Psychometric reproducibility properties analysis of the Oral Health Impact Profile (OHIP-49) in patients with periodontal disease
Introduction: the oral health related quality of life measurement is considered a daily life negative effect indicator due to patients’ oral condition. The Oral Health Impact Profile (OHIP-49) is an extended-use instrument, the readers should to expect the researchers to present the psychometric properties analysis, which describe the instrument behavior in the study population. The purpose is to evaluate the OHIP-49 reproducibility properties when is applied in patients with periodontal disease, who attend two dental healthcare institutions.
Methods: we included 207 participants how it is suggested from the International Test Commission for similar purposes. We included 91 men and 116 women for convenience; reproducibility properties were evaluated: reliability, internal consistency, item discriminant validity, and content validity.
Results: Cronbach’s alpha of 0.951 was obtained and high success percentages for internal consistency (87.5%-100%); the item discriminant validity not achieved acceptable success percentages (16,6% -68,5%). We decided to review the instrument content structure, with which a seven-factor model was obtained. According to the clinical situation, when we compared them with the less severe cases, patients with periodontitis stage III and IV presented worst quality of life represented in the dimensions of functional limitation, chewing, swallowing and aesthetics.
Conclusions: a good instrument performance was obtained for this Colombian Caribbean Coast population; but it is valid to consider reducing dimensions to improve reproducibility scores.
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Gift HC, Atchison KA, Dayton CM. Conceptualizing Oral Health and Oral Health-Related Quality of Life. Soc Sci Med. 1997; 44(5): 601-608. https://doi.org/10.1016/S0277-9536(96)00211-0
Araújo AC da S, Gusmão ES, Batista JEM, Cimões R. Impact of Periodontal Disease on Quality of Life. Quintessence Int. 2010; 41(6): e111-118.
Williams RC. GRJ. Enfermedad periodontal y salud general: una guía para el clínico. 1ra edición. Pennsylvania, USA: Professional Audience Communications, Inc; 2011.
Pihlstrom BL, Michalowicz BS, Johnson NW. Periodontal Diseases. Lancet. 2005; 366(9499): 1809-1820. https://doi.org/10.1016/S0140-6736(05)67728-8
Durham J, Fraser HM, McCracken GI, Stone KM, John MT, Preshaw PM. Impact of Periodontitis on Oral Health-Related Quality of Life. J Dent. 2013; 41(4): 370-376. https://doi.org/10.1016/j.jdent.2013.01.008
O’Dowd LK, Durham J, McCracken GI, Preshaw PM. Patients’ Experiences of the Impact of Periodontal Disease. J Clin Periodontol. 2010; 37(4): 334-339. https://doi.
org/10.1111/j.1600-051X.2010.01545.x
Kassebaum NJ, Bernabé E, Dahiya M, Bhandari B, Murray CJL, Marcenes W. Global Burden of Severe Periodontitis in 1990-2010: A Systematic Review and Meta-Regression. J Dent Res. 2014; 93(11): 1045-1053. https://doi.org/10.1177/0022034514552491
República de Colombia. Ministerio de salud y protección social. IV Estudio nacional de salud bucal ENSAB IV 2013-2014. 2014 Disponible en: https://www.minsalud.gov.co/sites/rid/Lists/BibliotecaDigital/RIDE/VS/PP/ENSAB-IV-Situacion-Bucal-Actual.pdf
Slade GD, Spencer AJ. Development and Evaluation of the Oral Health Impact Profile. Community Dent Health. 1994;11(1): 3-11.
Slade GD. Derivation and Validation of a Short-Form Oral Health Impact Profile. Community Dent Oral Epidemiol. 1997; 25(4):284-290.
Wong MCM, Lo ECM, McMillan AS. Validation of a Chinese Version of the Oral Health Impact Profile (ohip). Community Dent Oral Epidemiol. 2002; 30(6): 423-430.
