Oral health-related quality of life in children: Part III. Is there agreement between parents in rating their children’s oral health-related quality of life? A systematic review
ABSTRACT One issue that receives a great deal of attention is the comparison between measurement of children's oral health-related quality of life (OHRQoL) reports with those of their parents. However, the extent to which parents understand the effects of ill-health on their children's lives remains unanswered. The purpose of this systematic review was to identify the literature on the nature, extent and the pattern of agreement/disagreement between parent and child reports about child OHRQoL and assess the association between them.
The literature was searched using MEDLINE, ISI, Lilacs and Scielo, from January 1985 to March 2007. The selected studies used well-validated instruments and provided children's and parent's perceptions of child OHRQoL.
A total of 87 articles were retrieved and five were selected for the review, which showed that children and parents do not necessarily share similar views about child OHRQoL. Some parents may have limited knowledge about their children's OHRQoL, particularly the impact on social and emotional well-being.
Valid and reliable information can be obtained from parents and children using appropriate questionnaire techniques. Although the parents' reports may be incomplete due to lack of knowledge about certain experiences, they still provide useful information.
- SourceAvailable from: Cynthia S Hofman
- "For example, quality of life (QOL) is a subjective concept and should therefore be captured directly from the patient. However, proxy reporting of QOL is widespread, particularly in pediatric studies where children have been considered to be unreliable respondents   and in studies where the respondents have cognitive impairments  . When the agreement between two groups of raters of unequal sizes is examined, the BlandeAltman method requires adjustment. "
Dataset: Bland Altman - JCE
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ABSTRACT: The present study was undertaken to examine if daily anxiety-provoking situations can predict dental anxiety in a toddler. Parents of 73 toddlers were sent 2 questionnaires: 1) the Dental Subscale of the Children's Fear Survey Schedule (CFSS-DS), and 2) the Inventory of Stressful Situations (ISS), a list of 16 questions developed to assess anxiety in daily stressful situations. This investigation was repeated one year later. Forty-eight parents completed all questionnaires. Results show a clear correlation between daily stressful situations at the age of 3 and dental anxiety at the age of 3 (r = .62, p < 0.01, two-tailed) and at the age of 4 (r = .49, p < 0.01, two-tailed). Regression analyses revealed that the ISS at the age of 3 predicted dental anxiety at the age of four; however, it did not contribute additionally if the CFSS-DS score at the age of three was included. CONCLUSION: Daily anxiety-provoking situations in 3-year-old children may be related to dental anxiety at the age of 4.69(3):306-9, 235.
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ABSTRACT: Currents measured with modified (paddle-wheel rotor) Aanderaa current meters on subsurface moorings in a strong tidal flow are compared to those measured with a ship-mounted acoustic Doppler current profiler (ADCP), a bottom-mounted ADCP, and InterOcean S4 electromagnetic current meters. Significant discrepancies among the rate measurements at some vertical levels are found. The rates measured by the Aanderaas at interior mooring positions are up to 20% lower than the acoustic rates, particularly for speeds greater than 0.8 m/s. Field tests and a simple model suggest that this discrepancy arises from shielding of the Aanderaa rotors due to instrument misalignment (with the relative water velocity) during periods of mooring vibration, induced by vortex shedding from in-line backup buoyancy packagesCurrent Measurement, 1990., Proceedings of the IEEE Fourth Working Conference on; 05/1990