Validation of an erosive tooth wear risk factors questionnaire for adolescents

Autores organización

• Lorena Viviana Avila Max

  Autor

• David Augusto Diaz Baez

  Autor

• Edgar Orlando Beltran Zuñiga

  Autor

• 

  Jaime Eduardo Castellanos Parra

  Autor

• Stefania Martignon Biermann

  Autor

Grupos de investigación

• Grupo de Virología

  

  Investigador

  Jaime Eduardo Castellanos Parra

• Unidad de Investigación Básica Oral UIBO

  

  Investigador

  Gloria Ines Lafaurie Villamil

• Unidad de Investigación en Caries UNICA

  Investigador

  Stefania Martignon Biermann

Resumen

Objective: To validate a questionnaire for the identification of factors associated with erosive tooth wear (ETW) in adolescents. Materials and methods: Based on previous questionnaires, a 73-question instrument was designed (four domains: socio-demographics, general/oral health history, diet and oral care habits). Content validity was assessed by five external experts, and the questions’ understandability was evaluated in a pilot study (10 adolescents). Three internal experts agreed on modifications. Construct validity was assessed after the resulting questionnaire was applied to 454 12- to 15-year olds from Bogotá (Colombia). Statistical analyses included exploratory factor analysis (EFA), internal consistency, and confirmatory factor analysis (CFA). Results: After the content validation, 52% of the questions were excluded and remaining 38 questions were adjusted. Construct validation: The EFA resulted in the regrouping of questions into the three remaining domains (KMO = 0.68; Bartlett’s test: p < 0.001). Internal consistency was good (general questionnaire Cronbach’s a = 0.67; individual factors’ Cronbach’s a = 0.30–0.69; ICC = 0.39–0.62; p < 0.001), and the model showed satisfactory fit. CFA showed good convergent and discriminatory validity suggesting the elimination of 14 additional questions (?2 = 238.518; p > 0.086; CFI = 0.96; TLI = 0.95; RMSEA = 0.017; PRATIO = 0.76). The final validated questionnaire comprised 24 questions (general/oral health history: n = 5; dietary habits: n = 15; oral care habits: n = 4). Conclusion: The validation of the ETW questionnaire for adolescents was satisfactory and resulted in a short applicable questionnaire version. Clinical relevance: This study achieved a satisfactorily validated, short, and applicable questionnaire for assessing erosive tooth wear risk factors in adolescents, recommended for the clinical practice, research, and epidemiology. © 2021, The Author(s), under exclusive licence to Springer-Verlag GmbH Germany, part of Springer Nature.

© 2021. The Author(s), under exclusive licence to Springer-Verlag GmbH Germany, part of Springer Nature.

Keywords

• Adolescent; Humans; Pilot Projects; Risk Factors; Surveys and Questionnaires; Tooth Attrition; Tooth Wear; adolescent; human; pilot study; questionnaire; risk factor; tooth disease