Oral Health-Related Quality of Life

Tsakos, Georgios; Allen, Finbarr

doi:10.1007/978-3-030-50123-5_20

Cited by 5 publications

(7 citation statements)

References 78 publications

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“…Poor dental status is associated with poor nutrition and decreased food intake (Nowjack‐Raymer & Sheiham, 2007; Wakai et al, 2010). It also negatively affects social interaction (Igarashi et al, 2021) and social participation by decreasing facial attractiveness and self‐esteem (Rodrigues et al, 2012; Tsakos & Allen, 2021). In older adults, these pathways lead to social isolation and becoming homebound, which consequently results in functional disability and having adverse health problems (Aida et al, 2012; Rodrigues et al, 2012; Yamamoto, Kondo, Hirai, et al, 2012; Yamamoto, Kondo, Misawa, et al, 2012).…”

Section: Discussionmentioning

confidence: 99%

Oral status and homebound status: A 6‐year bidirectional exploratory prospective cohort study

et al. 2021

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Objectives:Little is known about the association between oral status and homebound status, and there is a possibility of a bidirectional relationship between them. In this exploratory prospective cohort study, we examined the association between four oral status measurements and being homebound bidirectionally. Methods:We used 2010-2016 panel data gathered from the Japan Gerontological Evaluation Study. All functionally independent participants aged 65 years or older (n = 26,579) were included in this study. Multiple imputation and Poisson regression were used for analyses. We adjusted for age, sex, education, comorbidity, and depressive symptoms. Results:In the fully adjusted model, the prevalence ratio (PR) of being homebound at follow-up was 1.42 for having <20 remaining teeth, 1.28 for having chewing difficulty, 0.99 for having choking experience, and 0.94 for having dry mouth at baseline. Reversely, being homebound at baseline predicted having chewing difficulty at follow-up (PR = 1.17), while no significant association was demonstrated with having <20 teeth (PR = 1.00), choking experience (PR = 1.06), and dry mouth (PR = 1.02). Conclusion:Chewing difficulty and having <20 remaining teeth predicted homebound status after 6 years. Reversely, homebound status at baseline only predicted having chewing difficulty at follow-up. These findings may help to determine the oral frailty assessment measures for older people.

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Section: Discussionmentioning

confidence: 99%

Oral status and homebound status: A 6‐year bidirectional exploratory prospective cohort study

et al. 2021

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“…This aspect is evident in Table and Table , where only a few studies explicitly stated their specific theoretical models 2,38‐42 . The most frequent is the Locker's model, which is based on ICIDH, superseded by the International Classification of Functioning, Disability and Health (ICF) 9 . The former model follows from disease to impairment; however, given a shift towards health and function has been advocated, current instruments should be assessed under new theoretical models 9 …”

Section: Discussionmentioning

confidence: 99%

“…This strategy was developed using PubMed controlled vocabulary (MeSH terms) and then adapted for Scopus (see Supporting Information: Appendices and ). To include grey literature, a Google Scholar search was run, and references of two books, 9,14 two previous revisions, 15,16 and included articles were scrutinized to detect additional papers not retrieved in the search. In addition, authors of identified instruments were contacted by e‐mail if further information was needed.…”

Section: Methodsmentioning

confidence: 99%

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Adult oral health‐related quality of life instruments: A systematic review

Riva

Seoane

Reichenheim

et al. 2021

Comm Dent Oral Epid

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To identify the existing OHRQoL instruments for adults, describe their scope (generic or specific), theoretical background, validation type, and cross-cultural adaptation. Methods: A systematic search was conducted and articles presenting validation of OHRQoL instruments in adults were included. Data were collected about the validation type: external validation (correlations/associations); or internal validation (Factor Analysis/Principal Components Analysis, Item Response Theory); and cross-cultural adaptation. Results: Of 3730 references identified, 326 were included reporting 392 studies. Forty-two original instruments were found among 74 different versions, 39 generic and 35 condition-specific. Locker's theoretical framework was the predominant model. The Oral Health Impact Profile (OHIP) presented 20 versions,with OHIP-14 being the most frequent (26.8%), followed by Geriatric Oral Assessment Index (GOHAI) (14.0%), OHIP-49 (11.7%) and Oral Impacts on Daily Performances (OIDP) (9.7%). Most studies focused on external validation (65.3%), while internal validation was reported in 24.8% (n=26) of OHIP-14 studies, 50.9% (n=28) of GOHAI, and 21.1% (n=8) of OIDP studies. Most internal validation studies were conducted in English-speaking countries (n=33), and cross-cultural adaptation mostly in non-English-speaking European countries (n=40). Conclusions: Many generic and condition-specific instruments were found, but few have gone through a rigorous internal validation process, neither have undergone cross-cultural adaptation, making it difficult for researchers to choose based on psychometric properties. OHIP-14, OIDP and GOHAI seem to be the most widely validated instruments. Equalising measurement properties for comparability is challenging due to theoretical heterogeneity. Future studies should assess psychometric properties, explore the factorial structure, and work towards a consensus on critical issues.

