Universidade Federal dos Vales do Jequitinhonha e Mucuri - Diamantina (MG), Brazil.
Universidade Federal de Minas Gerais - Belo Horizonte (MG), Brazil.
Rev Bras Epidemiol. 2023 Oct 27;26:e230046. doi: 10.1590/1980-549720230046. eCollection 2023.
This study aimed to review the psychometric properties of oral health-related quality of life (OHRQoL) questionnaires for the Brazilian adult population.
A systematic review was performed based on the COSMIN guidelines (PROSPERO CRD42022300018). The studies were obtained through electronic searches in the PubMed/MEDLINE, Web of Science, Lilacs, VHL (BIREME), SciELO, and Embase databases.
The search was performed in December 2022. Articles on OHRQoL that reported the cross-cultural adaptation of instruments into Portuguese (Brazil) and evaluated the psychometric properties of measuring instruments in adult patients were included. Those about the development of a novel instrument and participants under 18 years of age were excluded. Information was collected on the country, type of instrument validated, psychometric tests, and adaptation process. The certainty of the evidence was assessed using GRADEpro program. The search returned 6,556 articles, and 14 were considered for this review. However, two studies did not report the cross-cultural adaptation process. Content validity, internal consistency, criterion validity, construct validity, reliability, general discriminant validity, Cronbach's alpha value, and general intraclass correlation coefficient value were confirmed in 12 studies. Cronbach's alpha ranged from 0.69 to 0.96. The certainty of the evidence was considered moderate and low. This study has some limitations, such as the lack of information in some reviewed studies, the unavailability of Brazilian instruments, and absence of longitudinal validation of some instruments.
In conclusion, there are 14 OHRQoL instruments adapted for Brazilian adults that can be used with caution by researchers and clinicians, since they presented moderate to low certainty of the evidence.
本研究旨在回顾针对巴西成年人群的口腔健康相关生活质量（OHRQoL）问卷的心理测量学特性。
根据 COSMIN 指南（PROSPERO CRD42022300018）进行系统评价。通过对 PubMed/MEDLINE、Web of Science、Lilacs、VHL（BIREME）、SciELO 和 Embase 数据库进行电子检索获得研究。
检索于 2022 年 12 月进行。纳入了报告仪器经文化调适后转译为葡萄牙语（巴西）并评估成人患者测量仪器心理测量学特性的 OHRQoL 文章，以及关于新仪器开发和参与者年龄在 18 岁以下的文章除外。收集了有关国家、经验证的仪器类型、心理测量测试和适应过程的信息。使用 GRADEpro 程序评估证据的确定性。检索返回了 6556 篇文章，其中 14 篇被认为符合本综述的要求。然而，有两项研究未报告文化适应过程。12 项研究证实了内容有效性、内部一致性、标准有效性、结构有效性、可靠性、一般判别有效性、Cronbach's alpha 值和一般组内相关系数值。Cronbach's alpha 值范围为 0.69 至 0.96。证据的确定性被认为是中等和低等。本研究存在一些局限性，例如一些综述研究中缺乏信息、巴西仪器不可用以及一些仪器缺乏纵向验证。
总之，有 14 种 OHRQoL 仪器适用于巴西成年人，研究人员和临床医生可以谨慎使用，因为它们的证据确定性为中等和低等。
