Turkish Validity and Reliability of Oral Health Impact on Daily Life Questionnaire in Endodontic Patients

Abstract

Aim: Oral health has an important role in the general health. It was aimed to evaluate the validity and reliability of Turkish version of Oral Health Impact on Daily Life Questionnaire (OHIDL) in adult endodontic patients. Material and Method: The OHIDL was translated and adapted into Turkish. The Turkish version of OHIDL (Turkish-OHIDL) and Turkish version of the Oral Health Impact Scale (OHIP-14-TR) were applied to 222 adult endodontic patients (18 years and older) with no systemic disease. The reliability of the questionnaire was examined by test-retest reliability and internal consistency. The validity was evaluated by the correlations between domains and global questions, and between Turkish-OHIDL and OHIP-14-TR. The structure of the hypothesized domains of the OHIDL was analyzed by confirmatory factor analysis (CFA). Results: The Turkish-OHIDL exhibited high internal consistency (Cronbach's alpha=0.89) and test-retest reliability (Intraclass Correlation Coefficient=0.86). There was a significant correlation between Turkish-OHIDL and OHIP-14-TR among all domains. There was a very strong correlation in terms of total score as well (rs: 0.78, p<0.001). The total OHIDL score showed the highest correlation with the global question regarding the overall impact of oral health on daily life (G3/rs:0.54), indicating a moderate correlation. Five factors containing more than one item, were statistically verified as acceptable fit using CFA. Conclusion: Turkish-OHIDL has been proven as a valid and reliable tool for the measurement of oral health-related quality of life.

Keywords

• Oral Health Impact on Daily Life Questionnaire
• Oral Health Impact Scale
• Oral health
• Quality of life

References

1. Hanisch M, Hoffmann T, Bohner L, et al. Rare diseases with periodontal manifestations. Int J Environ Res Public Health. 2019;16:867.
2. Fiorillo L. Oral health: the first step to well-being. Medicina (Kaunas). 2019;55:676.
3. Beecher T, James P, Browne J, et al. Dental patient reported outcome and oral health-related quality of life measures: protocol for a systematic evidence map of reviews. BDJ Open. 2021;7:6.
4. Su N, van Wijk A, Visscher CM. Psychosocial oral health-related quality of life impact: a systematic review. J Oral Rehabil. 2021;48:282-92.
5. Hebling E, Pereira AC. Oral health-related quality of life: a critical appraisal of assessment tools used in elderly people. Gerodontology. 2007;24:151-61.
6. Zaror C, Pardo Y, Espinoza-Espinoza G, et al. Assessing oral health-related quality of life in children and adolescents: a systematic review and standardized comparison of available instruments. Clin Oral Investig. 2019;23:65-79.
7. Andiappan M, Gao W, Bernabé E, et al. Malocclusion, orthodontic treatment, and the Oral Health Impact Profile (OHIP-14): Systematic review and meta-analysis. Angle Orthod. 2015;85:493-500.
8. Malicka B, Skośkiewicz-Malinowska K, Kaczmarek U. The impact of socioeconomic status, general health and oral health on Health-Related Quality of Life, Oral Health-Related Quality of Life and mental health among Polish older adults. BMC Geriatr. 2022;22:2.

