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Temporomandibular Disorders
Author Bios
Introduction
Epidemiology
Currently selected section: Population Perspective
Developmental Perspective
Ecological Perspective
Epidemiologic Measures
Defining a Case
Pain Location
Pain Frequency, Duration and Severity
Recency of Pain
Ambient Pain or Pain on Function?
Clinical Signs and Symptoms
Pain Impact/Disability
Co-morbidity
Choosing an Appropriate Design
Cross-sectional Surveys
Longitudinal Studies
Case-control Studies
Prospective Designs
Preventive and Clinical Trials
Clinical Epidemiology
Practical Considerations
Sample Size
Standardizing Data Collection
Currently selected section: Response Burden
Summary

 

Chapter 26: Studying the Epidemiology of Temporomanibular Disorders: Response Burden
        

Because of the need to obtain an adequate and representative sample of subjects, it is important that the "burden" of study participation be acceptable to the vast majority of qualified subjects. That is, subjects must be willing and able to take the time and make the effort to complete the necessary data collection procedures.

To a certain extent, the amount of burden that subjects will accept can be increased if data collection procedures are made more convenient (e.g. if exams take place in the subject's home or some other agreeable location) or if subjects are compensated for their time and effort. However, ultimately, the time available for data collection, and thus the amount of data that can be collected, is limited.

On the other hand, failure to collect important data on the characteristics of the TMD pain problem, potential risk factors, and demographic information can result in an inability to thoroughly describe the study population, or inability to control for important factors in the data analysis.

The key to balancing the need for data against a response burden that results in a high refusal rate is to consider at the outset what the most important analyses will be. A prioritized set of research questions will lead to prioritizing the questionnaire and examination items to be collected. Two- stage designs (e.g. a telephone survey followed by an examination of a subset of subjects) allow for additional data collection from those subjects involved in the second stage.

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