Qualitative methods in the development of a parent survey of children’s oral health status

Abstract Background Parents’ perceptions of their 8–17-year-old children’s oral health status were assessed using a sample from diverse dental clinics in Greater Los Angeles County to identify constructs for a survey instrument. Methods Focus groups with 29 parents or guardians were conducted to ide...

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Main Authors: Carl A. Maida, Marvin Marcus, Ron D. Hays, Ian D. Coulter, Francisco Ramos-Gomez, Steve Y. Lee, Patricia S. McClory, Laura V. Van, Yan Wang, Jie Shen, Bryant Lau, Vladimir W. Spolsky, James J. Crall, Honghu Liu
Format: Article
Language:English
Published: SpringerOpen 2018-03-01
Series:Journal of Patient-Reported Outcomes
Subjects:
Online Access:http://link.springer.com/article/10.1186/s41687-018-0033-x
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author Carl A. Maida
Marvin Marcus
Ron D. Hays
Ian D. Coulter
Francisco Ramos-Gomez
Steve Y. Lee
Patricia S. McClory
Laura V. Van
Yan Wang
Jie Shen
Bryant Lau
Vladimir W. Spolsky
James J. Crall
Honghu Liu
author_facet Carl A. Maida
Marvin Marcus
Ron D. Hays
Ian D. Coulter
Francisco Ramos-Gomez
Steve Y. Lee
Patricia S. McClory
Laura V. Van
Yan Wang
Jie Shen
Bryant Lau
Vladimir W. Spolsky
James J. Crall
Honghu Liu
author_sort Carl A. Maida
collection DOAJ
description Abstract Background Parents’ perceptions of their 8–17-year-old children’s oral health status were assessed using a sample from diverse dental clinics in Greater Los Angeles County to identify constructs for a survey instrument. Methods Focus groups with 29 parents or guardians were conducted to identify themes that informed development of survey items. The draft items were administered to a different group of 32 parents or guardians in cognitive interviews, and revised for subsequent field-testing. Results Thematic and narrative analyses were performed after the focus groups and key lay-oriented dimensions were uncovered, notably the relationship between oral health, systemic health and the life course. In the cognitive interviews, parents entered multiple responses to questions related to the look of their child’s teeth, and their overall perception of tooth color. Parents also assessed their child’s fear or discomfort with the dental experience, and other social and psychological concerns related to oral health status. The temporal dimensions of certain items were specified; for example, oral pain and mood items were revised to include duration of the symptom or mood state. As parents tended to confuse oral health maintenance and prevention, these two related concepts were separated into two items. Based on the qualitative work, we revised items in preparation for a field test. Conclusions As a PRO measurement study, qualitative research informed a field test survey to assess factors associated with oral health status and the individual’s perceptions and subjective views of these constructs for eventual item development for epidemiological and clinical use.
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spelling doaj.art-68a0ad9b9b244a4bbb362553fb54767d2022-12-22T02:52:12ZengSpringerOpenJournal of Patient-Reported Outcomes2509-80202018-03-012111810.1186/s41687-018-0033-xQualitative methods in the development of a parent survey of children’s oral health statusCarl A. Maida0Marvin Marcus1Ron D. Hays2Ian D. Coulter3Francisco Ramos-Gomez4Steve Y. Lee5Patricia S. McClory6Laura V. Van7Yan Wang8Jie Shen9Bryant Lau10Vladimir W. Spolsky11James J. Crall12Honghu Liu13School of Dentistry, Division of Public Health & Community Dentistry and Division of Oral Biology & Medicine, University of California, Los AngelesSchool of Dentistry, Division of Public Health & Community Dentistry, University of California, Los AngelesDepartment of Medicine, Division of General Internal Medicine and Health Services Research, University of California, Los AngelesSchool of Dentistry, Division of Public Health & Community Dentistry, University of California, Los AngelesSchool of Dentistry, Division of Growth & Development, Section of Pediatric Dentistry, University of California, Los AngelesSchool of Dentistry, Division of Constitutive & Regenerative Sciences, Section of Restorative Dentistry, University of California, Los AngelesSchool of Dentistry, Division of Growth & Development, Section of Pediatric Dentistry, University of California, Los AngelesSchool of Dentistry, University of California, Los AngelesSchool of Dentistry, Division of Public Health & Community Dentistry, University of California, Los AngelesSchool of Dentistry, Division of Public Health & Community Dentistry, University of California, Los AngelesCollege of Letters and Science, University of California, Los AngelesSchool of Dentistry, Division of Public Health & Community Dentistry, University of California, Los AngelesSchool of Dentistry, Division of Public Health & Community Dentistry, University of California, Los AngelesSchool of Dentistry, Division of Public Health & Community Dentistry, University of California, Los AngelesAbstract Background Parents’ perceptions of their 8–17-year-old children’s oral health status were assessed using a sample from diverse dental clinics in Greater Los Angeles County to identify constructs for a survey instrument. Methods Focus groups with 29 parents or guardians were conducted to identify themes that informed development of survey items. The draft items were administered to a different group of 32 parents or guardians in cognitive interviews, and revised for subsequent field-testing. Results Thematic and narrative analyses were performed after the focus groups and key lay-oriented dimensions were uncovered, notably the relationship between oral health, systemic health and the life course. In the cognitive interviews, parents entered multiple responses to questions related to the look of their child’s teeth, and their overall perception of tooth color. Parents also assessed their child’s fear or discomfort with the dental experience, and other social and psychological concerns related to oral health status. The temporal dimensions of certain items were specified; for example, oral pain and mood items were revised to include duration of the symptom or mood state. As parents tended to confuse oral health maintenance and prevention, these two related concepts were separated into two items. Based on the qualitative work, we revised items in preparation for a field test. Conclusions As a PRO measurement study, qualitative research informed a field test survey to assess factors associated with oral health status and the individual’s perceptions and subjective views of these constructs for eventual item development for epidemiological and clinical use.http://link.springer.com/article/10.1186/s41687-018-0033-xChild and adolescent oral healthOutcomesPsychosocial aspects of oral healthQualitative research
spellingShingle Carl A. Maida
Marvin Marcus
Ron D. Hays
Ian D. Coulter
Francisco Ramos-Gomez
Steve Y. Lee
Patricia S. McClory
Laura V. Van
Yan Wang
Jie Shen
Bryant Lau
Vladimir W. Spolsky
James J. Crall
Honghu Liu
Qualitative methods in the development of a parent survey of children’s oral health status
Journal of Patient-Reported Outcomes
Child and adolescent oral health
Outcomes
Psychosocial aspects of oral health
Qualitative research
title Qualitative methods in the development of a parent survey of children’s oral health status
title_full Qualitative methods in the development of a parent survey of children’s oral health status
title_fullStr Qualitative methods in the development of a parent survey of children’s oral health status
title_full_unstemmed Qualitative methods in the development of a parent survey of children’s oral health status
title_short Qualitative methods in the development of a parent survey of children’s oral health status
title_sort qualitative methods in the development of a parent survey of children s oral health status
topic Child and adolescent oral health
Outcomes
Psychosocial aspects of oral health
Qualitative research
url http://link.springer.com/article/10.1186/s41687-018-0033-x
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