The MOHIP-14PW (Modified Oral Health Impact Profile 14-Item Version for Pregnant Women): A Real-World Study of Its Psychometric Properties and Relationship with Patient-Reported Oral Health
Abstract
:1. Introduction
2. Methods
2.1. Participant Recruitment
2.2. Data Collection
2.2.1. Survey
2.2.2. Data Management
2.3. Data Analysis
2.3.1. Item-Level Analysis of the OHIP-14 and the Patient-Reported Oral Health
2.3.2. Dimension-Level Analysis of the OHIP-14 and the Patient-Reported Oral Health
2.3.3. Measure-Level Analysis of the OHIP-14
2.3.4. Comparisons of the Relationship of Patient-Reported Oral Health with Dimension Scores from OHIP-14 versus MOHIP-14PW
3. Results
3.1. Demographics of Participants
3.2. Psychometric Properties of the OHIP-14 and the MOHIP-14PW
3.2.1. Item Level
3.2.2. Dimension Level
3.2.3. Measure-Level
3.3. Relationships of the Dimension Scores with Patient-Reported Oral Health
4. Discussion
4.1. Interpretation of the New Three-Dimensional Factor Structure of the MOHIP-14PW
4.2. Advantages and Innovations of the MOHIP-14PW
4.3. Future Directions
5. Conclusions
Author Contributions
Funding
Institutional Review Board Statement
Informed Consent Statement
Data Availability Statement
Acknowledgments
Conflicts of Interest
References
- Peres, M.A.; Macpherson, L.M.; Weyant, R.J.; Daly, B.; Venturelli, R.; Mathur, M.R.; Listl, S.; Celeste, R.K.; Guarnizo-Herreño, C.C.; Kearns, C.; et al. Oral diseases: A global public health challenge. Lancet 2019, 394, 249–260. [Google Scholar] [CrossRef]
- Fakheran, O.; Saied-Moallemi, Z.; Khademi, A.; Sahebkar, A. Oral Health-Related Quality of Life during Pregnancy: A Systematic Review. Curr. Pharm. Des. 2020, 26, 4014–4021. [Google Scholar] [CrossRef] [PubMed]
- Acharya, S.; Bhat, P.V. Oral-health-related quality of life during pregnancy. J. Public Health Dent. 2009, 69, 74–77. [Google Scholar] [CrossRef] [PubMed]
- Russell, S.L.; Kerpen, S.J.; Rabin, J.M.; Burakoff, R.P.; Yang, C.; Huang, S.S. A Successful Dental Care Referral Program for Low-Income Pregnant Women in New York. Int. J. Environ. Res. Public Health 2021, 18, 12724. [Google Scholar] [CrossRef] [PubMed]
- Slade, G.D.; Strauss, R.P.; Atchison, K.; Kressin, N.; Locker, D.; Reisine, S.T. Conference summary: Assessing oral health outcomes--measuring health status and quality of life. Community Dent. Health 1998, 15, 3–7. [Google Scholar] [PubMed]
- Thomson, W.M.; Broder, H.L. Oral–Health–Related Quality of Life in children and adolescents. Pediatric Clin. 2018, 65, 1073–1084. [Google Scholar] [CrossRef]
- Yang, C.; Crystal, Y.; Ruff, R.; Veitz-Keenan, A.; McGowan, R.; Niederman, R. Quality Appraisal of Child Oral Health–Related Quality of Life Measures: A Scoping Review. JDR Clin. Transl. Res. 2020, 5, 109–117. [Google Scholar] [CrossRef]
- Haag, D.; Peres, K.; Balasubramanian, M.; Brennan, D. Oral Conditions and Health-Related Quality of Life: A Systematic Review. J. Dent. Res. 2017, 96, 864–874. [Google Scholar] [CrossRef]
