Evidence map›Paper›PMID 42659471›Full record

ArticleJournal of applied oral science : revista FOB2026

Risk Classification Instrument for Orofacial Myofunctional Disorders - ICR/DMO: Reliability (Part III).

Herick Santos Assis, Íkaro Daniel de Carvalho Barreto, Giédre Berretin-Felix, Andréa Monteiro Correia Medeiros

Abstract readValidation Study
In one paragraph

Article in Journal of applied oral science : revista FOB, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

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1 · What the graph read from it

What it found

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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

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3 · Its place in the literature

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4 · The record

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5 · Who and what money

Authors and funding

4 authors.

Herick Santos AssisUniversidade de São Paulo, Faculdade de Odontologia de Bauru, Programa de Pós-Graduação em Fonoaudiologia, Bauru, SP, Brasil.ORCID http://orcid.org/0000-0002-6122-6463
Íkaro Daniel de Carvalho BarretoCentro Brasileiro de Pesquisa em Avaliação e Seleção e de Promoção de Eventos (CEBRASPE), Brasília, DF, Brasil.ORCID http://orcid.org/0000-0001-7253-806X
Giédre Berretin-FelixUniversidade de São Paulo, Faculdade de Odontologia de Bauru, Programa de Pós-Graduação em Fonoaudiologia, Bauru, SP, Brasil.ORCID http://orcid.org/0000-0002-8614-2805
Andréa Monteiro Correia MedeirosUniversidade de São Paulo, Faculdade de Odontologia de Bauru, Programa de Pós-Graduação em Fonoaudiologia, Bauru, SP, Brasil.ORCID http://orcid.org/0000-0002-4930-7623

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectiveTo assess the reliability of the Risk Classification Instrument for Orofacial Myofunctional Disorders (ICR/DMO). METHODOLOGY: This reliability study was conducted as part of the broader validation process of the ICR/DMO. Ninety caregivers of infants and preschoolers participated and were allocated into three age groups: G1=30 infants aged 1-5 months; G2=30 infants aged 6-23 months; and G3=30 preschoolers aged 24-71 months. Participants were recruited from two public daycare centers and a university pediatric clinic. The ICR/DMO was administered in person by a single speech-language pathologist (A1) by means of individual interviews with the caregivers, with responses registered in real time and audio-recorded. The audio recordings were analyzed by three additional raters (A2a, A2b, and A2c). After calibration, each rater received 30 audio recordings according to the following group allocation: A2a (G1), A2b (G2), and A2c (G3). Inter-rater agreement (100% of the sample; n=90) and intra-rater reproducibility (20% of the sample; n=18) were assessed using Kendall's tau (Kendall's τ). The following interpretation was adopted: weak (<0.4), moderate (0.4-0.7), and strong (>0.7), with p<0.05.

resultsInter- and intra-rater agreement were observed both for the total scores and for individual instrument items. For the total scores, inter-rater agreement was moderate in G1 (τ=0.576; p=0.001); strong in G2 (τ=0.775; p<0.001), and moderate in G3 (τ=0.583; p<0.001). In all groups, the retest showed strong agreement (G1: τ=0.786; p=0.032; G2: τ=0.881; p=0.002; G3: τ=0.926; p=0.014). For the individual items, both inter-rater and intra-rater agreement showed satisfactory rates of observed agreement.

conclusionThe ICR/DMO demonstrated evidence of reliability across the three age groups, with inter-rater agreement ranging from moderate to good and intra-rater agreement ranging from good to excellent.

Indexed as

FaceAge FactorsChild, PreschoolFemaleHumansInfantMaleObserver VariationReference ValuesReproducibility of ResultsRisk AssessmentRisk FactorsSpeech-Language Pathology

Identifiers

PMID42659471
PMCPMC13668466

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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.