Diagnostic criteria for temporomandibular disorders: self-instruction or formal training and calibration?

被引:37
|
作者
Reis Vilanova, Larissa Soares [1 ,2 ,3 ]
Matheus Rodrigues Garcia, Renata Cunha [1 ]
List, Thomas [2 ,3 ,4 ]
Alstergren, Per [2 ,3 ,4 ]
机构
[1] Univ Estadual Campinas, Piracicaba Dent Sch, Dept Prosthodont & Periodontol, Piracicaba, Brazil
[2] Malmo Univ, Fac Odontol, Dept Orofacial Pain & Jaw Funct, Malmo, Sweden
[3] SCON, Malmo, Sweden
[4] Skane Univ Hosp, Specialized Pain Rehabil, Lund, Sweden
来源
关键词
Diagnosis; Orofacial pain; Pain; Reliability; Temporomandibular disorders; AXIS I DIAGNOSES; MUSCLE DISORDERS; OROFACIAL PAIN; RELIABILITY; SIGNS; EXAMINERS; AGREEMENT; RDC/TMD; KAPPA; TMD;
D O I
10.1186/s10194-015-0505-9
中图分类号
R74 [神经病学与精神病学];
学科分类号
摘要
Background: To investigate the difference in diagnostic reliability between self-instructed examiners and examiners taught in a Diagnostic Criteria for Temporomandibular Disorders (DC/TMD) course and if the reliability of self-instructed examiners improves after the course. Methods: Six examiners were divided into three groups: (1) formal two-day training and calibration course at a DC/TMD training center (Course group), (2) self-teaching through documents and movie (Self group) with three examiners on each and the Self group later participated in the course (Self + course group). Each group examined sixteen subjects, total of 48 volunteers (36 patients with TMD and 12 asymptomatic) and the reliabilities in relation to the diagnoses derived by a Reference Standard Examiner were compared by Cohen's Kappa coefficient. Results: The reliability was good to excellent in all three groups of examiners for all DC/TMD diagnoses, except for Myofascial pain with referral in the Self + course group. The course seemed to improve the reliability regarding Myalgia and Arthralgia at the same time as the examiners experienced the course to be valuable for self-perceived ability and confidence. Conclusions: This study shows that the diagnostic reliability of formal DC/TMD training and calibration and DC/TMD self-instruction are similar, except for subgroups of Myalgia. Thus, self-instruction seems to be possible to use to diagnose the most common TMDs in general dental practice. The course further improves the reliability regarding Myalgia and Arthralgia at the same time as the examiners experienced the course to be valuable for self-perceived ability and confidence.
引用
收藏
页数:9
相关论文
共 50 条
  • [1] Diagnostic criteria for temporomandibular disorders: self-instruction or formal training and calibration?
    Larissa Soares Reis Vilanova
    Renata Cunha Matheus Rodrigues Garcia
    Thomas List
    Per Alstergren
    [J]. The Journal of Headache and Pain, 2015, 16
  • [2] Research diagnostic criteria for temporomandibular disorders: A calibration and reliability study
    Schmitter, M
    Ohlmann, B
    John, MT
    Hirsch, C
    Rammelsberg, P
    [J]. CRANIO-THE JOURNAL OF CRANIOMANDIBULAR & SLEEP PRACTICE, 2005, 23 (03): : 212 - 218
  • [3] TRAINING FOR SELF-INSTRUCTION - AN ONGOING EXPERIMENT
    VUKADINOVIC, GZ
    [J]. PROSPECTS, 1988, 18 (01) : 27 - 39
  • [4] SELF-INSTRUCTION IN TECHNICAL AND SKILLS TRAINING
    BERG, E
    [J]. TRAINING AND DEVELOPMENT JOURNAL, 1979, 33 (08): : 3 - 6
  • [5] SELF-INSTRUCTION TRAINING FOLLOWING NEUROLOGICAL INJURY
    HUX, K
    REID, R
    LUGERT, M
    [J]. APPLIED COGNITIVE PSYCHOLOGY, 1994, 8 (03) : 259 - 271
  • [6] An iPad application to support training by self-instruction for PD
    Schleich, Andi
    Abegg, Markus
    Soell, Anja
    Ambuehl, Patrice
    [J]. SWISS MEDICAL WEEKLY, 2016, 146 : 25S - 26S
  • [7] Effectiveness of a Self-Instruction Program for Microcounseling Skills Training
    Schoenrock-Adema, Johanna
    Van der Molen, Henk T.
    van der Zee, Karen I.
    [J]. TEACHING OF PSYCHOLOGY, 2009, 36 (04) : 246 - 252
  • [8] AN EVALUATION OF CONTRIBUTION OF A PROGRAMME OF SELF-INSTRUCTION TO MANAGEMENT TRAINING
    CAVANAGH, P
    JONES, C
    [J]. PROGRAMMED LEARNING & EDUCATIONAL TECHNOLOGY, 1967, 4 (03): : 225 - 225
  • [9] SELF-INSTRUCTION VERSUS EXTERNAL INSTRUCTION - INDIVIDUAL-DIFFERENCES AND TRAINING EFFECTIVENESS
    KEOGH, DA
    WHITMAN, TL
    MAXWELL, SE
    [J]. COGNITIVE THERAPY AND RESEARCH, 1988, 12 (06) : 591 - 610
  • [10] Expanding the taxonomy of the diagnostic criteria for temporomandibular disorders
    Peck, C. C.
    Goulet, J-P
    Lobbezoo, F.
    Schiffman, E. L.
    Alster-Gren, P.
    Anderson, G. C.
    De Leeuw, R.
    Jensen, R.
    Michelotti, A.
    Ohrbach, R.
    Petersson, A.
    List, T.
    [J]. JOURNAL OF ORAL REHABILITATION, 2014, 41 (01) : 2 - 23