- Tsakos, G.; Allen, F. Oral Health-Related Quality of Life, in Oral Epidemiology; Peres, M.A., Watt, R.G., Eds.; Springer: Berlin/Heidelberg, Germany, 2021; pp. 319–332. [Google Scholar]
- Slade, G.D.; Spencer, A.J. Development and evaluation of the oral health impact profile. Community Dent. Health 1994, 11, 3–11. [Google Scholar] [PubMed]
- Slade, G.D. Derivation and validation of a short-form oral health impact profile. Community Dent. Oral Epidemiol. 1997, 25, 284–290. [Google Scholar] [CrossRef] [PubMed]
- Riva, F.; Seoane, M.; Reichenheim, M.E.; Tsakos, G.; Celeste, R.K. Adult oral health-related quality of life instruments: A systematic review. Community Dent. Oral Epidemiol. 2021, 1–6. [Google Scholar] [CrossRef] [PubMed]
- Locker, D.; Jokovic, A.; Clarke, M. Assessing the responsiveness of measures of oral health-related quality of life. Community Dent. Oral Epidemiol. 2004, 32, 10–18. [Google Scholar] [CrossRef] [PubMed]
- Musskopf, M.L.; Milanesi, F.C.; da Rocha, J.M.; Fiorini, T.; Moreira, C.H.C.; Susin, C.; Rösing, C.K.; Weidlich, P.; Oppermann, R.V. Oral health related quality of life among pregnant women: A randomized controlled trial. Braz. Oral Res. 2018, 32, e002. [Google Scholar] [CrossRef] [PubMed]
- Schierz, O.; Baba, K.; Fueki, K. Functional Oral Health-Related Quality of Life Impact: A Systematic Review in Populations with Tooth Loss. J. Oral Rehabil. 2021, 48, 256–270. [Google Scholar] [CrossRef] [PubMed]
- John, M.T.; Reißmann, D.R.; Feuerstahler, L.; Waller, N.; Baba, K.; Larsson, P.; Čelebić, A.; Szabo, G.; Rener-Sitar, K. Factor analyses of the Oral Health Impact Profile–Overview and studied population. J. Prosthodont. Res. 2014, 58, 26–34. [Google Scholar] [CrossRef] [PubMed] [Green Version]
- Soares, G.; Santiago, P.; Werneck, R.; Michel-Crosato, E.; Jamieson, L. A psychometric network analysis of OHIP-14 across Australian and Brazilian populations. JDR Clin. Transl. Res. 2021, 6, 333–342. [Google Scholar] [CrossRef] [PubMed]
- Santos, C.M.d.; de Oliveira, B.H.; Nadanovsky, P.; Hilgert, J.B.; Celeste, R.K.; Hugo, F.N. Oral Health Impact Profile-14::¿ una escala unidimensional? Cad. D Saúde. Pública. 2013, 29, 749–757. [Google Scholar] [CrossRef]
- Brennan, D.S.; Spencer, A.J. Dimensions of oral health related quality of life measured by EQ-5D+ and OHIP-14. Health Qual. Life Outcomes 2004, 2, 35. [Google Scholar] [CrossRef] [Green Version]
- Xin, W.; Ling, J. Validation of a Chinese version of the oral health impact profile-14. Chin. J. Stomatol. 2006, 41, 242–245. [Google Scholar]
- Sousa, F.; Yang, C.; Oliveria, V.B.; Russell, S.L.; Niederman, R.; Rego, R.O. Severe Periodontitis and OHRQoL Measured by the OHIP-14. In Proceedings of the 2020 IADR/AADR/CADR General Session, Washington, DC, USA, 18 March 2020. [Google Scholar]
