Calibration of SB Brasil 2023 examiners: use of technologies associated with the In-Lux method

Abstract This methodological study presents the development and implementation of technological tools for the online training and calibration of dentists participating in the SB Brasil 2023 survey, using the Moodle® platform. The training and in-lux calibration process employed 10 and 25 sets of pho...

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Main Authors: Raquel Conceição FERREIRA, Rafaela da Silveira PINTO, Claudiojanes dos REIS, Rosa Núbia Vieira de MOURA, Sara Oliveira AGUIAR, Andreia Maria Araújo DRUMMOND, Viviane Elisângela GOMES, Andrea Maria Eleutério de Barros Lima MARTINS
Format: Article
Language:English
Published: Sociedade Brasileira de Pesquisa Odontológica 2025-05-01
Series:Brazilian Oral Research
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Online Access:http://www.scielo.br/scielo.php?script=sci_arttext&pid=S1806-83242025001000351&lng=en&tlng=en
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author Raquel Conceição FERREIRA
Rafaela da Silveira PINTO
Claudiojanes dos REIS
Rosa Núbia Vieira de MOURA
Sara Oliveira AGUIAR
Andreia Maria Araújo DRUMMOND
Viviane Elisângela GOMES
Andrea Maria Eleutério de Barros Lima MARTINS
author_facet Raquel Conceição FERREIRA
Rafaela da Silveira PINTO
Claudiojanes dos REIS
Rosa Núbia Vieira de MOURA
Sara Oliveira AGUIAR
Andreia Maria Araújo DRUMMOND
Viviane Elisângela GOMES
Andrea Maria Eleutério de Barros Lima MARTINS
author_sort Raquel Conceição FERREIRA
collection DOAJ
description Abstract This methodological study presents the development and implementation of technological tools for the online training and calibration of dentists participating in the SB Brasil 2023 survey, using the Moodle® platform. The training and in-lux calibration process employed 10 and 25 sets of photographs, respectively. Conditions including dental crown status (dmft and DMFT indexes), caries consequences (pufa/PUFA index), malocclusion (canine relation, overjet, overbite, posterior crossbite, and Dental Aesthetic Index), and dental trauma were evaluated, based on WHO or SB Brasil 2010 criteria. Software was developed to record codes, automated calculations of agreement coefficients (overall percentage, score-specific, and simple and weighted kappa), and generate reports. Examiners were allowed to repeat calibration attempts until they achieved a minimum agreement (Kappa ≥ 0.61). In total, 1,513 examiners used the software, and 728 successfully completed the calibration with substantial or higher agreement across all conditions/indexes. Individual reports described discrepancies and monitored attempts. Occlusal conditions had the lowest percentages of almost perfect agreement and required more attempts to achieve calibration. The technological tools implemented in SB Brasil 2023 enabled online training and calibration, promoting consistency among examiners for fieldwork. These findings demonstrate the feasibility of remote strategies for calibration in epidemiological surveys, particularly in scenarios involving multiple geographically distributed examiners, with potential applications in other contexts and health areas.
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publishDate 2025-05-01
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spelling doaj-art-8b5013b222e04ebaa1db83b8ee56d2d92025-08-20T03:48:02ZengSociedade Brasileira de Pesquisa OdontológicaBrazilian Oral Research1807-31072025-05-0139suppl 110.1590/1807-3107bor-2025.vol39.045Calibration of SB Brasil 2023 examiners: use of technologies associated with the In-Lux methodRaquel Conceição FERREIRAhttps://orcid.org/0000-0001-8897-9345Rafaela da Silveira PINTOhttps://orcid.org/0000-0002-6169-7708Claudiojanes dos REIShttps://orcid.org/0000-0001-6337-637XRosa Núbia Vieira de MOURAhttps://orcid.org/0000-0002-8947-2797Sara Oliveira AGUIARhttps://orcid.org/0000-0001-5501-9890Andreia Maria Araújo DRUMMONDhttps://orcid.org/0000-0003-4161-5602Viviane Elisângela GOMEShttps://orcid.org/0000-0001-5160-5673Andrea Maria Eleutério de Barros Lima MARTINShttps://orcid.org/0000-0001-7865-1733Abstract This methodological study presents the development and implementation of technological tools for the online training and calibration of dentists participating in the SB Brasil 2023 survey, using the Moodle® platform. The training and in-lux calibration process employed 10 and 25 sets of photographs, respectively. Conditions including dental crown status (dmft and DMFT indexes), caries consequences (pufa/PUFA index), malocclusion (canine relation, overjet, overbite, posterior crossbite, and Dental Aesthetic Index), and dental trauma were evaluated, based on WHO or SB Brasil 2010 criteria. Software was developed to record codes, automated calculations of agreement coefficients (overall percentage, score-specific, and simple and weighted kappa), and generate reports. Examiners were allowed to repeat calibration attempts until they achieved a minimum agreement (Kappa ≥ 0.61). In total, 1,513 examiners used the software, and 728 successfully completed the calibration with substantial or higher agreement across all conditions/indexes. Individual reports described discrepancies and monitored attempts. Occlusal conditions had the lowest percentages of almost perfect agreement and required more attempts to achieve calibration. The technological tools implemented in SB Brasil 2023 enabled online training and calibration, promoting consistency among examiners for fieldwork. These findings demonstrate the feasibility of remote strategies for calibration in epidemiological surveys, particularly in scenarios involving multiple geographically distributed examiners, with potential applications in other contexts and health areas.http://www.scielo.br/scielo.php?script=sci_arttext&pid=S1806-83242025001000351&lng=en&tlng=enHealth SurveysObserver VariationEducation, DistanceCalibrationEpidemiology
spellingShingle Raquel Conceição FERREIRA
Rafaela da Silveira PINTO
Claudiojanes dos REIS
Rosa Núbia Vieira de MOURA
Sara Oliveira AGUIAR
Andreia Maria Araújo DRUMMOND
Viviane Elisângela GOMES
Andrea Maria Eleutério de Barros Lima MARTINS
Calibration of SB Brasil 2023 examiners: use of technologies associated with the In-Lux method
Brazilian Oral Research
Health Surveys
Observer Variation
Education, Distance
Calibration
Epidemiology
title Calibration of SB Brasil 2023 examiners: use of technologies associated with the In-Lux method
title_full Calibration of SB Brasil 2023 examiners: use of technologies associated with the In-Lux method
title_fullStr Calibration of SB Brasil 2023 examiners: use of technologies associated with the In-Lux method
title_full_unstemmed Calibration of SB Brasil 2023 examiners: use of technologies associated with the In-Lux method
title_short Calibration of SB Brasil 2023 examiners: use of technologies associated with the In-Lux method
title_sort calibration of sb brasil 2023 examiners use of technologies associated with the in lux method
topic Health Surveys
Observer Variation
Education, Distance
Calibration
Epidemiology
url http://www.scielo.br/scielo.php?script=sci_arttext&pid=S1806-83242025001000351&lng=en&tlng=en
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