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A systematic scoping review of oral health models

  • Stella SekulicEmail author
  • Nicole Theis-Mahon
  • Ksenija Rener-Sitar
Review
  • 40 Downloads

Abstract

Purpose

The purpose of this systematic scoping review was to identify, analyze, and compare existing generic oral health models in English scientific dental literature.

Methods

We conducted a literature search in five databases, Ovid Medline, Embase, PsycINFO, Cochrane, and Web of Science, using pre-determined inclusion and exclusion criteria and calculated the interrater agreement coefficient “prevalence-adjusted bias-adjusted kappa” (PABAK). We identified, reviewed, and displayed the generic oral health models in review tables.

Results

Of the 3498 references identified, 13 oral health models from seven countries met the inclusion criteria. The interrater agreement coefficient resulted in a ‘‘substantial agreement’’ (PABAK = 0.80). Ten of the 13 (77%) generic oral health models were developed in English-speaking countries. All models were multidimensional and contained from two to 12 dimensions. Four models presented linear conception, and we observed non-linear conception in six models. Authors presented the unidirectional or reciprocal relations between dimensions in six models, and five models, respectively. Two models did not show models’ relation or conception. Researchers used only experts (N = 1), literature (N = 2), dental patients (N = 2), or general population subjects (N = 3), or a combination of these sources (N = 5) for development of their generic oral health models. Statistical analyses supported the majority of the models (N = 8).

Conclusions

The identified 13 oral health models vary substantially in their characteristics. This systematic scoping review of generic oral health models provides a toolbox, from which dental researchers can choose the theoretical model they consider fit best their oral health concept they want to investigate. Ideally, the international dental community will come soon to an agreement of accepting one oral health model, and this will provide an opportunity for comparison of outcomes across studies and populations and thus elevate dentistry to a higher evidence-based level.

Keywords

Oral health-related quality of life Conceptual models Models of oral health-related quality of life Frameworks Biomedical models 

Notes

Acknowledgements

The first author would like to thank Dr. Estephan J. Moana-Filho, DDS, MS, Ph.D., from the University of Minnesota, School of Dentistry, for advice during manuscript preparation.

Compliance with ethical standards

Conflict of interest

The authors declare that they have no conflict of interest.

Ethical approval

This review does not contain any studies with human participants performed by any of the authors.

Informed consent

Informed consent was not applicable to this review as no primary data were collected.

