Psychometric characteristics of the Croatian and the Serbian versions of the oral health impact profile for edentulous subjects, with a pilot study on the dimensionality

Čelebić, Asja; Stančić, Ivica; Kovačić, Ines; Popovac, Aleksandra; Topić, Jolanda; Mehulić, Ketij; Elenčevski, Sašo; Peršić, Sanja

doi:10.2478/sjph-2021-0009

Abstract

Introduction

The aim was to adapt the Croatian and the Serbian versions of the Oral Health Impact Profile for the edentulous population (OHIP-EDENT-CRO and OHIP-EDENT-SRB).

Methods

The translation and cross-cultural adaptation were carried out in accordance with accepted international standards. A total of 95 and 177 removable denture wearers were recruited in Croatia and Serbia respectively. The reliability was evaluated by calculating Cronbach’s alpha coefficient and by test-retest (30 participants in each country). The concurrent validity was determined by calculating the Spearman’s rank coefficient between the OHIP-EDENT summary scores and one question related to removable denture satisfaction. Construct validity was determined by exploratory factor analysis (EFA). Responsiveness was determined by comparison of the OHIP-EDENT summary scores before and after dental implant placement to support mandibular overdentures (23 patients in Croatia, 21 in Serbia).

Results

Cronbach’s alpha coefficient was 0.92 in Croatia and 0.87 in Serbia. The intraclass correlation coefficient was 0.98 in Croatia and 0.94 in Serbia. In Croatia the Spearman’s correlation coefficient was -0.71 (p<0.001) and in Serbia -0.74 (p<0.001). Both confirmed concurrent validity. Construct validity was tested by EFA, which extracted four factors in each country, accounting for 66.59% of the variance in Croatia and 59.33% in Serbia. Responsiveness was confirmed in both countries by a significant OHIP-EDENT summary score reduction and a high standardised effect size (3.9 in Croatia, 1.53 in Serbia).

Conclusion

The results prove that both instruments, the OHIP-EDENT-CRO and the OHIP-EDENT-SRB, have very good psychometric properties for assessing OHRQoL in the edentulous population.

