Banca de DEFESA: PATRÍCIA DIÓGENES DE MORAIS

Uma banca de DEFESA de MESTRADO foi cadastrada pelo programa.
DISCENTE : PATRÍCIA DIÓGENES DE MORAIS
DATA : 28/06/2019
HORA: 09:00
LOCAL: Escola de saúde - UFRN
TÍTULO:

VALIDATION OF AN INSTRUMENT FOR DIAGNOSIS OF MISCELLANEOUS DENTAL DISSEMINATION BY DENTIST SURGERY

PALAVRAS-CHAVES:

Public Health, Orthodontics, Malocclusion

PÁGINAS: 53
GRANDE ÁREA: Ciências da Saúde
ÁREA: Enfermagem
SUBÁREA: Enfermagem Médico-Cirúrgica
RESUMO:

Malocclusion results from changes in the dental position and poor relationship of the maxillary bones, being considered a phenomenon of modern civilizations that can be classified as a Public Health problem. The aim of this study was to validate an instrument for the diagnosis of malocclusion in the deciduous dentition by dental surgeons. It is a methodological study developed in two stages. The first consisted of content and appearance validation by a panel of judges composed of five orthodontic dentists; and the semantic analysis of the items, using the brainstorming technique, which consisted in checking the comprehension of the items by two groups of three non-orthodontic dentists. In the second stage, the psychometric properties were evaluated, which evaluated the instrument by three dental surgeons, on two different occasions, the same group of 114 children, aged three to five years, verifying the reliability of the instrument. Data analysis was performed using the Content Validity Index (IVC), Kappa coefficient of agreement (K) and Spearman's correlation coefficient. The research followed all ethical and legal aspects of research in humans, obtaining the opinion of the Commission of Ethics in Research under No. 2.803.127. In relation to clarity, Domain I, referring to the identification of the child, obtained IVC = 1. Domain II, related to the evaluation criteria, was initially composed of 11 items, four were evaluated with IVC = 1, four with IVC = 0.8, however, items VII and VIII were considered unclear or unclear, with IVC 0.6 and 0.2. Domain III, referring to the general result, the two items that compose it received IVC = 1; the instrument as a whole, two items received IVC = 1 and an IVC = 0.8. Regarding the relevance of the items in Domain II, seven obtained IVC = 1 and two IVC = 0.8, however, items VII and VIII were considered as irrelevant or irrelevant, with IVC 0.66 and 0.50. The representativity of Domain III presented IVC = 0.8. In the evaluation of the three domains of coverage, it was verified that two obtained IVC = 1.00 and one obtained IVC = 0.8; and the instrument as a whole had IVC = 0.8. According to the judges' suggestions, the instrument was modified, obtaining the primary version. As for the semantic analysis, it was observed that of the ten items that make up the primary version of Domain II, eight were considered completely comprehensible, however, items VIII and X were considered non-understandable, with IVC 0.66 and 0, 50. The three domains of the instrument obtained IVC = 1.00 in relation to the understanding of the items and words; and filling in the answers. According to the suggestions, the secondary version of the instrument was obtained. The items and domains of the secondary version, obtained IVC = 1.00 in all aspects analyzed. When evaluating the psychometric properties, it was observed that there was a good inter-rater agreement (K≥0.6), and that the instrument was consistent in time and space by the three observers, obtaining the strong Spearman coefficient (r> 0, 6). In the application of the instrument, it was verified that the majority of children (97.3%) were diagnosed with orthodontist evaluation (score ≥15). Thus, the alternative hypothesis of the study is accepted, in which it is evident that the instrument for the diagnosis of malocclusion in the deciduous dentition by dental surgeons has strong evidence of validity. Thus, it is expected that the product constructed in this study will allow the dental surgeon to guide and refer children to specialized services still in the deciduous teething phase, ensuring a comprehensive care for this population.

MEMBROS DA BANCA:
Presidente - 2474945 - IZAURA LUZIA SILVERIO FREIRE
Interna - 2307755 - MARIA JALILA VIEIRA DE FIGUEIREDO LEITE
Externa ao Programa - 4177365 - JULIANA TEIXEIRA JALES MENESCAL PINTO
Externa à Instituição - GEORGIA COSTA DE ARAUJO SOUZA - UERJ