References

  1. 1.
    Weldring, T., & Smith, S. M. (2013). Patient-reported outcomes (pros) and patient-reported outcome measures (proms). Health Services Insights, 6, 61–68.Google Scholar
  2. 2.
    Gwaltney, C. J. (2010). Patient-reported outcomes (PROs) in dental clinical trials and product development: Introduction to scientific and regulatory considerations. Journal of Evidence-Based Dental Practice, 10(2), 86–90.Google Scholar
  3. 3.
    De Vet, H. C. W., Terwee, C. B., Mokkink, L. B., & Knol, D. L. (2011). Concepts, theories and models, and types of measurement. In H. C. W. de Vet, C. B. Terwee, L. B. Mokkink, & D. L. Knol (Eds.), Measurement in medicine: A practical guide (practical guides to biostatistics and epidemiology) (pp. 7–29). Cambridge: Cambridge University Press.Google Scholar
  4. 4.
    Locker, D. (1988). Measuring oral health: A conceptual framework. Community Dental Health, 5(1), 3–18.Google Scholar
  5. 5.
    Jeboda, S. O. (1990). Developing a model for primary oral health care practice. Odonto-stomatologie tropicale = Tropical. Dental Journal, 13(4), 121–122.Google Scholar
  6. 6.
    Gilbert, G. H., Duncan, R. P., Heft, M. W., Dolan, T. A., & Vogel, W. B. (1998). Multidimensionality of oral health in dentate adults. Medical Care, 36(7), 988–1001.Google Scholar
  7. 7.
    Adulyanon, S., & Sheiham, A. (1997). Oral impacts on daily performances. In G. D. Slade (Ed.), Measuring oral health and quality of life (pp. 151–160). Chapel Hill: Department of Dental Ecology, School of Dentistry, University of North Carolina.Google Scholar
  8. 8.
    Locker, D., & Gibson, B. (2005). Discrepancies between self-ratings of and satisfaction with oral health in two older adult populations. Community Dentistry and Oral Epidemiology, 33(4), 280–288.Google Scholar
  9. 9.
    Nuttall, N. M., Slade, G. D., Sanders, A. E., Steele, J. G., Allen, P. F., & Lahti, S. (2006). An empirically derived population-response model of the short form of the oral health impact profile. Community Dentistry and Oral Epidemiology, 34(1), 18–24.Google Scholar
  10. 10.
    Corrigan, M., Newton, J. T., Gibbons, D. E., & Locker, D. (2001). The mouth-body split: Conceptual models of oral health and their relationship to general health among ethnic minorities in South Thames Health Region. Community Dental Health, 18(1), 42–46.Google Scholar
  11. 11.
    Petersen, P. E. & WHO Oral Health Programme. (2003). The world oral health report 2003: Continuous improvement of oral health in the 21st century—The approach of the WHO Global Oral Health Programme/Poul Erik Petersen. World Health Organization. Retrieved April 26, 2019, from http://www.who.int/iris/handle/10665/68506.
  12. 12.
    FDI World Dental Federation. (2017). FDI’s definition of oral health. Retrieved April 26, 2018, from https://www.fdiworlddental.org/oral-health/fdi-definition-of-oral-health.
  13. 13.
    Glick, M., Williams, D., Kleinman, D. V., Vujicic, M., Watt, R. G., & Weyant, R. J. (2016). A new definition for oral health developed by the FDI World Dental Federation opens the door to a universal definition of oral health. The Journal of the American Dental Association, 147(12), 915–917.Google Scholar
  14. 14.
    World Health Organization (WHO). (1980). International classification of impairments, disabilities, and handicaps. Retrieved September 15, 2018, from http://apps.who.int/iris/bitstream/handle/10665/41003/9241541261_eng.pdf?sequence=1.
  15. 15.
    Williams, K. B., Gadbury-Amyot, C. C., Bray, K. K., Manne, D., & Collins, P. (1998). Oral health-related quality of life: A model for dental hygiene. Journal of Dental Hygiene, 72(2), 19–26.Google Scholar
  16. 16.
    MacEntee, M. I. (2006). An existential model of oral health from evolving views on health, function and disability. Community Dental Health, 23(1), 5–14.Google Scholar
  17. 17.
    Brondani, M. A., Bryant, S. R., & MacEntee, M. I. (2007). Elders assessment of an evolving model of oral health. Gerodontology, 24(4), 189–195.Google Scholar
  18. 18.
    Halfon, N., Forrest, C. B., Lerner, R. M., & Faustman, E. M. (2018). The emerging theoretical framework of life course health development. In N. Halfon & C. B. Forrest (Eds.), Handbook of life course health development (pp. 19–46). Cham: Springer.Google Scholar
  19. 19.
    Bakas, T., McLennon, S. M., Carpenter, J. S., Buelow, J. M., Otte, J. L., Hanna, K. M., et al. (2012). Systematic review of health-related quality of life models. Health and Quality of Life Outcomes, 10, 134.Google Scholar
  20. 20.
    Peterson, S. J., & Bredow, T. S. (2009). Analysis, evaluation, and selection of a middle range nursing theory. In S. J. Peterson & T. S. Bredow (Eds.), Middle range theories: Application to nursing research (2nd ed., pp. 47–59). Philadelphia: Lippincott Williams & Wilkins.Google Scholar
  21. 21.
    Brondani, M. A., & MacEntee, M. I. (2014). Thirty years of portraying oral health through models: What have we accomplished in oral health-related quality of life research? Quality of Life Research, 23(4), 1087–1096.Google Scholar
  22. 22.
    World Health Organization (WHO). (2001). International classification of impairments, disabilities, and handicaps. Retrieved September 15, 2018, from http://apps.who.int/iris/bitstream/handle/10665/42407/9241545429.pdf?sequence=1.