References

Sischo L, Broder HL. Oral health-related quality of life: what, why, how, and future implications. J Dent Res. 2011;90:1264-70. doi: 10.1177/0022034511399918.
Open DOI Search in Google Scholar Back to article
Sekulic S, Theis-Mahon, Rener-Sitar K. A systematic scoping review of oral health models. Qual Life Res. 2019;28:2651-68. doi: 10.1007/s11136-019-02206-9.
Open DOI Search in Google Scholar Back to article
Schierz O, John MT, Reissmann DR, Mehrstedt M, Szentpétery A. Comparison of perceived oral health in patients with temporomandibular disorders and dental anxiety using oral health-related quality of life profiles. Qual Life Res. 2008;17:857-66. doi: 10.1007/s11136-008-9360-3.
Open DOI Search in Google Scholar Back to article
Sekulić S, John MT, Davey C, Rener Sitar K. Association between oral health-related and health-related quality of life. Zdr Varst. 2020;59:6574. doi: 10.2478/sjph-2020-0009.
Open DOI Search in Google Scholar Back to article
Mittal H, John MT, Sekulić S, Theis-Mahon N, Rener-Sitar K. Patient-reported outcome measures for adult dental patients: a systematic review. J Evid Based Dent Pract. 2019;19:53-70. doi: 10.1016/j.jebdp.2018.10.005.
Open DOI Search in Google Scholar Back to article
Jokovic A, Locker D, Stephens M, Kenny D, Tompson B, Guyatt G. Validity and reliability of a questionnaire for measuring child oral-health-related quality of life. J Dent Res. 2002;81:459-63. doi: 10.1177/154405910208100705.
Open DOI Search in Google Scholar Back to article
Atchison KA, Dolan TA. Development of the geriatric oral health assessment index. J Dent Educ. 1990;54:680-87.
Search in Google Scholar Back to article
Ohrbach R, Larsson P, List T. The jaw functional limitation scale: development, reliability, and validity of 8-item and 20-item versions. J Orofac Pain. 2008;22:219-30.
Search in Google Scholar Back to article
Segù M, Collesano V, Lobbia S, Rezzani C. Cross-cultural validation of a short form of the Oral Health Impact Profile for temporomandibular disorders. Community Dent Oral Epidemiol. 2005;33:125-30. doi: 10.1111/j.1600-0528.2005.00215.x.
Open DOI Search in Google Scholar Back to article
Allen F, Locker D. A modified short version of the Oral Health Impact Profile for assessing health-related quality of life in edentulous adults. Int J Prosthodont. 2002;15:446-50.
Search in Google Scholar Back to article
Larsson P, John MT, Nilner K, Bondemark L, List T. Development of an Orofacial Esthetic Scale in prosthodontic patients. Int J Prosthodont. 2010;23:249-56.
Search in Google Scholar Back to article
Peršić S, Palac A, Bunjevac T, Celebic A. Development of a new chewing function questionnaire for assessment of a self-perceived chewing function. Community Dent Oral Epidemiol. 2013;41:565-73. doi: 10.1111/cdoe.12048.
Open DOI Search in Google Scholar Back to article
Slade GD, Spencer AJ. Development and evaluation of the Oral Health Impact Profile. Community Dent Health. 1994;11:3-11.
Search in Google Scholar Back to article
John MT, Reißmann DR, Feuerstahler L, Waller N, Baba K, Larsson P, et. al. Factor analyses of the Oral Health Impact Profile - overview and studied population. J Prosthodont Res. 2014;58:26-34. doi: 10.1016/j.jpor.2013.11.002.
Open DOI Search in Google Scholar Back to article
John MT, Reissmann DR, Feuerstahler L, Waller N, Baba K, Larsson P et. al. Exploratory factor analysis of the Oral Health Impact Profile. J Oral Rehabil. 2014;41:635-43. doi: 10.1111/joor.12192.
Open DOI Search in Google Scholar Back to article
John MT, Feuerstahler L, Waller N, Baba K, Larsson P, Celebic A. et al. Confirmatory factor analysis of the Oral Health Impact Profile. J Oral Rehabil. 2014;41:644-52. doi: 10.1111/joor.12191.
Open DOI Search in Google Scholar Back to article
Slade GD. Derivation and validation of a short-form oral health impact profile. Community Dent Oral Epidemiol. 1997;25:284-90. doi: 10.1111/j.1600-0528.1997.tb00941.x.
Open DOI Search in Google Scholar Back to article
