开发用于查儿童牙和紧急治疗需求的简单表格,使用项目响应理论和机器学习方法
Di Xiong1,2, Marvin Marcus1, Carl A Maida1
1Section of Public and Population Health, Division of Oral and Systemic Health Sciences, School of Dentistry, University of California, Los Angeles, Los Angeles, California, United States of America.
PloS one
|March 22, 2024
概括
开发了简短的调查表格,有效地选儿童牙损伤和紧急治疗需求. 这些工具有助于在大量人群中早期发现和干预,改善儿童的口腔健康结果.
科学领域:
- 牙科公共卫生 牙科公共卫生
- 儿科牙科 儿科牙科
- 医疗信息学 医疗信息学
背景情况:
- 基于人口的口腔疾病查对于儿童的早期检测和干预至关重要.
- 现有的选方法在大规模应用中可能缺乏效率.
- 开发简洁,可靠的工具对于有效的公共卫生监测至关重要.
研究的目的:
- 开发和验证用于选学龄儿童活跃牙损伤和紧急治疗需求的简短形式的调查仪器.
- 创建这些查工具的儿童报告和父母代理报告版本.
- 利用物品响应理论和机器学习进行仪器校准和预测.
主要方法:
- 来自洛杉矶牙科诊所的497名儿童-家长双相 (8-17岁) 的截面研究.
- 项目响应理论用于从广泛的问题集 (88个孩子,64个代理) 中选择和校准简短的表格.
- 七个机器学习算法通过简单表单和人口统计数据来评估预测虫和紧急需求;通过5倍交叉验证评估性能.
主要成果:
- 开发和校准了四个10项简单表格.
- 纯粹的贝叶斯算法表现出卓越的预测性能.
- 平均灵敏度和特异性为空的0.84/0.30和紧急需求的0.81/0.31,儿童/代理报告的结合显示出略高的准确性.
结论:
- 项目响应理论和机器学习成功地为儿童牙损伤和紧急治疗需求创建了有用的查工具.
- 基于调查的查为大规模的口腔健康评估提供了一种具有成本效益和方便的方法.
- 建议对特定子组进行进一步细化,以提高未来研究的预测准确性.
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