Grecu A-G, Dudea D, Balazsi R, Dumitrascu DL. Romanian Version of the Oral Health Impact Profile-49 Questionnaire: Validation and Preliminary Assessment of the Psychometrical Properties. Clujul Med. 2015; 88(4): 530-536. https://doi.org/10.15386/cjmed-551
Deshpande NC, Nawathe AA. Translation and Validation of Hindi Version of Oral Health Impact Profile-14. J Indian Soc Periodontol. 2015; 19(2): 208-210. https://doi.org/10.4103/0972-124X.145806
León S, Bravo-Cavicchioli D, Correa-Beltrán G, Giacaman RA. Validation of the Spanish Version of the Oral Health Impact Profile (ohip-14Sp) in Elderly Chileans. BMC Oral Health. 2014; 14:95. https://doi.org/10.1186/1472-6831-14-95
Castrejón-Pérez RC, Borges-Yáñez SA. Derivation of the Short Form of the Oral Health Impact Profile in Spanish (OHIP-EE-14). Gerodontology. 2012;29(2):155-158. https://doi.org/10.1111/j.1741-2358.2012.00613.x
Castrejón-Pérez RC, Borges-Yáñez SA, Irigoyen-Camacho ME. Validation of an Instrument for Measuring the Effects of Oral Health on the Quality of Life of Older Adults in Mexico. Rev Panam Salud Pública. 2010; 27(5): 321-329.
de Souza RF, Terada ASSD, Vecchia MPD, Regis RR, Zanini AP, Compagnoni MA. Validation of the Brazilian Versions of two inventories for measuring Oral Health-Related Quality of Life of Edentulous Subjects. Gerodontology. 2012; 29(2): e88-95. https://doi.org/10.1111/j.1741-2358.2010.00417.x
Liu JY, Pow EHN, Chen ZF, Zheng J, Zhang XC, Chen J. The Mandarin Chinese Shortened Version of Oral Health Impact Profile for Partially Edentate Patients with Implant-Supported Prostheses. J Oral Rehabil. 2012; 39(8): 591-599. https://doi.org/10.1111/j.1365-2842.2012.02292.x
Papagiannopoulou V, Oulis CJ, Papaioannou W, Antonogeorgos G, Yfantopoulos J. Validation of a Greek Version of the Oral Health Impact Profile (OHIP-14) for Use Among Adults. Health Qual Life Outcomes. 2012;10:7. https://doi.org/10.1186/1477-7525-10-7
Meusel DRDZ, Ramacciato JC, Motta RHL, Brito Júnior RB, Flório FM. Impact of the Severity of Chronic Periodontal Disease on Quality of Life. J Oral Sci. 2015; 57(2): 87-94. https://doi.org/10.2334/josnusd.57.87
Bernabé E, Marcenes W. Periodontal Disease and Quality of Life in British Adults. J Clin Periodontol. 2010; 37(11): 968-972. https://doi.org/10.1111/j.1600-051X.2010.01627.x
Al Habashneh R, Khader YS, Salameh S. Use of the Arabic Version of Oral Health Impact Profile-14 to Evaluate the Impact of Periodontal Disease on Oral Health-Related Quality of Life Among Jordanian Adults. J Oral Sci. 2012; 54(1): 113-120.
Al-Harthi LS, Cullinan MP, Leichter JW, Thomson WM. The Impact of Periodontitis on Oral Health-Related Quality of Life: A Review of the Evidence from Observational Studies. Aust Dent J. 2013; 58(3): 274-277; quiz 384. https://doi.org/10.1111/adj.12076
Cerón-Bastidas XA. Calidad de vida y su relación con la salud oral en personas de la tercera edad. Rev Nac odontol. 2014; 10(19): 83-90.
International Test Commission. The ITC Guidelines for Translating and Adapting Tests (Second edition). 2017. Disponible en: https://www.intestcom.org/files/guideline_test_adaptation_2ed.pdf
Agudelo-Suárez A. D-DV. Calidad de vida relacionada con la salud bucal en adultos mayores que consultan a la ips Universitaria de Medellín y sus factores asociados. Rev CES Odont. 2013; 26(1): 10-23.
