The aim of this study was to assess the validity and reliability of the Fonseca Anamnestic Index (IAF), used to assess the severity of temporomandibular disorders, applied to Brazilian women. We used a probabilistic sampling design. The participants were 700 women over 18 years of age, living in the city of Araraquara (SP). The IAF questionnaire was applied by telephone interviews. We conducted Confirmatory Factor Analysis (CFA) using Chi-Square Over Degrees of Freedom (χ 2 /df), Comparative Fit Index (CFI), Tucker-Lewis Index (TLI), and Root Mean Square Error of Approximation (RMSEA) as goodness of fit indices. We calculated the convergent validity, the average variance extracted (AVE) and the composite reliability (CR). Internal consistency was assessed by Cronbach's alpha coefficient (a).The factorial weights of questions 8 and 10 were below the adequate values. Thus, we refined the original model and these questions were excluded. The resulting factorial model showed appropriate goodness of fit to the sample (χ 2 /df = 3.319, CFI = 0.978, TLI = 0.967, RMSEA = 0.058). The convergent validity (AVE = 0.513, CR = 0.878) and internal consistency (a = 0.745) were adequate. The reduced IAF version showed adequate validity and reliability in a sample of Brazilian women.
SUMMARY The aim of this study is to evaluate the validity and reliability of the Mandibular Function Impairment Questionnaire (MFIQ) (Portuguese version). Face and content validity of the Portuguese version were performed. To assess reproducibility of the data gathered with MFIQ, it was applied to 62 individuals who completed the questionnaire on two occasions. Validity and reliability of the data gathered with MFIQ were evaluated in a sample of 249 patients. Construct-related validity was assessed through factorial validity (by means of a confirmatory factor analysis), and convergent and discriminant validities were assessed, respectively, by the average variance extracted (AVE), composite reliability (CC) and bivariate correlations between factors. The internal consistency was estimated by the standardised Cronbach's alpha coefficient (a) and reproducibility by the intra-class correlation coefficient (ICC). All the items of MFIQ showed content validity. Reproducibility was excellent in both the 'functional capacity' dimension (D1) (ICC D1 = 0AE895, 95% CI = 0AE832 to 0AE935) and the 'feeding' dimension (D2) (ICC D2 = 0AE825, 95% CI = 0AE726 to 0AE891). Items 1, 2, 6 and 7 of D1 had factor weights below the desired cut-off (0AE5), and overall fit of the original bifactorial structure of the MFIQ was poor [(confirmatory fit index) CFI = 0AE850, (goodness of fit index) GFI = 0AE781, (root mean square error of approximation) RMSEA = 0AE118]. Thus, these items were excluded, and the new, reduced version of the MFIQ showed good fit (CFI = 0AE933, GFI = 0AE879, RMSEA = 0AE099). The convergent validity was adequate (AVE ‡ 0AE5, CC ‡ 0AE7) for both factors. However, their discriminant validity was low (AVE D1 = 0AE51 and AVE D2 = 0AE66 < q 2 D1D2 = 0AE70). The internal consistency was excellent (a D1 = 0AE874; a D2 = 0AE918). The Portuguese version of the reduced MFIQ produced data with good validity and reliability.
The aim of this study was to estimate the reliability, validity and factorial invariance of the Portuguese version of the Geriatric/ General Oral Health Assessment Index (GOHAI) as applied to Brazilian women. A total 701 women over 18 years of age participated in this study. Telephone interviews were conducted. We evaluated the construct-related validity through factorial, convergent and discriminant validity. We carried out a confirmatory factor analysis using the χ 2 /df, CFI, GFI and RMSEA indexes. The invariance of the model in a second independent sample was estimated by multi-group analysis and internal consistency using Cronbach's alpha coefficient. Items 5 and 9 presented factor weights below the adequate value and were removed. The three-dimensional and unifactorial model presented an adequate fit. We observed strong factorial invariance of the models in two independent samples (three-factor: ρλ = 0.62; pCov = 0.89, one-factor: ρλ = 0.81; pCov = 0.68) and weak factorial invariance between users and nonusers of dental prosthetics (threefactor: ρλ = 0.55; pCov = 0.01, one-factor: ρλ = 0.51; pCov = 0.02). The convergent validity was suboptimal. Internal consistency was adequate. The GOHAI applied to the study sample showed adequate reliability, factorial validity and stability in independent samples and between users and nonusers of dental prosthetics in both the threedimensional and the unifactorial structures.
The severity of TMD among Brazilian women was greater in nonusers of dental prostheses and was also associated with greater mandibular functional limitation and poor perception of oral health.
