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Content Validity Assessment of a Virtual Patient-Based Learning Platform for TMD Education among Orofacial Pain
Linda Sangalli1, Elizabeth Manning1, Anna Alessandri-Bonetti2
1College of Dental Medicine - Illinois, Midwestern University, Downers Grove, Illinois, USA.
Journal of Dental Education
|September 3, 2025
Summary
A new virtual patient-based learning (VPBL) platform for temporomandibular disorders (TMD) education shows excellent content validity among orofacial pain experts. This innovative tool aims to enhance dental students
Area of Science:
- Dental Education
- Medical Simulation
- Oral Health
Background:
- Dental predoctoral training often lacks sufficient clinical exposure to temporomandibular disorders (TMD).
- A virtual patient-based learning (VPBL) platform was developed to address this gap in TMD education.
- This study evaluated the content validity of the VPBL platform among orofacial pain (OFP) experts.
Purpose of the Study:
- To assess the content validity of a newly developed VPBL platform for predoctoral TMD education.
- To determine the suitability of the VPBL platform's virtual patients (VPs) for teaching OFP conditions.
Main Methods:
- Developed a digital platform with 20 virtual patients (VPs) covering common OFP conditions based on Diagnostic Criteria for TMD.
- OFP experts evaluated 4 VPs (one from each module: muscular-TMD, articular-TMD, mixed-TMD, non-TMD) using the Suitability Assessment of Materials.
- Assessed content validity using Item-Level Content Validity Index (I-CVI), Scale-CVI/Universal Agreement (S-CVI/UA), and total suitability score.
Main Results:
- The VPBL platform achieved a total suitability score of 89.1% (superior material) and an average VP CVI of 0.95.
- The Scale-CVI/Universal Agreement (S-CVI/UA) was 0.93, indicating excellent overall validity.
- The literacy level domain received lower scores, indicating a reading level above 9th grade.
Conclusions:
- The VPBL platform demonstrates excellent content validity for predoctoral TMD education among OFP experts.
- The platform is considered superior material for enhancing dental students' understanding of TMD.
- Future implementation in predoctoral dental schools is planned.
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