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Recommendations for use and scoring of oral health impact profile versions
Department of Diagnostic and Biological Sciences, School of Dentistry, University of Minnesota, Minneapolis, Minnesota; Division of Epidemiology & Community Health, School of Public Health, University of Minnesota, Minnesota, Minneapolis.
Section for Outcomes Research, Center for Medical Statistics, Informatics, and Intelligent Systems, Medical University of Vienna, Vienna, Austria; Ludwig Boltzmann Institute for Arthritis and Rehabilitation, Vienna, Austria.
Department of Social Dentistry, Academic Centre for Dentistry Amsterdam (ACTA), University of Amsterdam & Vrije Universiteit Amsterdam, Amsterdam, The Netherlands.
Malmö University, Faculty of Odontology (OD). Department of Rehabilitation Medicine, Skåne University Hospital, Sweden. (Scandinavian Center for Orofacial Neurosciences)ORCID iD: 0000-0002-9638-4648
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2022 (English)In: Journal of Evidence-Based Dental Practice, ISSN 1532-3382, E-ISSN 1532-3390, Vol. 22, no 1, article id 101619Article in journal (Refereed) Published
Abstract [en]

Background: OHIP's original seven-domain structure does not fit empirical data, but a psychometrically sound and clinically more plausible structure with the four OHRQoL dimensions Oral Function, Orofacial Pain, Orofacial Appearance, and Psychosocial Impact has emerged. Consequently, use and scoring of available OHIP versions need to be revisited. Aim: We assessed how well the overall construct OHRQoL and its four dimensions were measured with several OHIP versions (20, 19, 14, and 5 items) to derive recommendations which instruments should be used and how to score them. Methods: Data came from the “Dimensions of OHRQoL Project” and used the project's learning sample (5,173 prosthodontic patients and general population subjects with 49-item OHIP data). We computed correlations among OHIP versions’ summary scores. Correlations between OHRQoL dimensions, on one hand, and OHIP versions’ domain scores or OHIP-5′s items, on the other hand, were also computed. OHIP use and scoring recommendations were derived for psychometrically solid but also practical OHRQoL assessment. Results: Summary scores of 5-, 14-, 19- and 49-item versions correlated highly (r = 0.91–0.98), suggesting similar OHRQoL construct measurement across versions. The OHRQoL dimensions Oral Function, Orofacial Pain, Orofacial Appearance, and Psychosocial Impact were best measured by the OHIP domain scores for Physical Disability, Physical Pain, Psychological Discomfort, and Handicap, respectively. Conclusion: Recommendations were derived which OHIP should be preferably used and how OHIP versions should be scored to capture the overall construct and the dimensions of OHRQoL. Psychometrically solid and practical OHRQoL assessment in all settings across all oral health conditions can be achieved with the 5-item OHIP. 

Place, publisher, year, edition, pages
Elsevier, 2022. Vol. 22, no 1, article id 101619
Keywords [en]
OHIP, Oral Function, Oral health-related quality of life, Orofacial Appearance, Orofacial Pain, Psychosocial Impact
National Category
Dentistry
Identifiers
URN: urn:nbn:se:mau:diva-49018DOI: 10.1016/j.jebdp.2021.101619ISI: 000820710900001PubMedID: 35219460Scopus ID: 2-s2.0-85088389695OAI: oai:DiVA.org:mau-49018DiVA, id: diva2:1623065
Available from: 2021-12-27 Created: 2021-12-27 Last updated: 2023-10-02Bibliographically approved

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List, ThomasHäggman-Henrikson, BirgittaBondemark, LarsOghli, IbrahimLarsson, Pernilla

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