Using Item Response Theory to evaluate the psychometric characteristics of questions in a Brazilian programme and the performance of dental teams in primary care
| Autor(a) principal: | |
|---|---|
| Data de Publicação: | 2019 |
| Outros Autores: | , , , , , |
| Tipo de documento: | Artigo |
| Idioma: | eng |
| Título da fonte: | Repositório Institucional da FIOCRUZ (ARCA) |
| Texto Completo: | https://www.arca.fiocruz.br/handle/icict/39790 |
Resumo: | Funding: The authors would like to thank the financial support of the Brazilian research agencies: Coordination of Superior Level Staff Improvement (CAPES, in Portuguese: Coordenação de Aperfeiçoamento de Pessoal de Nível Superior), The Brazilian National Council for Scientific and Technological Development (CNPq, in Portuguese: Conselho Nacional de Desenvolvimento Científico e Tecnológico), and Research Support Foundation of the State of Minas Gerais (FAPEMIG, in Portuguese: Fundação de Amparo e Pesquisa do Estado de Minas Gerais) and also Pro-Reitoria de Pesquisa da Universidade Federal de Minas Gerais. All the funders had no role in study design, data collection and analysis, decision to publish, or preparation of the manuscript. |
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Mendes, Suellen da RochaMartins, Renata CastroMambrini, Juliana Vaz de MeloMachado, Antônio Thomaz Gonzaga MattaMattos, Grazielle Cristine MacielGallagher, Jennifer E.Abreu, Mauro Henrique Nogueira Guimarães de2020-02-06T17:27:59Z2020-02-06T17:27:59Z2019MENDES, Suellen da Rocha et al. Using Item Response Theory to evaluate the psychometric characteristics of questions in a Brazilian programme and the performance of dental teams in primary care. PLoS One, v. 14, n. 5, p. 1-13, 2019.1932-6203https://www.arca.fiocruz.br/handle/icict/3979010.1371/journal.pone.0217249Funding: The authors would like to thank the financial support of the Brazilian research agencies: Coordination of Superior Level Staff Improvement (CAPES, in Portuguese: Coordenação de Aperfeiçoamento de Pessoal de Nível Superior), The Brazilian National Council for Scientific and Technological Development (CNPq, in Portuguese: Conselho Nacional de Desenvolvimento Científico e Tecnológico), and Research Support Foundation of the State of Minas Gerais (FAPEMIG, in Portuguese: Fundação de Amparo e Pesquisa do Estado de Minas Gerais) and also Pro-Reitoria de Pesquisa da Universidade Federal de Minas Gerais. All the funders had no role in study design, data collection and analysis, decision to publish, or preparation of the manuscript.Universidade Federal de Minas Gerais. Faculdade de Odontologia. Programa de Pós-Graduação em Odontologia. Belo Horizonte, MG, Brasil.Universidade Federal de Minas Gerais. Faculdade de Odontologia. Departamento de Odontologia Comunitária e Preventiva. Belo Horizonte, MG, Brasil.Fundação Oswaldo Cruz. Instituto René Rachou. Belo Horizonte, MG, Brasil.Universidade Federal de Minas Gerais. Faculdade de Medicina. Departamento de Medicina Preventiva e Social. Belo Horizonte, MG, Brasil.Kings College London, Faculty of Dentistry, Oral & Craniofacial Sciences, Centre for Host Microbiome Interactions, London, United Kingdom.Kings College London, Faculty of Dentistry, Oral & Craniofacial Sciences, Centre for Host Microbiome Interactions, London, United Kingdom.Universidade Federal de Minas Gerais. Faculdade de Odontologia. Departamento de Odontologia Comunitária e Preventiva. Belo Horizonte, MG, Brasil.OBJECTIVES: First, to assess the psychometric properties of key questions included in a public sector evaluation of primary dental care in Brazil; and second, to evaluate the performance of dental teams in relation to these items. METHODS: Secondary analysis of a national primary care dataset monitoring quality and access to dental care. Data were collected through face-to-face interviews with representatives of dental teams participating in the 'National Programme for Improving Access and Quality of Primary Care'. Twenty-three mandatory questions about the dentists' reported delivery of dental procedures were included in the analysis. Item Response Theory (IRT) modelling was applied to measure the psychometric properties of the instrument-level of difficulty and discrimination parameter of each item-and then to estimate dental team performance scores based on these parameters. Based on IRT, possible scores ranged from -4 to +4. RESULTS: Three of the 23 mandatory items were removed due to poor internal consistency, resulting in a scale of 20 items for assessing dental team performance. The results showed variation in procedures delivered by the dental teams; whilst more than a half of the procedures were executed by at least 80% of the dental teams, those relating to dentures (partial/total) and frenectomy (lingual/labial) were performed by less than 30%. Amongst the 20 items included in the model, those related to partial/total dentures and oral cancer follow-up presented higher levels of difficulty and were less frequently provided. The items relating to the treatment of deciduous teeth and access to the dental pulp of permanent teeth had the highest discrimination parameters and, consequently, greater weight in the performance's score estimation; therefore, dental teams that did not perform these items had the lowest performance scores. In the present study, dental team performance scores ranged from -3.66 to +1.87 with a mean/median of -0.06/+0.01. CONCLUSION: The findings suggest that whilst the items within the instrument demonstrated some potential to discriminate between poor and very poor teams, they were ineffective in discriminating between poor and good teams. Whilst Brazilian dental teams perform many mandatory procedures, variation in the nature of their delivery of care requires further investigation to enhance service provision to the population.engPublic Library of ScienceUsing Item Response Theory to evaluate the psychometric characteristics of questions in a Brazilian programme and the performance of dental teams in primary careinfo:eu-repo/semantics/publishedVersioninfo:eu-repo/semantics/articleDental careinfo:eu-repo/semantics/openAccessreponame:Repositório Institucional da FIOCRUZ (ARCA)instname:Fundação Oswaldo Cruz (FIOCRUZ)instacron:FIOCRUZLICENSElicense.txtlicense.txttext/plain; charset=utf-83082https://www.arca.fiocruz.br/bitstream/icict/39790/1/license.txt9193a7c197bc67acd023525e72a03240MD51ORIGINALUsing Item Response Theory.pdfUsing Item Response Theory.pdfapplication/pdf600933https://www.arca.fiocruz.br/bitstream/icict/39790/2/Using%20Item%20Response%20Theory.pdfbfa9f1ff17c017a0fd47e5a1927f2941MD52TEXTUsing Item Response 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| dc.title.pt_BR.fl_str_mv |
Using Item Response Theory to evaluate the psychometric characteristics of questions in a Brazilian programme and the performance of dental teams in primary care |
| title |
Using Item Response Theory to evaluate the psychometric characteristics of questions in a Brazilian programme and the performance of dental teams in primary care |
| spellingShingle |
Using Item Response Theory to evaluate the psychometric characteristics of questions in a Brazilian programme and the performance of dental teams in primary care Mendes, Suellen da Rocha Dental care |
| title_short |
Using Item Response Theory to evaluate the psychometric characteristics of questions in a Brazilian programme and the performance of dental teams in primary care |
| title_full |
Using Item Response Theory to evaluate the psychometric characteristics of questions in a Brazilian programme and the performance of dental teams in primary care |
| title_fullStr |
Using Item Response Theory to evaluate the psychometric characteristics of questions in a Brazilian programme and the performance of dental teams in primary care |
| title_full_unstemmed |
Using Item Response Theory to evaluate the psychometric characteristics of questions in a Brazilian programme and the performance of dental teams in primary care |
| title_sort |
Using Item Response Theory to evaluate the psychometric characteristics of questions in a Brazilian programme and the performance of dental teams in primary care |
| author |
Mendes, Suellen da Rocha |
| author_facet |
Mendes, Suellen da Rocha Martins, Renata Castro Mambrini, Juliana Vaz de Melo Machado, Antônio Thomaz Gonzaga Matta Mattos, Grazielle Cristine Maciel Gallagher, Jennifer E. Abreu, Mauro Henrique Nogueira Guimarães de |
| author_role |
author |
| author2 |
Martins, Renata Castro Mambrini, Juliana Vaz de Melo Machado, Antônio Thomaz Gonzaga Matta Mattos, Grazielle Cristine Maciel Gallagher, Jennifer E. Abreu, Mauro Henrique Nogueira Guimarães de |
| author2_role |
author author author author author author |
| dc.contributor.author.fl_str_mv |
Mendes, Suellen da Rocha Martins, Renata Castro Mambrini, Juliana Vaz de Melo Machado, Antônio Thomaz Gonzaga Matta Mattos, Grazielle Cristine Maciel Gallagher, Jennifer E. Abreu, Mauro Henrique Nogueira Guimarães de |
| dc.subject.en.pt_BR.fl_str_mv |
Dental care |
| topic |
Dental care |
| description |
Funding: The authors would like to thank the financial support of the Brazilian research agencies: Coordination of Superior Level Staff Improvement (CAPES, in Portuguese: Coordenação de Aperfeiçoamento de Pessoal de Nível Superior), The Brazilian National Council for Scientific and Technological Development (CNPq, in Portuguese: Conselho Nacional de Desenvolvimento Científico e Tecnológico), and Research Support Foundation of the State of Minas Gerais (FAPEMIG, in Portuguese: Fundação de Amparo e Pesquisa do Estado de Minas Gerais) and also Pro-Reitoria de Pesquisa da Universidade Federal de Minas Gerais. All the funders had no role in study design, data collection and analysis, decision to publish, or preparation of the manuscript. |
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2019 |
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2019 |
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2020-02-06T17:27:59Z |
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2020-02-06T17:27:59Z |
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MENDES, Suellen da Rocha et al. Using Item Response Theory to evaluate the psychometric characteristics of questions in a Brazilian programme and the performance of dental teams in primary care. PLoS One, v. 14, n. 5, p. 1-13, 2019. |
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10.1371/journal.pone.0217249 |
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MENDES, Suellen da Rocha et al. Using Item Response Theory to evaluate the psychometric characteristics of questions in a Brazilian programme and the performance of dental teams in primary care. PLoS One, v. 14, n. 5, p. 1-13, 2019. 1932-6203 10.1371/journal.pone.0217249 |
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