Focus Groups to Inform the Development of a Patient-Reported Outcome Measure (PROM) for Temporomandibular Joint Disorders (TMDs).
Journal
The patient
ISSN: 1178-1661
Titre abrégé: Patient
Pays: New Zealand
ID NLM: 101309314
Informations de publication
Date de publication:
05 2023
05 2023
Historique:
accepted:
30
01
2023
medline:
25
4
2023
pubmed:
26
2
2023
entrez:
25
2
2023
Statut:
ppublish
Résumé
Understanding symptoms of temporomandibular joint disorders (TMDs) can help doctors and patients document, monitor, and manage the disease and help researchers evaluate interventions. Patients with TMDs experience symptoms ranging from mild to severe, primarily in the head and neck region. This study describes findings from formative patient focus groups to capture, categorize, and prioritize symptoms of TMDs towards the development of a patient-reported outcome measure (PROM). We conducted ten focus groups with 40 men and women with mild, moderate, and severe TMD. Focus groups elicited descriptions of symptoms and asked participants to review a list of existing patient-reported outcomes (PROs) from the literature and patient advisor input and speak to how those PROs reflect their own experience, including rating their importance. We identified 52 distinct concepts across six domains: somatic, physical, social, sexual, affective, and sleep. Focus groups identified the ability to chew and eat; clicking, popping, and other jaw noises; jaw pain and headaches; jaw misalignment or dislocation; grinding, clenching, or chewing, including at night; and ear sensations as most important. Participants with severe TMDs more often reported affective concepts like depression and shame than did participants with mild or moderate TMDs. Findings support PROM item development for TMDs, including selecting existing PROMs or developing new ones that reflect patients' lived experiences, priorities, and preferred terminology. Such measures are needed to increase understanding of TMDs, promote accurate diagnosis and effective treatment, and help advance research on TMDs. Patients with temporomandibular joint disorders, or TMDs, have pain and other problems in their jaw, and face and neck areas. We talked to 40 patients with mild, moderate, and severe TMDs to learn about their symptoms. We also asked patients to review a list of TMD symptoms. They then chose the most important ones based on their experience. The data showed 52 TMD symptoms and functions across six domains. The patients chose the ability to chew and eat; clicking, popping, and other jaw noises; and jaw pain and headaches as most important. They also chose jaw misalignment or dislocation; grinding, clenching, or chewing, including at night; and ear feelings as important. Findings support creating patient-reported outcome measures, or PROMs, for TMDs. These PROMs should reflect patients’ experiences and what is most important to them. Such measures can help doctors treat TMDs and help advance research on TMDs.
Sections du résumé
BACKGROUND
Understanding symptoms of temporomandibular joint disorders (TMDs) can help doctors and patients document, monitor, and manage the disease and help researchers evaluate interventions. Patients with TMDs experience symptoms ranging from mild to severe, primarily in the head and neck region. This study describes findings from formative patient focus groups to capture, categorize, and prioritize symptoms of TMDs towards the development of a patient-reported outcome measure (PROM).
METHODS
We conducted ten focus groups with 40 men and women with mild, moderate, and severe TMD. Focus groups elicited descriptions of symptoms and asked participants to review a list of existing patient-reported outcomes (PROs) from the literature and patient advisor input and speak to how those PROs reflect their own experience, including rating their importance.
RESULTS
We identified 52 distinct concepts across six domains: somatic, physical, social, sexual, affective, and sleep. Focus groups identified the ability to chew and eat; clicking, popping, and other jaw noises; jaw pain and headaches; jaw misalignment or dislocation; grinding, clenching, or chewing, including at night; and ear sensations as most important. Participants with severe TMDs more often reported affective concepts like depression and shame than did participants with mild or moderate TMDs.
CONCLUSION
Findings support PROM item development for TMDs, including selecting existing PROMs or developing new ones that reflect patients' lived experiences, priorities, and preferred terminology. Such measures are needed to increase understanding of TMDs, promote accurate diagnosis and effective treatment, and help advance research on TMDs.
Patients with temporomandibular joint disorders, or TMDs, have pain and other problems in their jaw, and face and neck areas. We talked to 40 patients with mild, moderate, and severe TMDs to learn about their symptoms. We also asked patients to review a list of TMD symptoms. They then chose the most important ones based on their experience. The data showed 52 TMD symptoms and functions across six domains. The patients chose the ability to chew and eat; clicking, popping, and other jaw noises; and jaw pain and headaches as most important. They also chose jaw misalignment or dislocation; grinding, clenching, or chewing, including at night; and ear feelings as important. Findings support creating patient-reported outcome measures, or PROMs, for TMDs. These PROMs should reflect patients’ experiences and what is most important to them. Such measures can help doctors treat TMDs and help advance research on TMDs.