Sato Y, Kaiba Y, Yamaga E, Minakuchi S. Reliability and validity of a Japanese version of the Oral Health Impact Profile for edentulous subjects. Gerodontology. 2012;29:e1033-37. doi: 10.1111/j.1741-2358.2011.00606.x.
Open DOI Search in Google Scholar Back to article
He SL, Wang JH. Reliability and validity of a Chinese version of the Oral Health Impact Profile for edentulous subjects. Qual Life Res. 2015;24:1011-16. doi: 10.1007/s11136-014-0822-5.
Open DOI Search in Google Scholar Back to article
Souza RF, Patrocínio L, Pero AC, Marra J, Compagnoni MA. Reliability and validation of a Brazilian version of the Oral Health Impact Profile for assessing edentulous subjects. J Oral Rehabil. 2007;34:821-26. doi: 10.1111/j.1365-2842.2007.01749.x.
Open DOI Search in Google Scholar Back to article
Petricevic N, Celebic, A, Papic M, Rener-Sitar K. The Croatian version of the Oral Health Impact Profile Questionnaire. Coll Antropol. 2009;33:841-47.
Search in Google Scholar Back to article
Rener-Sitar K, Petricevic N, Celebic A, Marion L. Psychometric properties of Croatian and Slovenian short form of oral health impact profile questionnaires. Croat Med J. 2008;49:536-44. doi: 10.3325/cmj.2008.4.536.
Open DOI Search in Google Scholar Back to article
Stancić I, Sojić LT, Jelenković A. Adaptation of Oral Health Impact Profile (OHIP-14) index for measuring impact of oral health on quality of life in elderly to Serbian language. Vojnosanit Pregl. 2009;66:51155. doi: 10.2298/vsp0907511s.
Open DOI Search in Google Scholar Back to article
Souza RF, Leles CR, Guyatt GH, Pontes CB, Della Vecchia MP, Neves FD. Exploratory factor analysis of the Brazilian OHIP for edentulous subjects. J Oral Rehabil. 2010;37:202-8. doi: 10.1111/j.1365-2842.2009.02043.x.
Open DOI Search in Google Scholar Back to article
Waller N, John MT, Feuerstahler L, Baba K, Larsson P, Peršić S, et. al. A 7-day recall period for a clinical application of the oral health impact profile questionnaire. Clin Oral Investig. 2016;20:91-99. doi: 10.1007/s00784-015-1484-6.
Open DOI Search in Google Scholar Back to article
Guillemin F, Bombardier C, Beaton D. Cross-cultural adaptation of health-related quality of life measures: literature review and proposed guidelines. J Clin Epidemiol. 1993;46:1417-32. doi: 10.1016/0895-4356(93)90142-n.
Open DOI Search in Google Scholar Back to article
Fabrigar R, Wegener DT. Exploratory factor analysis. Oxford: Oxford University Press, 2012.
Search in Google Scholar Back to article
Husted JA, Cook RJ, Farewell VT, Gladman DD. Methods for assessing responsiveness: a critical review and recommendations. J Clin Epidemiol. 2000;53:459-68. doi: 10.1016/s0895-4356(99)00206-1.
Open DOI Search in Google Scholar Back to article
Allen PF, McMillan AS, Locker D. An assessment of sensitivity to change of the Oral Health Impact Profile in a clinical trial. Community Dent Oral Epidemiol. 2001;29:175-82. doi: 10.1034/j.1600-0528.2001.290303.x.
Open DOI Search in Google Scholar Back to article
Stern B, Socan G, Rener-Sitar K, Kukec A, Zaletel-Kragelj L. Validation of the Slovenian version of Short Sense of Coherence Questionnaire (SOC-13) in multiple sclerosis patients. Zdr Varst. 2019;58(1):31-9. doi: 10.2478/sjph-2019-0004.
Open DOI Search in Google Scholar Back to article
Rener-Sitar K, John MT, Pusalavidyasagar SS, Bandyopadhyay D, Schiffman EL. Sleep quality in temporomandibular disorder cases. Sleep Med. 2016;25:105-12. doi: 10.1016/j.sleep.2016.06.031.
Open DOI Search in Google Scholar Back to article
Dolenc E, Rotar-Pavlič D. Frailty assessment scales for the elderly and their application in primary care: a systematic literature review. Zdr Varst. 2019;58(2):91-100. doi: 10.2478/sjph-2019-0012.
Open DOI Search in Google Scholar Back to article
Slavkovic S, Golubovic S, Vojnovic M, Nadj C. Influence of cognitive and motor abilities on the level of current functioning in people with multiple sclerosis. Zdr Varst. 2019;58(2):54-61. doi: 10.2478/sjph-2019-0007.
Open DOI Search in Google Scholar Back to article
