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Oral Health Assessment by Lay Personnel for Older Adults
Published on: February 2, 2020
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Commonalities among dental patient-reported outcomes (dPROs)-A Delphi consensus study.
Phonsuda Chanthavisouk1, Mike T John2,3, Danna Paulson4
1Division of Dental Therapy, Department of Primary Dental Care, School of Dentistry, University of Minnesota, Minneapolis, Minnesota, United States of America.
Plos One
|June 22, 2022
Summary
Improving oral health-related quality of life (OHRQoL) requires standardized assessment. This study found common dimensions across 20 instruments, suggesting a single four-dimensional metric is feasible for consistent OHRQoL measurement.
Area of Science:
- Oral Health
- Quality of Life Research
- Dental Public Health
Background:
- Assessing oral health-related quality of life (OHRQoL) is crucial for patient care.
- Numerous instruments exist, posing challenges for standardization and consolidation.
- Identifying commonalities among OHRQoL instruments is necessary for a unified approach.
Purpose of the Study:
- To investigate and consolidate existing generic multi-item patient-reported outcome measures (dPROMs) for OHRQoL.
- To determine how well 20 dPROMs assess the four fundamental OHRQoL dimensions: Oral Function, Orofacial Pain, Orofacial Appearance, and Psychosocial Impact.
Main Methods:
- A Delphi consensus process involving 11 international dental experts.
- Evaluation of 20 generic multi-item dPROMs against the four core OHRQoL dimensions.
Main Results:
- All 20 evaluated dPROMs assessed at least one OHRQoL dimension.
- The four core OHRQoL dimensions (Oral Function, Orofacial Pain, Orofacial Appearance, Psychosocial Impact) were measured by at least one instrument.
- Significant commonalities were found among the assessed generic multi-item dPROMs regarding targeted OHRQoL dimensions.
Conclusions:
- Generic multi-item dPROMs share core dimensions, including Oral Function, Orofacial Pain, Orofacial Appearance, and Psychosocial Impact.
- A single, four-dimensional metric for assessing oral health impact is plausible and desirable across all settings.
- Standardization of OHRQoL assessment will advance evidence-based dentistry and value-based oral health care.
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