Fernando Oyarzo Juan, Manriquez Carolina, Durham Justin
TMD and Orofacial Pain Program, Faculty of Odontology, Universidad Andres Bello, Santiago, Chile.
School of Dental Sciences, Newcastle University, Newcastle-Upon-Tyne, UK.
J Oral Rehabil. 2025 Feb;52(2):137-143. doi: 10.1111/joor.13881. Epub 2024 Oct 31.
Structured patient-centred assessment is critical for improving care. OHIP-TMDs are a validated English-language outcome measure for temporomandibular disorders (TMD) which evaluates the biopsychosocial impact of TMD. Due to language and cultural changes, the original instrument's phrasing of its items may change when translated to Spanish. This study cross-culturally adapted and validated OHIP-TMDs for Spanish-speaking individuals with TMD.
OHIP-TMDs was forward-backward translated into Spanish (OHIP-TMDs-Sp) and cross-culturally adapted to a Hispanic population with TMD (Diagnostic Criteria for TMD n = 154) according to international norms. All patients completed the OHIP-TMDs-Sp, the Graded Chronic Pain Scale (GCPS), and Jaw Functional Limitation Scale (JFLS-20). A subsample (n = 30) recompleted the OHIP-TMDs-Sp after a 3-week washout to measure test-retest reliability using an intra-class correlation coefficient (ICC 2.1). OHIP-TMDs-Sp, JFLS-20, and GCPS were analysed for convergent validity and internal consistency.
The sample with articular and muscular TMD diagnoses was 85.7% female with a mean age of 29.5. (SD 9.01). OHIP-TMDs-Sp had high internal reliability (Cronbach's Alpha = 0.95) and good test-retest reliability (ICC = 0.82; 95% CI = 0.57-0.93). In terms of convergent validity, the OHIP-TMDs-Sp demonstrated moderate to large positive correlations with the total JLFS-20 score (ρ = 0.72; p < 0.01), Mastication (ρ = 0.68; p < 0.01), Communication (ρ = 0.68; p < 0.001), as well to GCPS disability score (ρ = 0.59; p < 0.01), and characteristic pain intensity (ρ = 0.69; p < 0.01).
The total score of OHIP-TMDs-Sp is reliable for assessing quality-of-life in Spanish-speaking TMD patients.
以患者为中心的结构化评估对于改善医疗护理至关重要。OHIP-TMDs是一种经过验证的用于颞下颌关节紊乱症（TMD）的英语语言结局指标，用于评估TMD的生物心理社会影响。由于语言和文化差异，原始工具的项目措辞在翻译成西班牙语时可能会发生变化。本研究对OHIP-TMDs进行跨文化改编并验证，以用于讲西班牙语的TMD患者。
将OHIP-TMDs进行前后向翻译为西班牙语（OHIP-TMDs-Sp），并根据国际规范对患有TMD的西班牙裔人群（TMD诊断标准，n = 154）进行跨文化改编。所有患者均完成了OHIP-TMDs-Sp、分级慢性疼痛量表（GCPS）和下颌功能受限量表（JFLS-20）。一个子样本（n = 30）在3周洗脱期后重新完成OHIP-TMDs-Sp，以使用组内相关系数（ICC 2.1）测量重测信度。对OHIP-TMDs-Sp、JFLS-20和GCPS进行收敛效度和内部一致性分析。
诊断为关节性和肌肉性TMD的样本中女性占85.7%，平均年龄为29.5岁（标准差9.01）。OHIP-TMDs-Sp具有较高的内部信度（Cronbach's Alpha = 0.95）和良好的重测信度（ICC = 0.82；95%可信区间 = 0.57 - 0.93）。在收敛效度方面，OHIP-TMDs-Sp与JLFS-20总分（ρ = 0.72；p < 0.01）、咀嚼（ρ = 0.68；p < 0.01）、交流（ρ = 0.68；p < 0.001）以及GCPS残疾评分（ρ = 0.59；p < 0.01）和特征性疼痛强度（ρ = 0.69；p < 0.01）呈现中度至高度正相关。
OHIP-TMDs-Sp的总分对于评估讲西班牙语的TMD患者的生活质量是可靠的。
