Department of Pediatric Dentistry, University Clinic of Dentistry, Medical University of Vienna, Vienna, Austria.
Department of Diagnostic and Biological Sciences, School of Dentistry, Division of Epidemiology & Community Health, School of Public Health, University of Minnesota, Minneapolis, MN, USA.
J Evid Based Dent Pract. 2024 Jan;24(1S):101947. doi: 10.1016/j.jebdp.2023.101947. Epub 2023 Oct 18.
Different dental patient-reported outcome measures (dPROMs) exist for children and adults, leading to an incompatibility in outcome assessment in these 2 age groups. However, the dental patient-reported outcomes (dPROs) Oral Function, Orofacial Pain, Orofacial Appearance, and Psychosocial Impact are the same in the 2 groups, providing an opportunity for compatible dPRO assessment if dPROMs were identical. Therefore, we adapted the 5-item Oral Health Impact Profile (OHIP-5), a recommended dPROM for adults, to school-aged children to allow a standardized dPRO assessment in individuals aged 7 years and above.
It was the aim of this study to develop a 5-item OHIP for school-aged children (OHIP-5) and to investigate the instrument's score reliability and validity.
German-speaking children (N = 95, mean age: 8.6 years +/- 1.3 years, 55% girls) from the Department of Pediatric Dentistry at the Medical University of Vienna, Austria and a private dental practice in Bergisch Gladbach, Germany participated. The original OHIP-5 was modified and adapted for school going children aged 7-13 years and this modified version was termed OHIP-5. It's score reliability was studied by determining scores' internal consistency and temporal stability by calculating Cronbach's alpha and intraclass correlation coefficients, respectively. Construct validity was assessed comparing OHIP-5 scores with OHIP-5 as well as Child Perceptions Questionnaire (CPQ-G) scores.
Score reliability for the OHIP-5 was "good" (Cronbach's alpha: 0.81) or "excellent" (Intraclass correlation coefficient: 0.92). High correlations between OHIP-5, OHIP-5, and CPQ-G scores were observed and hypotheses about a pattern of these correlations were confirmed, providing evidence for score validity.
The OHIP-5 and the original OHIP-5 are short and psychometrically sound instruments to measure the oral health related quality of life in school-aged children, providing an opportunity for a standardized oral health impact assessment with the same metric in school-aged children, adolescents, and adults.
不同的牙科患者报告结局测量工具（dPROMs）适用于儿童和成人，导致这两个年龄组的结局评估不兼容。然而，口腔功能、口腔颌面疼痛、口腔颌面外观和心理社会影响这四项牙科患者报告结局（dPROs）在这两个群体中是相同的，如果 dPROMs 相同，则提供了兼容的 dPRO 评估的机会。因此，我们改编了五项口腔健康影响量表（OHIP-5），这是一种推荐用于成人的 dPROM，使其适用于 7 岁及以上的学龄儿童，以实现标准化的个体 dPRO 评估。
本研究旨在开发一种适用于学龄儿童的五项 OHIP（OHIP-5），并探讨该工具的评分可靠性和有效性。
来自奥地利维也纳医科大学儿科牙科系和德国贝尔吉施格拉德巴赫私人牙科诊所的德语国家儿童（N=95，平均年龄：8.6 岁±1.3 岁，55%为女孩）参与了这项研究。对原始的 OHIP-5 进行了修改和改编，使其适用于 7-13 岁的学龄儿童，并将其称为 OHIP-5。通过计算 Cronbach's alpha 和组内相关系数，分别评估评分的内部一致性和时间稳定性，研究其评分可靠性。通过比较 OHIP-5 评分与 OHIP-5 和儿童感知问卷（CPQ-G）评分，评估结构效度。
OHIP-5 的评分可靠性为“良好”（Cronbach's alpha：0.81）或“优秀”（组内相关系数：0.92）。OHIP-5、OHIP-5 和 CPQ-G 评分之间存在高度相关性，假设这些相关性的模式得到了证实，为评分的有效性提供了证据。
OHIP-5 和原始 OHIP-5 是简短且具有良好心理测量学特性的工具，可用于测量学龄儿童的口腔健康相关生活质量，为使用相同指标对学龄儿童、青少年和成人进行标准化口腔健康影响评估提供了机会。
