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Table 1 Questionnaires and interviews administered by age group

From: Study protocol of the Center for Oral Health Research in Appalachia (COHRA) etiology study

 

Age Group

Instrument

18+

14 – 17

11 – 13

1 – 10

Questionnaires

SF-36 Health Survey [11]

X

X

X

 

DUSI-R [12]

X

Xa

  

DUSI-R (Screening Form Only) [12]

X

X

Xa

 

Fagerstrom Test for Nicotine Dependence [13]

X

X

X

 

Fagerstrom Test for Smokeless Tobacco Use

X

X

X

 

Dental Fear Survey [14]

X

X

X

 

Dental Subscale of the Children's Fear Survey Schedule [15]

   

Xb

Fear of Pain Questionnaire – Short Form [16]

X

X

X

 

Oral Health Impact Profile [17]

X

X

X

 

Perceived Stress Scale [18]

X

X

X

 

Fatalism Scale [19]

X

X

X

 

Health Locus of Control [20]

X

X

X

 

Parental Supervision and Involvement [21]

X

Xa

Xa

 

Family Assessment Measure [22]

X

X

X

 

ISEL [23]

X

Xa

  

West Virginia Identity Scalec

X

X

  

Parental Report Questionnaire [24]

 

Xb

Xb

Xb

Interviews

Demographic Interview

X

Xd

Xa,d

Xa,b

Oral Health Interview

   

Xa,b

   Knowledge and Beliefs about Oral Health

X

Xd

Xa,d

 

   Oral Health Care Utilization

X

Xd

Xa,d

 

   Oral Health History

X

Xd

Xa,d

 

   Oral Health Behaviors

X

Xd

Xa,d

 

Medical and Family History

X

Xd

Xa,d

Xb

   Physical Evaluation

X

Xd

Xd

Xd

   Pregnancy History

X

Xd

Xd

 
  1. Note. ayouth version; bparental report on children; cused in West Virginia only; dparent and/or researcher assisted.