Čelebić Asja, Stančić Ivica, Kovačić Ines, Popovac Aleksandra, Topić Jolanda, Mehulić Ketij, Elenčevski Sašo, Peršić Sanja
University of Zagreb, School of Dental Medicine, Department of Removable Prosthodontics, Gunduličeva 5, 10000 Zagreb, Croatia.
University of Beograd, School of Dentistry, Department of Prosthodontics, Beograd Serbia.
Zdr Varst. 2020 Dec 31;60(1):55-64. doi: 10.2478/sjph-2021-0009. eCollection 2020 Dec.
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.
引言:目的是使克罗地亚语和塞尔维亚语版本的无牙颌人群口腔健康影响程度量表(OHIP - EDENT - CRO和OHIP - EDENT - SRB)适用。 方法:翻译和跨文化调适按照公认的国际标准进行。在克罗地亚和塞尔维亚分别招募了95名和177名可摘局部义齿佩戴者。通过计算克朗巴哈系数和重测法(每个国家30名参与者)评估信度。通过计算OHIP - EDENT总分与一个关于可摘局部义齿满意度问题之间的斯皮尔曼等级系数来确定同时效度。通过探索性因子分析(EFA)确定结构效度。通过比较植入支持下颌覆盖义齿的牙种植体前后的OHIP - EDENT总分来确定反应度(克罗地亚23例患者,塞尔维亚21例患者)。 结果:克罗地亚的克朗巴哈系数为0.92,塞尔维亚为0.87。组内相关系数克罗地亚为0.98,塞尔维亚为0.94。在克罗地亚,斯皮尔曼相关系数为 - 0.71(p<0.001),在塞尔维亚为 - 0.74(p<0.001)。两者均证实了同时效度。通过EFA测试结构效度,每个国家提取了四个因子,在克罗地亚占方差的66.59%,在塞尔维亚占59.33%。两个国家通过OHIP - EDENT总分显著降低和高标准化效应量(克罗地亚为3.9,塞尔维亚为1.53)证实了反应度。 结论:结果证明,OHIP - EDENT - CRO和OHIP - EDENT - SRB这两种工具在评估无牙颌人群的口腔健康相关生活质量方面具有非常好的心理测量特性。
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