Clinical and Self-Reported Measurements to Be Included in the Core Elements of the World Dental Federation's Theoretical Framework of Oral Health
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 de...
| Main Authors: | , , , , , |
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| Format: | Article |
| Language: | English |
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Elsevier
2021-02-01
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| Series: | International Dental Journal |
| Subjects: | |
| Online Access: | http://www.sciencedirect.com/science/article/pii/S0020653920365163 |
| _version_ | 1798034439379353600 |
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| author | Hanna Ahonen Christine Kvarnvik Ola Norderyd Anders Broström Eleonor I. Fransson Ulrika Lindmark |
| author_facet | Hanna Ahonen Christine Kvarnvik Ola Norderyd Anders Broström Eleonor I. Fransson Ulrika Lindmark |
| author_sort | Hanna Ahonen |
| collection | DOAJ |
| description | 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 FDI's 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 Cronbach's 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). Cronbach's Alpha indicated good to sufficient internal consistency for each component in the constructs (α = 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 FDI's theoretical framework. |
| first_indexed | 2024-04-11T20:44:24Z |
| format | Article |
| id | doaj.art-5c2524f4825144148880582143fbc7c5 |
| institution | Directory Open Access Journal |
| issn | 0020-6539 |
| language | English |
| last_indexed | 2024-04-11T20:44:24Z |
| publishDate | 2021-02-01 |
| publisher | Elsevier |
| record_format | Article |
| series | International Dental Journal |
| spelling | doaj.art-5c2524f4825144148880582143fbc7c52022-12-22T04:04:05ZengElsevierInternational Dental Journal0020-65392021-02-017115362Clinical and Self-Reported Measurements to Be Included in the Core Elements of the World Dental Federation's Theoretical Framework of Oral HealthHanna Ahonen0Christine Kvarnvik1Ola Norderyd2Anders Broström3Eleonor I. Fransson4Ulrika Lindmark5Centre for Oral Health, School of Health and Welfare, Jönköping University, Jönköping, Sweden; Corresponding author. Hanna Ahonen, Jönköping University, Barnarpsgatan 39, P.O. 1026, 551 11 Jönköping, Jönköping, Sweden.Centre for Oral Health, School of Health and Welfare, Jönköping University, Jönköping, Sweden; The Institute for Postgraduate Dental Education, Region Jönköping County, Jönköping, Sweden; Department of Endodontics, Periodontology and Prosthetics, Public Dental Health, Jönköping County Council, Jönköping, SwedenThe Institute for Postgraduate Dental Education, Region Jönköping County, Jönköping, Sweden; Department of Endodontics, Periodontology and Prosthetics, Public Dental Health, Jönköping County Council, Jönköping, Sweden; Faculty of Odontology, Malmö University, Malmö, SwedenCentre for Oral Health, School of Health and Welfare, Jönköping University, Jönköping, Sweden; Department of Clinical Neurophysiology, University Hospital Linköping, Linköping, SwedenCentre for Oral Health, School of Health and Welfare, Jönköping University, Jönköping, SwedenCentre for Oral Health, School of Health and Welfare, Jönköping University, Jönköping, Sweden; Department of Health Sciences, Karlstad University, Karlstad, SwedenIntroduction: 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 FDI's 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 Cronbach's 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). Cronbach's Alpha indicated good to sufficient internal consistency for each component in the constructs (α = 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 FDI's theoretical framework.http://www.sciencedirect.com/science/article/pii/S0020653920365163Oral health measurementsDentistryTheoretical frameworkValidation studies |
| spellingShingle | Hanna Ahonen Christine Kvarnvik Ola Norderyd Anders Broström Eleonor I. Fransson Ulrika Lindmark Clinical and Self-Reported Measurements to Be Included in the Core Elements of the World Dental Federation's Theoretical Framework of Oral Health International Dental Journal Oral health measurements Dentistry Theoretical framework Validation studies |
| title | Clinical and Self-Reported Measurements to Be Included in the Core Elements of the World Dental Federation's Theoretical Framework of Oral Health |
| title_full | Clinical and Self-Reported Measurements to Be Included in the Core Elements of the World Dental Federation's Theoretical Framework of Oral Health |
| title_fullStr | Clinical and Self-Reported Measurements to Be Included in the Core Elements of the World Dental Federation's Theoretical Framework of Oral Health |
| title_full_unstemmed | Clinical and Self-Reported Measurements to Be Included in the Core Elements of the World Dental Federation's Theoretical Framework of Oral Health |
| title_short | Clinical and Self-Reported Measurements to Be Included in the Core Elements of the World Dental Federation's Theoretical Framework of Oral Health |
| title_sort | clinical and self reported measurements to be included in the core elements of the world dental federation s theoretical framework of oral health |
| topic | Oral health measurements Dentistry Theoretical framework Validation studies |
| url | http://www.sciencedirect.com/science/article/pii/S0020653920365163 |
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