{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,26]],"date-time":"2026-08-26T12:23:47Z","timestamp":1787747027658,"version":"build-2784847793"},"reference-count":15,"publisher":"Ovid Technologies (Wolters Kluwer Health)","issue":"4","license":[{"start":{"date-parts":[[2026,7,1]],"date-time":"2026-07-01T00:00:00Z","timestamp":1782864000000},"content-version":"unspecified","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by-nc-nd\/4.0"}],"content-domain":{"domain":["lww.com","ovid.com"],"crossmark-restriction":true},"short-container-title":[],"published-print":{"date-parts":[[2026,7]]},"abstract":"<jats:title>ABSTRACT<\/jats:title>\n                  <jats:sec>\n                    <jats:title>Context:<\/jats:title>\n                    <jats:p>The FAirEST-15 is a comprehensive 15-item clinical screening tool for pediatric sleep-disordered breathing (SDB). Although its domain structure has been previously established, the existing non-uniform scoring system\u2014comprising both 3-point and 4-point items\u2014limits score comparability and reduces statistical sensitivity<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Aim:<\/jats:title>\n                    <jats:p>To standardize the FAirEST-15 by converting all clinical items into a uniform 4-point Likert scale based on graded severity.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods:<\/jats:title>\n                    <jats:p>A methodological refinement study was conducted using an expert consensus approach. Each of the 15 items was redefined to incorporate a four-level severity gradient: Grade 1 (Normal\/Ideal), Grade 2 (Mild deviation), Grade 3 (Moderate deviation), and Grade 4 (Severe deviation). Content validity was reassessed following scale expansion to ensure clarity and clinical relevance.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results:<\/jats:title>\n                    <jats:p>A standardized scoring framework was developed, yielding a total score range of 15\u201360. The revised structure enables the calculation of domain-specific scores and enhances the tool\u2019s ability to discriminate between varying levels of clinical risk, particularly in borderline cases.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion:<\/jats:title>\n                    <jats:p>Standardization of the FAirEST-15 into a uniform 4-point Likert scale improves its psychometric robustness and clinical applicability. The refined tool facilitates more precise risk stratification for pediatric SDB in both dental and otolaryngological settings.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>KEY MESSAGES:<\/jats:title>\n                    <jats:p>Standardization of the FAirEST-15 into a uniform 4-point Likert scale improves scoring consistency, sensitivity, and clinical applicability in pediatric sleep-disordered breathing screening<\/jats:p>\n                  <\/jats:sec>","DOI":"10.4103\/jisppd.jisppd_210_26","type":"journal-article","created":{"date-parts":[[2026,8,25]],"date-time":"2026-08-25T16:00:28Z","timestamp":1787673628000},"page":"399-404","update-policy":"https:\/\/doi.org\/10.1097\/lww.0000000000001000","source":"Crossref","is-referenced-by-count":0,"title":["A proposed uniform 4-point Likert scoring framework for the Functional Airway Evaluation Screening Tool-15: A scoring standardization study for pediatric sleep-disordered breathing screening"],"prefix":"10.4103","volume":"44","author":[{"given":"Lekshmy S. R.","family":"Nair","sequence":"first","affiliation":[{"name":"Department of Pediatric and Preventive Dentistry, PMS College of Dental Science and Research, Thiruvananthapuram, Kerala, India"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"B.","family":"Jyothilekshmi","sequence":"additional","affiliation":[{"name":"Department of Conservative Dentistry and Endodontics, PMS College of Dental Science and Research, Thiruvananthapuram, Kerala, India"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"S. J.","family":"Rini","sequence":"additional","affiliation":[{"name":"Department of Conservative Dentistry and Endodontics, PMS College of Dental Science and Research, Thiruvananthapuram, Kerala, India"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"S. Shabna","family":"Fathima","sequence":"additional","affiliation":[{"name":"Department of Oral Medicine and Radiology, PMS College of Dental Science and Research, Thiruvananthapuram, Kerala, India"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Syamala Syamkumar","family":"Ananthalekshmi","sequence":"additional","affiliation":[{"name":"Department of Periodontics, PMS College of Dental Science and Research, Thiruvananthapuram, Kerala, India"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Remya","family":"Raj","sequence":"additional","affiliation":[{"name":"Department of Pediatric and Preventive Dentistry, PMS College of Dental Science and Research, Thiruvananthapuram, Kerala, India"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"276","published-online":{"date-parts":[[2026,8,25]]},"reference":[{"key":"R1-20260826","doi-asserted-by":"crossref","first-page":"576","DOI":"10.1542\/peds.2012-1671","article-title":"Diagnosis and management of 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