Cardona-Arias J.A. L-TJA. Construcción y validación de escalas de medición en salud: revisión de propiedades psicométricas. Archivos de Medicina. 2015; 11(3:1): 1-10.
López R, Baelum V. Spanish Version of the Oral Health Impact Profile (OHIP-Sp). BMC Oral Health. 2006; 6:11.
Martin RC. Diseño y validación de cuestionarios. Matronas Profesión. 2004; 5(17): 23-29.
Campo-Arias A OH. Propiedades psicométricas de una escala: la consistencia interna. Rev salud pública. 2008; 10(5): 831-839.
Pett M, Sullivan J, Lackey N. Making Sense of Factor Analysis. Primera edición. Thousand Oaks: Sage Publications; 2003.
Medrano L, Pérez E. Análisis factorial exploratorio: bases conceptuales y metodológicas. Revista Argentinas de Ciencias del Comportamiento. 2010; 2(1): 58-66.
Songwon Seo. A Review and Comparison of Methods for Detecting Outliers in Univariate Data Sets. University of Pittsburgh; 2006. Disponible en: http://d-scholarship.pitt.edu/7948/1/Seo.pdf
Hair J, Black W, Babin B, Anderson R. Multivariate Data Analysis. 7a edición. Inglaterra: Pearson Custom Library; 2015.
Naito M, Yuasa H, Nomura Y, Nakayama T, Hamajima N, Hanada N. Oral Health Status and Health-Related Quality of Life: A Systematic Review. J Oral Sci. 2006; 48(1): 1-7.
Jansson H, Wahlin Å, Johansson V, Åkerman S, Lundegren N, Isberg P-E, et al. Impact of Periodontal Disease Experience on Oral Health-Related Quality of Life. J Periodontol. 2014; 85(3): 438-445. doi:
1902/jop.2013.130188
Wong RMS, Ng SKS, Corbet EF, Keung Leung W. Non-Surgical Periodontal Therapy Improves Oral Health-Related Quality of Life. J Clin Periodontol. 2012; 39(1): 53-61. https://doi.org/10.1111/j.1600-051X.2011.01797.x
John MT, Reissmann DR, Feuerstahler L, Waller N, Baba K, Larsson P, et al. Exploratory Factor Analysis of the Oral Health Impact Profile. Journal of Oral Rehabilitation. 2014; 41(9): 635-643. https://doi.org/10.1111/joor.12192
Santos CM dos, Oliveira BH de, Nadanovsky P, Hilgert JB, Celeste RK, Hugo FN. The Oral Health Impact Profile-14: A Unidimensional Scale? Cad Saude Publica. 2013; 29(4): 749-757.
Lloret-Segura S, Ferreres-Traver A, Hernández-Baeza A, Tomás-Marco I. El análisis factorial exploratorio de los ítems: una guía práctica, revisada y actualizada. Anales de Psicología. 2014; 30(3). https://doi.org/10.6018/analesps.30.3.199361
Ferrando J, Anguiano-Carrasco C. El análisis factorial como técnica de investigación en Psicología. Papeles del psicólogo. 2010; 31(1): 18-33.
Marsh HW, Lüdtke O, Muthén B, Asparouhov T, Morin AJS, Trautwein U, et al. A New Look at the Big Five Factor Structure Through Exploratory Structural Equation Modeling. Psychological Assessment. 2010; 22(3): 471-
https://doi.org/10.1037/a0019227
Slade GD. The Oral Health Impact Profile. 1ra ed. Chapel Hill: University of North Carolina: Department of Dental Ecology; 1997.
Carvajal A. SRA. ¿Cómo validar un instrumento de medida de la salud? An Sist Sanit Navar. 2011; 34(1): 63-72.
Anastasi A. Evolving Concepts of Test Validation. Annual Review of Psychology. 1986; 37(1):1-16.
De La Hoz RP, Segura-Cardona A. Instrumentos para medir la calidad de vida relacionada con la salud oral: una revisión sistemática. Salud Uninorte. 2017; 33(3): 504-516.