9. Wąsacz K, Hukowska D, Chomyszyn-Gajewska M. Oral health impact profile in adult Polish population. Folia Med Cracov. 2022;62:135-47.
10. Yu X, Chen Y, Li Y, Hong J, Hua F. A bibliometric mapping study of the literature on oral health-related quality of life. J Evid Based Dent Pract. 2023;23:101780.
11. Liu J, Wong MCM, Lo ECM. Development of Oral Health Impacts on Daily Living Questionnaire items - a qualitative study. Chin J Dent Res. 2017;20:79-88.
12. Liu J, Wong MCM, Lo ECM. Validation of the Oral Health Impact on Daily Life Questionnaire (OHIDL) among Hong Kong older adults. Gerodontology. 2020;37:143-52.
13. Liu J, Wong MCM, Lo ECM. The use of Oral Health Impact on Daily Living (OHIDL) transition scale in measuring the change in oral health-related quality of life among older adults. BMC Oral Health. 2021;21:230.
14. Peduzzi P, Concato J, Kemper E, et al. A simulation study of the number of events per variable in logistic regression analysis. J Clin Epidemiol. 1996;49:1373-9.
15. Ozsoy-Unubol T, Unal-Ulutatar C. Cross-cultural adaptation and validation of the Turkish version of Centrality of Pain Scale in patients with fibromyalgia syndrome. Int J Rheum Dis. 2020;23:772-7.
16. Beaton DE, Bombardier C, Guillemin F, Ferraz MB. Guidelines for the process of cross-cultural adaptation of self-report measures. Spine (Phila Pa 1976). 2000;25:3186-91.
17. Başol ME, Karaağaçlıoğlu L, Yılmaz B. Developing a Turkish Oral Health Impact Profile-OHIP-14-TR. Turkiye Klinikleri J Dental Sci. 2014;20:85-92.
18. Cronbach LJ. Coefficient alpha and the internal structure of tests. Psychometrika. 1951;16:297-334.
19. Koo TK, Li MY. A Guideline of selecting and reporting intraclass correlation coefficients for reliability research. J Chiropr Med. 2016;15:155-63. Erratum in: J Chiropr Med. 2017;16:346.
20. Akoglu H. User’s guide to correlation coefficients. Turk J Emerg Med. 2018;18:91-3.
21. Schermelleh-Engel K, Moosbrugger H. Evaluating the fit of structural equation models: tests of significance and descriptive goodness-of-fit measures. MPR-online. 2003;8:23-74.
22. McHorney CA, Tarlov AR. Individual-patient monitoring in clinical practice: are available health status surveys adequate?. Qual Life Res. 1995;4:293-307.
23. Shek DTL, Yu L. Confirmatory factor analysis using AMOS: a demonstration. International Journal on Disability and Human Development. 2014;13:191-204.
24. Riva F, Seoane M, Reichenheim ME, et al. Adult oral health-related quality of life instruments: a systematic review. Community Dent Oral Epidemiol. 2022;50:333-8.
25. Jaiswal A, Zaveri M, Unjia A, et al. Patient satisfaction and oral health-related quality of life before and after endodontic treatment: a longitudinal study. J Pharm Bioallied Sci. 2023;15:S1000-2.
26. Liu P, McGrath C, Cheung GSP. Improvement in oral health-related quality of life after endodontic treatment: a prospective longitudinal study. J Endod. 2014;40:805-10.
27. Orcan F. Exploratory and confirmatory factor analysis: which one to use first?. Journal of Measurement and Evaluation in Education and Psychology. 2018;9:413-21.
28. Banerjee R, Chahande J, Banerjee S, Radke U. Evaluation of relationship between nutritional status and oral health related quality of life in complete denture wearers. Indian J Dent Res. 2018;29:562-7.
29. Zenthöfer A, Ehret J, Zajac M, et al. The effects of dental status and chewing efficiency on the oral-health-related quality of life of nursing-home residents. Clin Interv Aging. 2020;15:2155-64.
30. Sargolzaie N, Moeintaghavi A, Shojaie H. Comparing the quality of life of patients requesting dental implants before and after implant. Open Dent J. 2017;11:485-91.
31. Pousette Lundgren G, Karsten A, Dahllöf G. Oral health-related quality of life before and after crown therapy in young patients with amelogenesis imperfecta. Health Qual Life Outcomes. 2015;13:197.
32. Batista MJ, Lawrence HP, de Sousa M da LR. Impact of tooth loss related to number and position on oral health quality of life among adults. Health Qual Life Outcomes. 2014;12:165.
33. Yu SJ, Chen P, Zhu GX. Relationship between implantation of missing anterior teeth and oral health-related quality of life. Qual Life Res. 2013;22:1613-20.
34. Renton T. Tooth-related pain or not?. Headache. 2020;60:235-46.
35. Mejàre IA, Axelsson S, Davidson T, et al. Diagnosis of the condition of the dental pulp: a systematic review. Int Endod J. 2012;45:597-613.
36. Levin LG, Law AS, Holland GR, et al. Identify and define all diagnostic terms for pulpal health and disease states. J Endod. 2009;35:1645-57.
37. Dou L, Vanschaayk MM, Zhang Y, et al. The prevalence of dental anxiety and its association with pain and other variables among adult patients with irreversible pulpitis. BMC Oral Health. 2018;18:101.
38. Van Wijk AJ, Hoogstraten J. Experience with dental pain and fear of dental pain. J Dent Res. 2005;84:947-50.