- Boggess, K.A.; Urlaub, D.M.; Massey, K.E.; Moos, M.-K.; Matheson, M.B.; Lorenz, C. Oral hygiene practices and dental service utilization among pregnant women. J. Am. Dent. Assoc. 2010, 141, 553–561. [Google Scholar] [CrossRef] [Green Version]
- IBM. IBM SPSS Statistics for Window; IBM Corp: Armonk, NY, USA, 2017. [Google Scholar]
- DeVellis, R.F.; Thorpe, C.T. Scale Development: Theory and Applications; Sage Publications: Sauzende Oaks, CA, USA, 2021. [Google Scholar]
- Cronbach, L.J. Coefficient alpha and the internal structure of tests. Psychometrika 1951, 16, 297–334. [Google Scholar] [CrossRef] [Green Version]
- Cronbach, L.J.; Shavelson, R.J. My current thoughts on coefficient alpha and successor procedures. Educ. Psychol. Meas. 2004, 64, 391–418. [Google Scholar] [CrossRef]
- Kline, R.B. Principles and Practice of Structural Equation Modeling, 4th ed.; Guilford Publications: New York, NY, USA, 2015. [Google Scholar]
- Yang, C.; Garrett-Mayer, E.; Schneider, J.S.; Gollomp, S.M.; Tilley, B.C. Repeatable battery for assessment of neuropsychological status in early Parkinson’s disease. Mov. Disord. 2009, 24, 1453–1460. [Google Scholar] [CrossRef] [PubMed]
- Brown, T.A. Confirmatory Factor Analysis for Applied Research; Guilford Publications: New York, NY, USA, 2015. [Google Scholar]
- Muthén, L.K.; Muthén, B.O. Mplus User’s Guide (1998–2017), 8th ed.; Muthén & Muthén: Los Angeles, CA, USA, 2017. [Google Scholar]
- Stewart, A.L.; Thrasher, A.D.; Goldberg, J.; Shea, J.A. A framework for understanding modifications to measures for diverse populations. J. Aging Health 2012, 24, 992–1017. [Google Scholar] [CrossRef] [PubMed] [Green Version]
- Yang, C.; Ford, M.E.; Tilley, B.C.; Greene, R.L. Religiosity in black and white older Americans: Measure adaptation, psychometric validation, and racial difference. Medicine 2016, 95, e4257. [Google Scholar] [CrossRef] [PubMed]
- Humphris, G.M.; Morrison, T.; Lindsay, S. The Modified Dental Anxiety Scale: Validation and United Kingdom norms. Community Dent. Health 1995, 12, 143–150. [Google Scholar]
- Corah, N.L.; Gale, E.N.; Illig, S.J. Assessment of a dental anxiety scale. J. Am. Dent. Assoc. 1978, 97, 816–819. [Google Scholar] [CrossRef]
- Corah, N.L. Development of a dental anxiety scale. J. Dent. Res. 1969, 48, 596. [Google Scholar] [CrossRef]
- Yang, C.; Vrana, K.E. Rescuing Suboptimal Patient-Reported Outcome Instrument Data in Clinical Trials: A New Strategy. Healthcare 2018, 6, 27. [Google Scholar] [CrossRef] [Green Version]
- Green, M.J.; van Scoy, L.J.; Foy, A.J.; Stewart, R.R.; Sampath, R.; Schubart, J.R.; Lehman, E.B.; Dimmock, A.E.F.; Bucher, A.M.; Lehmann, L.S.; et al. A randomized controlled trial of strategies to improve family members’ preparedness for surrogate decision-making. Am. J. Hosp. Palliat. Med. 2018, 35, 866–874. [Google Scholar] [CrossRef]
- Nolan, M.T.; Hughes, M.T.; Kub, J.; Terry, P.B.; Astrow, A.; Thompson, R.E.; Clawson, L.; Texeira, K.; Sulmasy, D.P. Development and validation of the family decision-making self-efficacy scale. Palliat. Supportive Care 2009, 7, 315–321. [Google Scholar] [CrossRef] [PubMed]