Kovačić I, Čelebić A, Zlatarić DK, Petričević N, Buković D, Bitanga P, et. al. Decreasing of residual alveolar ridge height in complete denture wearers: a five year follow up study. Coll Antropol. 2010;34:1051-6.
Search in Google Scholar Back to article
Kovačić I, Peršić S, Kranjčić J, Čelebić A. A cohort study on short mini-implants for mandibular overdentures compared to those of standard length. Clin Oral Implants Res. 2020;31:121-32. doi: 10.1111/clr.13542.
Open DOI Search in Google Scholar Back to article
Kovačić I, Peršić S, Kranjčić J, Lešić N, Čelebić A. Rehabilitation of an extremely resorbed edentulous mandible by short and narrow dental implants. Case Rep Dent. 2018:7597851. doi: 10.1155/2018/7597851.
Open DOI Search in Google Scholar Back to article
Possebon APDR, Faot F, Machado RMM, Nascimento GG, Leite FRM. Exploratory and confirmatory factorial analysis of the OHIP-Edent instrument. Braz Oral Res. 2018;32:e111. doi: 10.1590/1807-3107bor-2018.vol32.0111.
Open DOI Search in Google Scholar Back to article
Shrestha B, Niraula SR, Parajuli PK, Suwal P, Singh RK. Reliability and validity of a Nepalese version of the oral health impact profile for edentulous subjects. J Prosthodont. 2018;27:416-20. doi: 10.1111/jopr.12513.
Open DOI Search in Google Scholar Back to article
Sijtsma K. On the use, the misuse, and the very limited usefulness of C ronbach’s A lpha. P sychometrika. 2 009;74:107-20. d oi: 1 0.1007/ s11336-008-9101-0.
Search in Google Scholar Back to article
John MT, Rener-Sitar K, Baba K, Čelebić A, Larsson P, Szabo G, et al. Patterns of impaired oral health-related quality of life dimensions. J Oral Rehabil. 2016;43:519-27. doi: 10.1111/joor.12396.
Open DOI Search in Google Scholar Back to article
John MT, Reissmann DR, Čelebić A, Baba K, Kende D, Larsson P, et al. A Integration of oral health-related quality of life instruments. J Dent. 2016;53:38-43. doi: 10.1016/j.jdent.2016.06.006.
Open DOI Search in Google Scholar Back to article
Reissmann DR, John MT, Feuerstahler L, Baba K, Szabó G, Čelebić A, et al. Longitudinal measurement invariance in prospective oral health-related quality of life assessment. Health Qual Life Outcomes. 2016;14:88. doi: 10.1186/s12955-016-0492-9.
Open DOI Search in Google Scholar Back to article
John MT, Sekulic S, Bekes K, Al-Harthy MH, Michelotti A, Reissman DR, et al. Why patients visit dentists - a study in all World Health Organization regions. J Evid Based Dent Pract. 2020;20:101459. doi: 10.1016/j.jebdp.2020.101459.
Open DOI Search in Google Scholar Back to article
Persic S, Celebic A. Influence of different prosthodontic rehabilitation options on oral health-related quality of life, orofacial esthetics and chewing function based on patient-reported outcomes. Qual Life Res. 2015;24:919-26. doi: 10.1007/s11136-014-0817-2.
Open DOI Search in Google Scholar Back to article
Čelebić A, Peršić S, Kovačić I, Buković D, Lešić N, Rener-Sitar K. Comparison of three prosthodontic treatment modalities for patients with periodontally compromised anterior mandibular teeth: a 2-year follow-up study. Acta Stomatol Croat. 2019;53:4-16. doi: 10.15644/asc53/1/1.
Open DOI Search in Google Scholar Back to article
Feine J S, Carlsson GE, Awad MA, Chehade A, Duncan W J, Gizani S, et. al. The McGill consensus statement on overdentures. Mandibular two-implant overdentures as first choice standard of care for edentulous patients. Gerodontology. 2002;19:3-4.
Search in Google Scholar Back to article
Jung RE Al-Nawas B, Araujo M, Avila-Ortiz G, Barter S, Brodala N, et. al. Group 1 ITI Consensus Report: the influence of implant length and design and medications on clinical and patient-reported outcomes. Clin Oral Implants Res. 2018:29(Suppl 16):69-77. doi: 10.1111/clr.13342.
Open DOI Search in Google Scholar Back to article
Peršić S, Ćelić R, Vojvodić D, Petričević N, Kranjčić, J, Zlatarić DK, et al. Oral health-related quality of life in different types of mandibular implant overdentures in function longer than 3 years.Int J Prosthodont. 2016;29:28-30. doi: 10.11607/ijp.4457.
Open DOI Search in Google Scholar Back to article