McGrath C, Bedi R
Periodontology and Dental Public Health, Faculty of Dentistry, Philip Dental Hospital, University of Hong Kong, China.
Community Dent Health. 2001 Sep;18(3):138-43.
The aim was to test the reliability and validity of an instrument used to measure the impact of oral health on quality of life.
The instrument tested was the indicator OHQoL-UK(W), which was developed, based on a general UK population's perceptions of how oral health affects life quality. OHQoL-UK(W) consists of a battery of 16 questions, which takes into account both 'effect' and 'impact' of oral health on life quality, incorporating dimensions and an individualised weighting system. A questionnaire containing the indicator was administered to a sample of 500 adults. Determining associations between OHQoL-UK(W) scores, socio-demographic and self-reported oral health status assessed its construct validity. The criterion validity of the indicator was assessed in the absence of a 'gold standard' by correlating OHQoL-UK(W) scores to self-rating of oral health status. The internal reliability of the indicator was assessed using Cronbach's alpha.
The response rate was 78%. Associations between OHQoL-UK(W) scores and self-reported number of natural teeth (P<0.01) and denture status (P<0.01) supported the construct validity of the indicator. In addition, OHQoL-UK(W) scores were associated with socio-demographic factors; age (P<0.05), employment status (P<0.01) and ethnicity (P<0.05). The instrument was also associated with self-rating of oral health status (P<0.01), supporting the criterion validity of the indicator. The internal reliability was high with a Cronbach alpha value of 0.94.
OHQoL-UK (W) appears to be a valid and reliable measure for assessing the impact of oral health on life quality.
旨在测试一种用于衡量口腔健康对生活质量影响的工具的可靠性和有效性。
所测试的工具为OHQoL-UK(W)指标,该指标是基于英国普通人群对口腔健康如何影响生活质量的认知而开发的。OHQoL-UK(W)由一系列16个问题组成,考虑了口腔健康对生活质量的“效果”和“影响”,纳入了多个维度和一个个性化加权系统。向500名成年人样本发放了包含该指标的问卷。通过确定OHQoL-UK(W)得分与社会人口统计学和自我报告的口腔健康状况之间的关联来评估其结构效度。在没有“金标准”的情况下,通过将OHQoL-UK(W)得分与口腔健康状况自评进行关联来评估该指标的效标效度。使用克朗巴哈系数评估该指标的内部可靠性。
回复率为78%。OHQoL-UK(W)得分与自我报告的天然牙数量(P<0.01)和假牙状况(P<0.01)之间的关联支持了该指标的结构效度。此外,OHQoL-UK(W)得分与社会人口统计学因素相关;年龄(P<0.05)、就业状况(P<0.01)和种族(P<0.05)。该工具还与口腔健康状况自评相关(P<0.01),支持了该指标的效标效度。内部可靠性较高,克朗巴哈系数值为0.94。
OHQoL-UK(W)似乎是评估口腔健康对生活质量影响的有效且可靠的指标。