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Psychometric Validation of the Ultrashort Slovenian (OHIP-SVN5) and Croatian (OHIP-CRO5) Oral Health Impact Profile Questionnaires Cover

Psychometric Validation of the Ultrashort Slovenian (OHIP-SVN5) and Croatian (OHIP-CRO5) Oral Health Impact Profile Questionnaires

Open Access
|Sep 2025

Figures & Tables

Figure 1.

Scree-plots of the OHIP-SVN5 and OHIP-CRO5.
Scree-plots of the OHIP-SVN5 and OHIP-CRO5.

Inter-item correlation matrix of the OHIP-SVN5 and the OHIP-CRO5_

OHIP-SVN5 Inter-item Correlation MatrixDifficulty chewingPainful achingUncomfortable with appearanceLess flavour in foodDifficulty doing usual jobs
Difficulty chewing1.000
Painful aching0.4641.000
Uncomfortable with appearance0.5360.3611.000
Less flavour in food0.4470.2800.4281.000
Difficulty doing usual jobs0.4090.3560.3880.5561.000

OHIP-CRO5 Inter-item Correlation Matrix

Difficulty chewing1.000
Painful aching0.4241.000
Uncomfortable about appearance0.4120.2311.000
Less flavour in food0.4690.3390.3511.000
Difficulty doing usual jobs0.3690.3150.2400.5161.000

Age, gender and research purpose of the respondents answering five questions of the Oral Health Impact Profile (OHIP-5)_

Samplen (% female)Mean age (standard deviation)Age range (years)Research purpose
General population SVN400 (72.8)53.8 (9.7)28–70Internal consistency, EFA, Concurrent validity, Known group validity
General population CRO*223 (65.5)59.96 (14.6)28–82Internal consistency, EFA, Concurrent validity, Known group validity
Students SVN§38 (68.4)22.6 (1.7)20–26Test-retest reliability
Students CRO30 (70.0)22.0 (1.4)19–25Test-retest reliability
Patients with treatment needs SVN#30 (54.0)50.8 (14.2)18–70Responsiveness (sensitivity to change)
Patients with treatment needs CRO30 (65.0)65.5 (10.4)37–81Responsiveness (sensitivity to change)

Concurrent validity of the Slovenian and Croatian OHIP-5 Questionnaires_

General population SVN (n=400)
Self-reported oral healthnOHIP-5 summary scoreSpearman’s rho

excellent510.69 (1.16)0.601**
good2241.86 (2.06)
fair944.33 (3.38)
poor317.77 (3.81)

Self-reported oral aestheticsnOHIP-5 summary scoreSpearman’s rho

excellent521.12 (1.71)0.510**
good2131.83 (2.12)
fair1063.99 (3.17)
poor297.90 (4.29)

Factor loadings of one dimension of the OHIP-5 questionnaire_

ItemOHIP-SVN5OHIP-CRO5

One component
Difficulty chewing0.7870.774
Painful aching0.6510.642
Uncomfortable about appearance0.7440.611
Less flavour in food0.7440.780
Difficulty doing usual jobs0.7400.699

Means, standard deviations and Cronbach’s alpha when the item was deleted from the OHIP-SVN5 and OHIP-CRO5 questionnaires_

OHIP-5 itemOHIP-SVN5OHIP-CRO5


MeanStandard deviationCronbach’s alpha if the item is deletedMeanStandard deviationCronbach’s alpha if the item is deleted
Difficulty chewing0.971.100.690.871.040.60
Painful aching0.670.850.740.410.760.67
Uncomfortable with appearance0.701.080.710.821.030.70
Less flavour in food0.240.640.730.250.530.64
Difficulty doing usual jobs0.180.560.740.170.490.68

Known-groups validity, assessed by the Mann-Whitney U test_

OHIP-SVN5Denture (Fixed and Removable)NMeanStandard DeviationZP
Difficulty chewingno3040.740.93−7.020<0.001**
yes961.701.24
Painful achingno3040.570.79−4.174<0.001**
yes960.980.94
Uncomfortable about appearanceno3040.530.93−4.910<0.001**
yes961.231.34
Less flavour in foodno3040.140.49−5.262<0.001**
yes960.540.92
Difficulty doing usual jobsno3040.120.46−3.214<0.001**
yes960.340.80
OHIP-SVN5no3042.102.56−7.080<0.001**
summary scoreyes964.803.86

Test-retest reliability measured by intraclass correlation coefficients (ICC) of the Slovenian and Croatian versions of the 5-item Oral Health Impact Profile (OHIP-SVN5 and OHIP-CRO5)_

OHIP-SVN5: Students (n=38)ICCMean difference (standard deviation)95% confidence intervalP
Difficulty chewing0.74−0.03 (0.43)−0.169 – 0.120.711 N.S.
Painful aching0.650.105 (0.61)−0.093 – 0.300.291 N.S.
Uncomfortable about appearance0.820.105 (0.45)−0.043 – 0.250.160 N.S.
Less flavour in foodN.C.0 (0)N.C.N.C.
Difficulty doing usual jobs0.70−0.026 (0.60)−.080 – 0.030.324 N.S.
Summary score0.820.157 (0.89)−0.133 – 0.450.279 N.S.

Sensitivity to change (responsiveness) of the OHIP-SVN5 (N=30) and OHIP-CRO5 (N=30), pre- versus post-treatment_

Pre-treatment x±SDPost-treatment x±SDMean difference x±SDZPEffect size
OHIP-SVN5
Difficulty chewing2.33±0.961.87±0.820.47±0.68−2.640.008**0.48
Painful aching2.70±1.021.90±0.710.80±0.99−3.670.001**0.78
Uncomfortable about appearance1.90±0.841.96±0.980.06±0.69−0.580.564 N.S.0.07
Less flavour in food1.43±0.731.23±0.500.20±0.55−1.900.056 N.S.0.28
Difficulty doing usual jobs1.47±0.631.20±0.410.27±0.58−2.310.021*0.43
Summary score9.83±2.298.03±1.731.80±1.40−4.53<0.001**0.79

OHIP-CRO5
Difficulty chewing2.67±1.231.57±1.331.10±1.44−3.350.001**0.89
Painful aching0.53±1.040.17±0.380.37±0.89−2.310.021*0.35
Uncomfortable about appearance2.60±1.400.87±1.171.73±1.55−4.10<0.001**1.24
Less flavour in food0.80±1.190.40±0.890.40±0.81−2.440.015*0.34
Difficulty doing usual jobs0.77±1.100.20±0.610.57±0.94−2.850.004**0.52
Summary score7.37±4.063.20±3.284.17±0.74−4.25<0.001**1.03
DOI: https://doi.org/10.2478/sjph-2025-0022 | Journal eISSN: 1854-2476 | Journal ISSN: 0351-0026
Language: English
Page range: 167 - 177
Submitted on: May 19, 2025
Accepted on: Jul 25, 2025
Published on: Sep 1, 2025
Published by: National Institute of Public Health, Slovenia
In partnership with: Paradigm Publishing Services
Publication frequency: 4 issues per year

© 2025 Ksenija Rener-Sitar, Asja Čelebić, Miha Križaj, Nikola Petričević, published by National Institute of Public Health, Slovenia
This work is licensed under the Creative Commons Attribution-NonCommercial-NoDerivatives 3.0 License.