Clinical and Self-Reported Measurements to Be Included in the Core Elements of the World Dental Federation's Theoretical Framework of Oral Health

Autor: Eleonor I. Fransson, Hanna Ahonen, Anders Broström, Christine Kvarnvik, Ulrika Lindmark, Ola Norderyd
Rok vydání: 2021
Předmět:
Zdroj: International Dental Journal, Vol 71, Iss 1, Pp 53-62 (2021)
ISSN: 0020-6539
DOI: 10.1111/idj.12614
Popis: Introduction Oral health is part of general health, and oral diseases share risk factors with several non-communicable diseases. The World Dental Federation (FDI) has published a theoretical framework illustrating the complex interactions between the core elements of oral health (CEOHs): driving determinants, moderating factors, and general health and well-being. However, the framework does not specify which self-reported or clinical measurements to be included in the CEOHs. Objectives To explore oral health measurements relevant for a general adult population to be included in the CEOHs in the FDIs theoretical framework of oral health. Materials and methods A psychometric study was performed, using cross-sectional data from Sweden (N = 630, 54% women, mean age 49.7 years). The data set initially consisted of 186 self-reported and clinical measurements. To identify suitable measurements, the selection was discussed in different settings, including both experts and patients. Principal component analyses (PCAs) were performed to explore, reduce and evaluate measurements to be included in the three CEOHs. Internal consistency was estimated by Cronbachs Alpha. Results The validation process yielded 13 measurements (four clinical, nine self-reported) in concordance with the CEOHs. PCAs confirmed robust validity regarding the construction, predicting 60.85% of variance, representing psychosocial function (number of measurements = 5), disease and condition status (number of measurements = 4), and physiological function (number of measurements = 4). Cronbachs Alpha indicated good to sufficient internal consistency for each component in the constructs (alpha = 0.88, 0.68, 0.61, respectively). Conclusion In a Swedish general adult population, 13 self-reported and clinical measurements can be relevant to include to operationalise CEOHs in the FDIs theoretical framework. Funding Agencies|Jonkoping University, Sweden; Futurum-Academy for Health and Care, Jonkoping County Council [844881]
Databáze: OpenAIRE