Autres résumés
Type: plain-language-summary
(eng)
Patients with temporomandibular joint disorders, or TMDs, have pain and other problems in their jaw, and face and neck areas. We talked to 40 patients with mild, moderate, and severe TMDs to learn about their symptoms. We also asked patients to review a list of TMD symptoms. They then chose the most important ones based on their experience. The data showed 52 TMD symptoms and functions across six domains. The patients chose the ability to chew and eat; clicking, popping, and other jaw noises; and jaw pain and headaches as most important. They also chose jaw misalignment or dislocation; grinding, clenching, or chewing, including at night; and ear feelings as important. Findings support creating patient-reported outcome measures, or PROMs, for TMDs. These PROMs should reflect patients’ experiences and what is most important to them. Such measures can help doctors treat TMDs and help advance research on TMDs.
Identifiants
pubmed: 36840915
doi: 10.1007/s40271-023-00618-x
pii: 10.1007/s40271-023-00618-x
pmc: PMC9961303
doi:
Types de publication
Journal Article
Research Support, U.S. Gov't, P.H.S.
Langues
eng
Sous-ensembles de citation
IM
Pagination
265-276Informations de copyright
© 2023. This is a U.S. Government work and not under copyright protection in the US; foreign copyright protection may apply.
Références
J Oral Facial Pain Headache. 2016 Fall;30(4):296-301
pubmed: 27792796
J Headache Pain. 2015;16:528
pubmed: 26002637
J Oral Rehabil. 2019 Apr;46(4):330-339
pubmed: 30478918
Qual Life Res. 2010 Oct;19(8):1087-96
pubmed: 20512662
Int J Paediatr Dent. 2010 Nov;20(6):458-65
pubmed: 20642463
Swed Dent J. 2016;40(1):13-20
pubmed: 27464378
Acta Odontol Scand. 2016 Aug;74(6):466-70
pubmed: 27339119
Int Tinnitus J. 2016 Jul 22;20(1):24-30
pubmed: 27488990
J Craniofac Surg. 2018 Jul;29(5):e461-e465
pubmed: 29533255
J Clin Pediatr Dent. 2017;41(2):161-165
pubmed: 28288293
J Oral Rehabil. 2013 Oct;40(10):723-30
pubmed: 23869944
J Oral Rehabil. 2014 Aug;41(8):564-72
pubmed: 24750430
Value Health. 2009 Nov-Dec;12(8):1075-83
pubmed: 19804437
Int J Prosthodont. 2010 May-Jun;23(3):204-13
pubmed: 20552084
J Oral Facial Pain Headache. 2017 Oct 3;31(4):313–322
pubmed: 28973048
Biomed Res Int. 2015;2015:512792
pubmed: 25883963
Qual Life Res. 2020 Dec;29(12):3315-3323
pubmed: 32666334
J Orofac Pain. 2011 Winter;25(1):56-67
pubmed: 21359238
J Am Dent Assoc. 2022 Apr;153(4):295-297.e3
pubmed: 35346418
Physiol Behav. 2019 Oct 15;210:112616
pubmed: 31302110
Br J Oral Maxillofac Surg. 2017 Jul;55(6):594-599
pubmed: 28457587
J Oral Rehabil. 2011 Dec;38(12):884-90
pubmed: 21595739
J Dent. 2010 Oct;38(10):765-72
pubmed: 20600559
Braz J Phys Ther. 2017 Mar - Apr;21(2):120-126
pubmed: 28460710
Pain. 2013 May;154(5):750-760
pubmed: 23531476
Quintessence Int. 2014 Jul-Aug;45(7):605-12
pubmed: 24847500
Int J Qual Health Care. 2007 Dec;19(6):349-57
pubmed: 17872937
J Oral Facial Pain Headache. 2015 Spring;29(2):126-34
pubmed: 25905530
J Oral Rehabil. 2020 Nov;47(11):1346-1357
pubmed: 32813889
Folia Med Cracov. 2021;61(1):57-65
pubmed: 34185768
J Oral Rehabil. 2019 Aug;46(8):691-698
pubmed: 30993737
J Oral Facial Pain Headache. 2020 Suppl;34(Suppl):s15-s28
pubmed: 32975538
Value Health. 2011 Dec;14(8):978-88
pubmed: 22152166
J Psychosom Res. 2012 Oct;73(4):307-12
pubmed: 22980538
Pain. 2010 May;149(2):325-331
pubmed: 20359824
Int Dent J. 2018 Apr;68(2):97-104
pubmed: 29094335
Sleep Med. 2016 Sep;25:105-112
pubmed: 27823702
J Orofac Pain. 2012 Spring;26(2):83-90
pubmed: 22558607
Qual Quant. 2018;52(4):1893-1907
pubmed: 29937585
J Oral Rehabil. 2010 May;37(6):430-51
pubmed: 20438615
J Oral Facial Pain Headache. 2017 Oct 3;31(4):339–345
pubmed: 28973049
Clin Oral Investig. 2010 Apr;14(2):145-51
pubmed: 19337762
J Oral Rehabil. 2019 Jan;46(1):87-99
pubmed: 30126027
Cranio. 2016 May;34(3):182-7
pubmed: 25832172
Oral Surg Oral Med Oral Pathol Oral Radiol. 2023 Jan;135(1):65-78
pubmed: 36241593
Br J Oral Maxillofac Surg. 2018 Oct;56(8):739-743
pubmed: 30126750