  23. 23.
    Pandit, I. K. (2016). Paving the way for new model of oral health care. Indian Journal of Dentistry, 7(2), 59.Google Scholar
  24. 24.
    Mittal, H., John, M. T., Sekulic, S., Theis-Mahon, N., & Rener-Sitar, K. (2019). Patient-reported outcome measures for adult dental patients: A systematic review. The Journal of Evidence-Based Dental Practice, 19(1), 53–70.  https://doi.org/10.1016/j.jebdp.2018.10.005.Google Scholar
  25. 25.
    Tricco, A. C., Lillie, E., Zarin, W., O’Brien, K. K., Colquhoun, H., Levac, D., et al. (2018). PRISMA extension for scoping reviews (PRISMA-ScR): Checklist and explanation. Annals of Internal Medicine, 169(7), 467–473.Google Scholar
  26. 26.
    Liberati, A., Altman, D. G., Tetzlaff, J., Mulrow, C., Gøtzsche, P. C., Ioannidis, J. P. A., et al. (2009). The PRISMA statement for reporting systematic reviews and meta-analyses of studies that evaluate health care interventions: Explanation and elaboration. Journal of Clinical Epidemiology, 62(10), e1–e34.Google Scholar
  27. 27.
    Sischo, L., & Broder, H. L. (2011). Oral health-related quality of life: What, why, how, and future implications. Journal of Dental Research, 90(11), 1264–1270.Google Scholar
  28. 28.
    Byrt, T., Bishop, J., & Carlin, J. B. (1993). Bias, prevalence and kappa. Journal of Clinical Epidemiology, 46(5), 423–429.Google Scholar
  29. 29.
    Landis, J. R., & Koch, G. G. (1977). The measurement of observer agreement for categorical data. Biometrics, 33(1), 159–174.Google Scholar
  30. 30.
    Santos, C. M., Celeste, R. K., Hilgert, J. B., & Hugo, F. N. (2015). Testing the applicability of a model of oral health-related quality of life. Cadernos de Saúde Pública, 31(9), 1871–1880.Google Scholar
  31. 31.
    John, M. T., Feuerstahler, L., Waller, N., Baba, K., Larsson, P., Celebic, A., et al. (2014). Confirmatory factor analysis of the oral health impact profile. Journal of Oral Rehabilitation, 41(9), 644–652.Google Scholar
  32. 32.
    Levasseur, M., & St-Cyr-Tribble, D. (2007). Comparing the disability creation process and international classification of functioning, disability and health models. Canadian Journal of Occupational Therapy, 74, 233–242.Google Scholar
  33. 33.
    Gray, D. B., & Hendershot, G. E. (2000). The ICIDH-2: Development of new era of outcomes research. Archives of Physical Medicine and Rehabilitation, 81(12 Suppl 2), S10–S14.Google Scholar
  34. 34.
    Gift, H. C., Atchinson, K. A., & Dayton, M. (1997). Conceptualizing oral health and oral health-related quality of life. Social Science and Medicine (1982), 44(5), 601–608.Google Scholar
  35. 35.
    Talcott, P. (1951). The social system. Cambridge: Routledge & Kegan Paul Ltd.Google Scholar
  36. 36.
  37. 37.
    Bronfenbrenner, U. (1979). The ecology of human development: Experiments by nature and design. Cambridge: Harvard University Press.Google Scholar
  38. 38.
    John, M. T., Reissmann, D. R., Feuerstahler, L., Waller, N., Baba, K., Larsson, P., et al. (2014). Exploratory factor analysis of the oral health impact profile. Journal of Oral Rehabilitation, 41(9), 635–643.Google Scholar
  39. 39.
    Slade, G. D., & Spencer, A. J. (1994). Development and evaluation of the oral health impact profile. Community Dental Health, 11(1), 3–11.Google Scholar
  40. 40.
    John, M. T., Rener-Sitar, K., Baba, K., Čelebić, A., Larsson, P., Szabo, G., et al. (2016). Patterns of impaired oral health-related quality of life dimensions. Journal of Oral Rehabilitation, 43(7), 519–527.Google Scholar
  41. 41.
    John, M. T., Reissmann, D. R., Čelebić, A., Baba, K., Kende, D., Larsson, P., et al. (2016). Integration of oral health-related quality of life instruments. Journal of Dentistry, 53, 38–43.Google Scholar
  42. 42.
    Wilson, I. B., & Cleary, P. D. (1995). Linking clinical variables with health-related quality of life: A conceptual model of patient outcomes. Journal of American Medical Association, 273(1), 59–65.Google Scholar
  43. 43.
    Locker, D., Clarke, M., & Payne, B. (2000). Self-perceived oral health status, psychological well-being and life satisfaction in an older adult population. Journal of Dental Research, 79(4), 970–975.Google Scholar
  44. 44.
    Locker, D., Matear, D., Stephens, M., & Jokovic, A. (2002). Oral health-related quality of life of a population of medically compromised elderly people. Community Dental Health, 19(2), 90–97.Google Scholar
  45. 45.
    John, M. T. (2018). Health outcomes reported by dental patients. Journal of Evidence Based Dental Practice, 18(4), 332–335.Google Scholar

Copyright information

© Springer Nature Switzerland AG 2019

Authors and Affiliations

  1. 1.Department of Diagnostic and Biological Sciences, School of DentistryUniversity of MinnesotaMinneapolisUSA
  2. 2.Department of Prosthodontics, Faculty of MedicineUniversity of LjubljanaLjubljanaSlovenia
  3. 3.Health Sciences Libraries, University of MinnesotaMinneapolisUSA
  4. 4.Department of ProsthodonticsUniversity Dental Clinics, University Medical Center LjubljanaLjubljanaSlovenia
  5. 5.Dental Division, Department for Prosthetic Dentistry, Faculty of MedicineUniversity of LjubljanaLjubljanaSlovenia

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