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“…While there are multiple OHQoL instruments [ 5 , 6 , 7 , 8 , 9 ], the Oral Health Impact Profile (OHIP) [ 10 , 11 ] is most widely used for both adults and pregnant women. According to Google Scholar, the original development article of the 49-item OHIP [ 10 ] and its shorter version, OHIP-14 [ 11 ], have been cited 2,873 and 2,590 times as of December 10, 2021, both with an average of approximately 100 citations per year.…”

Section: Introductionmentioning

confidence: 99%

The MOHIP-14PW (Modified Oral Health Impact Profile 14-Item Version for Pregnant Women): A Real-World Study of Its Psychometric Properties and Relationship with Patient-Reported Oral Health

et al. 2022

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Background: The 14-item version of the Oral Health Impact Profile (OHIP-14) has been widely used as a measure for oral health-related quality of life (OHQoL) since its publication in 1997. However, few studies have examined its psychometric properties and relationship with patient-reported oral health in pregnant women. Aim: To offer empirical evidence for appropriate use of the OHIP-14 among pregnant women in research and clinical practice. Objectives: (1) to empirically investigate the psychometric properties of the OHIP-14, (2) to modify it into the MOHIP-14PW (modified OHIP-14 for pregnant women), and (3) to compare their relationships with patient-reported oral health in pregnant women. Methods: In this real-world study (RWS) from suburban New York clinics, we collected OHIP-14 data from 291 pregnant women and assessed its psychometric properties at the item-, dimension-, and measure-level, including confirmatory factor analysis (CFA) and exploratory factor analysis (EFA). Accordingly, we modified the OHIP-14 into the MOHIP-14PW. Finally, we compared their correlations with patient-reported oral health scores. Results: All OHIP-14 items had severely skewed distributions, and two had a correlation with the patient-reported oral health < 0.1. All seven pairs of items correlated well (0.47 to 0.62), but the Cronbach’s alphas indicated suboptimal reliability, with two below 0.70. CFA results offered suboptimal support to the original structure, and EFA found a three-dimensional structure best fitted the data. Therefore, we modified the OHIP-14 into the MOHIP-14PW. CFA on the MOHIP-14PW offered stronger supports, and the Cronbach’s alphas increased to 0.92, 0.72, and 0.71. The MOHIP-14PW’s dimensions were more meaningful to pregnant women and had stronger relationships with patient-reported oral health than the OHIP-14; the average correlation coefficients increased by 26% from 0.19 in OHIP-14 to 0.24 in the MOHIP-14PW. Conclusions: The original OHIP-14 required modifications at the item-, dimension-, and measure- level, and the MOHIP-14PW had better psychometric properties, easier interpretation, and stronger correlation with patient-reported oral health in low-income pregnant women. Through an interdisciplinary RWS on a large sample of pregnant women, this study offers concrete empirical evidence for the advantages of the MOHIP-14PW over the original OHIP-14.

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Oral Health-Related Quality of Life

Cited by 5 publications

References 78 publications

Oral status and homebound status: A 6‐year bidirectional exploratory prospective cohort study

Oral status and homebound status: A 6‐year bidirectional exploratory prospective cohort study

Adult oral health‐related quality of life instruments: A systematic review

The MOHIP-14PW (Modified Oral Health Impact Profile 14-Item Version for Pregnant Women): A Real-World Study of Its Psychometric Properties and Relationship with Patient-Reported Oral Health

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