The basic research factors questionnaire for studying early childhood caries

Judith Albino, Tamanna Tiwari, Stuart A Gansky, Michelle M Henshaw, Judith C Barker, Angela G Brega, Steven E Gregorich, Brenda Heaton, Terrence S Batliner, Belinda Borrelli, Paul Geltman, Nancy R Kressin, Jane A Weintraub, Tracy L Finlayson, Raul I Garcia, Early Childhood Caries Collaborating Centers, Judith Albino, Tamanna Tiwari, Stuart A Gansky, Michelle M Henshaw, Judith C Barker, Angela G Brega, Steven E Gregorich, Brenda Heaton, Terrence S Batliner, Belinda Borrelli, Paul Geltman, Nancy R Kressin, Jane A Weintraub, Tracy L Finlayson, Raul I Garcia, Early Childhood Caries Collaborating Centers

Abstract

Background: We describe development of the Early Childhood Caries (ECC) Basic Research Factors Questionnaire (BRFQ), a battery of measures assessing common potential predictors, mediators, and moderators of ECC. Individual-, family-, and community-level factors that are linked to oral health outcomes across at-risk populations are included. Developing standard measures of factors implicated in ECC has the potential to enhance our ability to understand mechanisms underlying successful prevention and to develop more effective interventions.

Methods: The Early Childhood Caries Collaborating Centers (EC4), funded by National Institute of Dental and Craniofacial Research, developed the BRFQ, which was used across four randomized trials to develop and test interventions for reducing ECC in at-risk populations. Forty-five investigators from across the centers and NIDCR were involved in the development process. Eight "measures working groups" identified relevant constructs and effective measurement approaches, which were then categorized as "essential" or "optional" common data elements (CDEs) for the EC4 projects.

Results: Essential CDEs include 88 items, with an additional 177 measures categorized as optional CDEs. Essential CDEs fell under the following domains: oral health knowledge, oral health behavior, utilization/insurance and cost, parent/caregiver dental self-efficacy, quality of life, caregiver and family characteristics, and child characteristics.

Conclusions: The BRFQ makes available a battery of measures that support efforts to understand population risk factors for ECC and to compare oral health outcomes across populations at risk. The BRFQ development process may be useful to other clinical research networks and consortia developing CDEs in other health research fields.

Trial registration: All the trial that used the BRFQ were registered at Clinicaltrial.gov NCT01116726 , April 29, 2010; NCT01116739 , May 3, 2010; NCT01129440 , May 21, 2010; and NCT01205971 , September 19, 2010.

Keywords: Children; Common data elements; Dental caries; Oral health; Parent/caregivers; Risk factors; Surveys.

