving oral health care: 51 temporomandibular disorder patients, 508 patients receiving general dental care, 126 dental implant patients, and 56 dental patients with HIV infection. Two of those sub-studies will concurrently evaluate changes in a generic quality of life measure (SF-36) and changes in utility measurements of health status, and two sub-studies will evaluate the performance of supplementary modules of OHRQOL.