AbstrActobjective: To study the reliability of the portuguese version of a questionnaire for psychologically and psychosocially diagnosing individuals with temporomandibular disorders (RDC/TMD). Method: Interviews were held with 109 individuals of both sexes who required care at the physical therapy clinic of the Araraquara university Center (uNIARA) from January to July 2006. The questionnaires were applied by a single examiner. Two weeks later, the same questionnaire was reapplied to 36 individuals. To evaluate the internal consistency of the method, Cronbach's alpha coefficient was used. The intra-examiner reproducibility was analyzed using the intraclass correlation coefficient (ρ) for quantitative variables and Kappa (κ) statistics for qualitative variables. Results: The internal consistency for the dimensions of chronic pain intensity, disability, limitations relating to mandibular function, nonspecific physical symptoms with pain items included, and nonspecific physical symptoms with pain items and depression excluded, were 0.8479, 0.8971, 0.8673, 0.8080 and 0.9270 respectively, thus confirming the excellent internal validity of the method. The intra-observer agreement was found to be "excellent" for questions relating to pain duration and intensity and "good" for the question relating to current pain. The lowest κ values were associated with items relating to physical symptoms and depression. The subjects' perception of clicking and creaking also had "satisfactory" agreement, as did the question on seeking professionals for pain treatment. The remaining questions showed "good" and "very good" reproducibility and most of them presented the maximum agreement. Conclusion: The portuguese adaptation of the questionnaire was shown to be reliable for detecting psychological and psychosocial abnormalities relating to temporomandibular disorders. ) e a estatística Kappa (κ), respectivamente às variáveis de natureza quantitativa e qualitativa. Resultados: A consistência interna para as dimensões intensidade da dor crônica e incapacidade; limitação da função mandibular; sintomas físicos não-específicos, incluindo os itens de dor; sintomas físicos não-específicos, excluindo os itens de dor e depressão foi de 0,8479, 0,8971, 0,8673, 0,8080 e 0,9270 respectivamente, atestando ao método excelente validade interna. obteve-se "excelente" concordância intra-examinador para as questões referentes ao tempo de presença da dor e sua gradação, e "boa" para a questão referente à dor presente. Os menores valores de κ relacionaram-se aos itens de sintomas físicos e depressão. A percepção de estalos ou rangidos pelos indivíduos apresentou concordância "regular" bem como a questão referente à procura de profissional para tratamento da dor. As demais questões apresentaram reprodutibilidade "boa" e "ótima", sendo que a maioria dessas apresentou nível máximo de concordância. Conclusão: A versão adaptada para o português mostrou-se confiável para detecção das alterações psicológicas e psicossociais associadas às desordens temporomandib...
Introdução: A percepção dos egressos sobre sua situação e satisfação profissional é fundamental para identificar a relação entre a formação profissional e as exi - gências do mercado de trabalho. Objetivo: Caracterizar o perfil de egressos em fisioterapia e analisar fatores associados com satisfação e formação profissional. Métodos: Foram convidados egressos formados entre 2001 e 2013. Utilizou-se questionário online com questões sobre caracterização do egresso, aprimora - mento profissional, mercado de trabalho e satisfação profissional. Resultados: Participaram 149 egressos, 50,5% solteiros e 75,8% mulheres. A qualificação pro - fissional foi verificada em 82,6%. Ingressaram no mercado de trabalho em menos de 1 ano 69,8%. Atuavam com fisioterapia 85,9%. A principal área de atuação foi traumatologia e ortopedia (58,4%). Satisfação profissional foi relatada por 71,8% e satisfação econômica por 17,4%. Conclusão: A maioria dos egressos atuava em fisioterapia e buscou qualificação profissional. Grande parte dos participantes encontrava-se satisfeita profissionalmente, mas insatisfeita economicamente.
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Introdução: A Síndrome Otodental (SO) é caracterizada por anomalias dentais, perdas auditivas e coloboma ocular. Alterações oclusais são frequentes e estão associadas com desenvolvimento alterado da face. Objetivo: Avaliar o efeito da Facilitação Neuromuscular Proprioceptiva (FNP) para os músculos da mímica facial e Reeducação Postural Global (RPG) na postura da cabeça e cervical em portadora de SO. Métodos: Participou uma voluntária, 10 anos, com SO, apresentando perda auditiva e rinite alérgica, atraso na erupção dentária, dificuldade de respiração e hábitos parafuncionais. Foi aplicado um programa de exercícios de FNP para a face, seguido de RPG por sete semanas. Resultados: Observou-se melhora da expressão e tônus facial após o tratamento. Conclusão: A RPG associada à FNP na face promoveu melhora da força dos músculos de mímica e de expressão facial e melhora da postura da cabeça e cervical em portadora de SO, sugerindo sua utilização como conduta fisioterapêutica nestes casos.
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