评估口腔健康影响程度量表-49（OHIP-49）的概念模型：一项路径分析。

Assessing the conceptual model of the Oral Health Impact Profile-49 (OHIP-49): A path analysis.

作者信息

Grecu A G, Balazsi R, Dudea D, Dumitraşcu D L

机构信息

Department of Prosthetic Dentistry and Dental Materials, Faculty of Dental Medicine, "Iuliu Haţieganu" University of Medicine and Pharmacy, 32 Clinicilor St., Room 101, Cluj-Napoca, 400006, Romania.

Department of Psychology, Faculty of Psychology and Educational Sciences, "Babes-Bolyai" University, Cluj-Napoca, Romania, 17 Grigore Antipa St., Cluj-Napoca, 400686, Romania.

出版信息

Community Dent Health. 2020 Feb 27;37(1):45-50. doi: 10.1922/CDH_4504Grecu06.

DOI:10.1922/CDH_4504Grecu06

PMID:32031343

Abstract

OBJECTIVE

To assess the fit between of the Romanian version of the Oral Health Impact Profile (OHIP-49) and Locker's conceptual model of oral health.

BASIC RESEARCH DESIGN

Cross-sectional interview study.

CLINICAL SETTING

Convenience sample of hospitalized internal medicine patients, in Cluj-Napoca, Romania.

PARTICIPANTS

340 participants (40% male), divided in two samples, sample N1 = 165 to analyse the theoretical model, and a cross-validation sample, N2 = 175.

MAIN OUTCOME MEASURES

Path-analysis was used to assess the fit between the conceptual model proposed by Locker, and the data.

RESULTS

Initial results showed an unsatisfactory fit to the data: χ² = 43.8 (df = 5, p = 0.001), χ² was found to be significant; GFI = 0.932, CFI = 0.948, TLI = 0.782, these indices presented values lower than 0.95, while SRMR = 0.053 and RMSEA = 0.22 (90% CI 0.16 - 0.28) were situated above the accepted threshold. Evaluation of the residual matrix and the modification indices lead to the respecification of the first model, obtaining an better fit of the second model: χ² = 17.63 (df = 9, p = 0.04), while GFI = 0.972, CFI = 0.988, TLI = 0.973, were above the threshold and SRMR = 0.036 and RMSEA = 0.07 (90% CI 0.02 - 0.12).

CONCLUSIONS

The current study indicates that OHIP-49 represents an acceptable operationalization of the Oral Health related Quality of Life, as it was conceptualized by Locker's theoretical model.

摘要

目的

评估罗马尼亚版口腔健康影响程度量表（OHIP - 49）与洛克口腔健康概念模型的契合度。

基础研究设计

横断面访谈研究。

临床环境

罗马尼亚克卢日 - 纳波卡市住院内科患者的便利样本。

参与者

340名参与者（40%为男性），分为两个样本，样本N1 = 165用于分析理论模型，交叉验证样本N2 = 175。

主要观察指标

采用路径分析评估洛克提出的概念模型与数据之间的契合度。

结果

初步结果显示数据拟合度不理想：χ² = 43.8（自由度 = 5，p = 0.001），χ²具有显著性；GFI = 0.932，CFI = 0.948，TLI = 0.782，这些指标值低于0.95，而SRMR = 0.053且RMSEA = 0.22（90%置信区间0.16 - 0.28）高于可接受阈值。对残差矩阵和修正指标的评估导致对第一个模型进行重新设定，第二个模型拟合度更佳：χ² = 17.63（自由度 = 9，p = 0.04），而GFI = 0.972，CFI = 0.988，TLI = 0.973，高于阈值，SRMR = 0.036且RMSEA = 0.07（90%置信区间0.02 - 0.12）。