Evidence map›Paper›PMID 23115154›Full record

ArticleJournal of the American Dental Association (1939)2012

Examining the accuracy of caregivers' assessments of young children's oral health status.

Kimon Divaris, William F Vann, A Diane Baker, Jessica Y Lee

Abstract read
In one paragraph

Article in Journal of the American Dental Association (1939), 2012. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 27 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
27citing papers in PubMed, 1 pooled it
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

27 citing papers in PubMed, 1 synthesis or guideline pooled it.

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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

4 authors.

Kimon DivarisDepartment of Pediatric Dentistry, School of Dentistry, The University of North Carolina at Chapel Hill, 228 Brauer Hall, CB#7450, Chapel Hill, NC 27599-7450, USA. divarisk@dentistry.unc.edu
William F Vann
A Diane Baker
Jessica Y Lee

Funding

Examination of Oral Health Literacy in Public Health PracticeR01DE018045 · NIDCR · UNIV OF NORTH CAROLINA CHAPEL HILL · PI LEE, JESSICA Y · 2007 to 2014
$2.8M
NIDCR NIH HHS R01 DE018045NIDCR NIH HHS R01DE018045
6 · The paper itself

Abstract

backgroundCaregivers' perceptions of their young children's oral health status (OHS) are a strong determinant of whether the children visit a dentist. Our aims were to quantify the correlation between caregivers' assessments and their children's clinically determined restorative treatment needs, while investigating factors related to this association.

methodsOne hundred eight caregivers assessed their children's OHS by answering a question on the self-reported National Health and Nutrition Examination Survey III instrument. Children underwent clinical oral examinations at one of two study sites of the Carolina Oral Health Literacy Project: a dental school-based clinic and a community-based health clinic. Examiners recorded the children's clinical treatment needs by using a modification of the caries severity index. The authors quantified concordance between the two measures with use of the Spearman rank correlation (ρ) and Kendall τ rank correlation, whereas they assessed differences in sociodemographic factors and oral health literacy (OHL) levels by using a homogeneity χ(2) test (P < .2 criterion).

resultsThe concordance between caregivers' assessments and clinically determined OHS was lower for younger children (< 2 years, ρ = 0.29 versus = 2 years, ρ = 0.63 [homogeneity P = .03]), a pattern that was evident in the community clinic but not in the university clinic. Caregivers' age, education and OHL did not influence the accuracy of self-reports.

conclusionsFor children younger than 2 years, caregivers' assessments correlated poorly with clinical needs, which routinely were underestimated. Practice Implications. These findings underscore the importance of preventive dental visits at a young age and the early establishment of a dental home.

Indexed as

Attitude to HealthHealth StatusNeeds AssessmentOral HealthParent-Child RelationsAdultAge FactorsCaregiversChild, PreschoolCommunity Health CentersDental CariesDental ClinicsEducational StatusFemaleHealth LiteracyHumans

Identifiers

PMID23115154
PMCPMC3697431

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Registered trials

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.