Figures

Fig. 1
Fig. 1
Overview of the BRFQ development process

References

    1. Sheehan J, Hirschfeld S, Foster E, Ghitza U, Goetz K, Karpinski J, et al. Improving the value of clinical research through the use of Common Data Elements. Clinical Trials. 2016;15:1740774516653238.
    1. Tiwari T, Casciello A, Gansky SA, Henshaw M, Ramos-Gomez F, Rasmussen M, et al. Recruitment for Health Disparities Preventive Intervention Trials: The Early Childhood Caries Collaborating Centers. Prev Chronic Dis. 2014;11:E133. doi: 10.5888/pcd11.140140.
    1. Fisher-Owens SA, Gansky SA, Platt LJ, Weintraub JA, Soobader MJ, Bramlett MD, et al. Influences on children’s oral health: a conceptual model. Pediatrics. 2007;120:e510–20. doi: 10.1542/peds.2006-3084.
    1. Litt MD, Reisine S, Tinanoff N. Multidimensional causal model of dental caries development in low-income preschool children. Public Health Rep. 1995;110:607–17.
    1. Tedesco LA, Keffer MA, Fleck-Kandath C. Self-efficacy, reasoned action, and oral health behavior reports: a social cognitive approach to compliance. J Behav Med. 1991;14:341–55. doi: 10.1007/BF00845111.
    1. Huntington NL, Spetter D, Jones JA, Rich SE, Garcia RI, Spiro A. Development and validation of a measure of pediatric oral health-related quality of life: the POQL. J Public Health Dent. 2011;71:185–93.
    1. Williams DR, Yu Y, Jackson JS, Anderson NB. Racial differences in physical and mental health: Socio-economic status, stress, and discrimination. J Health Psychol. 1997;2:335–51. doi: 10.1177/135910539700200305.
    1. Finlayson TL, Siefert K, Ismail AI, Sohn W. Psychosocial factors and early childhood caries among low-income African-American children in Detroit. Community Dent Oral Epidemiol. 2007;35:439–48. doi: 10.1111/j.1600-0528.2006.00352.x.
    1. Antonovsky A. Unraveling the Mystery of Health: How People Manage Stress and Stay Well. San Francisco: Jossey-Bass; 1987.
    1. Jiang L, Beals J, Whitesell NR, Roubideaux Y, Manson SM. Stress burden and diabetes in two American Indian reservation communities. Diabetes Care. 2008;31:427–9. doi: 10.2337/dc07-2044.
    1. Kessler RC, Andrews G, Colpe LJ, Hiripi E, Mroczek DK, Normand SL, et al. Short screening scales to monitor population prevalence and trends in non-specific psychological distress. Psychol Med. 2002;32:959–76. doi: 10.1017/S0033291702006074.
    1. Kessler RC, Barker PR, Colpe LJ, Epstein JF, Gfroerer JC, Hiripi E, et al. Screening for serious mental illness in the general population. Arch Gen Psychiatry. 2003;60:184–9. doi: 10.1001/archpsyc.60.2.184.
    1. Riley JL, Gilbert GH, Heft MW. Dental attitudes: proximal basis for oral health disparities in adults. Community Dent Oral Epidemiol. 2006;34:289–98. doi: 10.1111/j.1600-0528.2006.00280.x.
    1. Center for Disease Control and Prevention. National Health Interview Survey . Accessed 9 Nov 2016.
    1. Center for Disease Control and Prevention: National Center for Health Statistics. . Accessed 9 Nov 2016.
    1. MacArthur Research Network an SES and Health. . Accessed 9 Nov 2016.
    1. Lencova E, Pikhart H, Broukal Z, Tsakos G. Relationship between parental locus of control and caries experience in preschool children - cross-sectional survey. BMC Public Health. 2008;8:208. doi: 10.1186/1471-2458-8-208.
    1. Beals J, Manson SM, Mitchell CM, Spicer P, AI-SUPERPFP Team Cultural specificity and comparison in psychiatric epidemiology: walking the tightrope in American Indian research. Cult Med Psychiatry. 2003;27:259–89. doi: 10.1023/A:1025347130953.
    1. Morris NS, MacLean CD, Chew LD, Littenberg B. The Single Item Literacy Screener: evaluation of a brief instrument to identify limited reading ability. BMC Fam Pract. 2006;7:21. doi: 10.1186/1471-2296-7-21.
    1. Chew LD, Bradley KA, Boyko EJ. Brief questions to identify patients with inadequate health literacy. Fam Med. 2004;36:588–94.
    1. Chew LD, Griffin JM, Partin MR, et al. Validation of screening questions for limited health literacy in a large VA outpatient population. J Gen Intern Med. 2008;23:561–6. doi: 10.1007/s11606-008-0520-5.
    1. Lazarus RS. Puzzles in the study of daily hassles. J Behav Med. 1984;7:375–89. doi: 10.1007/BF00845271.
    1. Romano PS, Bloom J, Syme SL. Smoking, social support, and hassles in an urban African-American community. Am J Public Health. 1991;81:1415–22. doi: 10.2105/AJPH.81.11.1415.
    1. Weinberger M, Hiner SL, Tierney WM. In support of hassles as a measure of stress in predicting health outcomes. J Behav Med. 1987;10:19–30. doi: 10.1007/BF00845125.
    1. Cuellar I, Arnold B, Maldonado R. Acculturation rating scale for Mexican Americans-II: A revision of the original ARSMA scale. Hisp J Behav Sci. 1995;17:275–304. doi: 10.1177/07399863950173001.
    1. Tiwari T, Quissell DO, Henderson WG, Thomas JF, Bryant LL, Braun PA, et al. Factors associated with oral health status in American Indian children. J Racial Ethn Health Disparities. 2014;1:148–56. doi: 10.1007/s40615-014-0017-3.
    1. Batliner T, Wilson AR, Tiwari T, Glueck D, Henderson W, Thomas J, Braun P, et al. Oral health status in Navajo nation head start children. J Public Health Dent. 2014;74:317–25. doi: 10.1111/jphd.12061.
    1. Braun PA, Lind KE, Henderson WG, Brega AG, Quissell DO, Albino J. Validation of a pediatric oral health-related quality of life scale in Navajo children. Qual Life Res. 2015;24:231–9. doi: 10.1007/s11136-014-0751-3.
    1. Wilson AR, Brega AG, Campagna EJ, Braun PA, Henderson WG, Bryant LL, et al. Validation and Impact of Caregivers’ Oral Health Knowledge and Behavior on Children’s Oral Health Status. Pediatr Dent. 2016;38:47–54.
    1. Albino J, Shapiro AL, Henderson WG, Tiwari T, Brega AG, Thomas JF, et al. Validation of the Sense of Coherence Scale in an American Indian Population. Psychol Assess. 2016;4:386–93. doi: 10.1037/pas0000193.
    1. Hoeft KS, Rios SM, Pantoja Guzman E, Barker JC. Using community participation to assess acceptability of “Contra Caries”, a theory-based, promotora-led oral health education program for rural Latino parents: A mixed methods study. BMC Oral Health. 2015;15:103. doi: 10.1186/s12903-015-0089-4.
    1. Pham K, Barker JC, Lazar A, Walsh MM. Oral Health Care of Vietnamese Adolescents: A Qualitative Study of Perceptions and Practices. J Dent Hyg. 2015;89:397–404.
    1. Nguyen UN, Rowe D, Barker JC. Knowledge, Beliefs, and Behaviors of Migrant Vietnamese Parents Regarding Young Children’s Oral Health: A Survey. J Dental Hygiene. (in press)

Source: PubMed

Подписаться