- Yang, C.; Zhao, W. On the relationship between the modified Rankin scale (mRS) and the NIH stroke scale (NIHSS). In Proceedings of the 36th Annual Meeting of the Society for Clinical Trials (SCT), The Society for Clinical Trials (SCT), Arlington, VI, USA, 17–20 May 2015. [Google Scholar]
- Brott, T.; Adams, H.P.; Olinger, C.P.; Marler, J.R.; Barsan, W.G.; Biller, J.; Spilker, J.; Holleran, R.; Eberle, R.; Hertzberg, V. Measurements of acute cerebral infarction: A clinical examination scale. Stroke 1989, 20, 864–870. [Google Scholar] [CrossRef] [PubMed] [Green Version]
- Randolph, C.; Tierney, M.C.; Mohr, E.; Chase, T.N. The Repeatable Battery for the Assessment of Neuropsychological Status (RBANS): Preliminary clinical validity. J. Clin. Exp. Neuropsychol. 1998, 20, 310–319. [Google Scholar] [CrossRef] [PubMed]
Demographic Characteristics | Mean ± SD/n (%) |
---|---|
Age (years) | 26.5 ± 5.4 |
Race/ethnicity | |
White | 31 (11.7%) |
Black | 85 (32.1%) |
Asian | 37 (14.0%) |
Hispanic | 112 (42.3%) |
Place of birth | |
USA | 136 (46.9%) |
Puerto Rico (USA) | 9 (3.1%) |
Caribbean (other than Puerto Rico) | 40 (13.8%) |
Central/South America | 59 (20.3%) |
South Asia | 22 (7.6%) |
Other Asia | 16 (5.5%) |
Other | 8 (2.8%) |
Education | |
Lower than high school | 52 (17.9%) |
High school/some college | 182 (62.8%) |
College graduate or above | 56 (19.3%) |
Household income | |
≤USD 15,000/year | 88 (30.2%) |
USD 15,001–40,000/year | 109 (37.5%) |
≥USD 40,001/year | 94 (32.3%) |
Marital status | |
Married/living as married | 225 (77.6%) |
Others | 65 (22.4%) |
Parity | |
No previous live births | 148 (51.4%) |
1 previous live birth | 73 (25.3%) |
≥2 previous live births | 67 (23.3%) |
OHIP-14 Item | Brief Description | N | Mean | SD | Median | Distribution of Responses (%) | ||||
---|---|---|---|---|---|---|---|---|---|---|
0 | 1 | 2 | 3 | 4 | ||||||
1 | Difficulty in pronunciation | 283 | 0.16 | 0.48 | 0.0 | 88.0 | 8.8 | 2.5 | 0.7 | 0.0 |
2 | Deterioration of taste | 278 | 0.23 | 0.62 | 0.0 | 85.3 | 9.0 | 4.0 | 1.4 | 0.4 |
3 | Pain in the mouth | 277 | 0.56 | 0.89 | 0.0 | 66.8 | 14.1 | 16.2 | 2.2 | 0.7 |
4 | Discomfort while chewing food | 277 | 0.43 | 0.86 | 0.0 | 76.2 | 9.7 | 10.8 | 1.8 | 1.4 |
5 | Self-conscious about teeth, mouth, and dentures | 275 | 0.63 | 1.09 | 0.0 | 68.7 | 11.3 | 13.1 | 2.5 | 4.4 |
6 | Tensed due to problems of your teeth and mouth | 277 | 0.38 | 0.82 | 0.0 | 77.3 | 12.3 | 6.9 | 2.2 | 1.4 |
7 | Diet unsatisfactory due to dental problems | 277 | 0.18 | 0.58 | 0.0 | 88.1 | 7.2 | 3.6 | 0.4 | 0.7 |
8 | Interruption during meals due to dental problems | 276 | 0.33 | 0.77 | 0.0 | 81.2 | 8.7 | 8.0 | 0.7 | 1.4 |
9 | Difficulty in relaxing due to dental problems | 277 | 0.22 | 0.56 | 0.0 | 84.5 | 10.5 | 4.0 | 1.1 | 0.0 |
10 | Embarrassment due to dental issues | 278 | 0.42 | 0.85 | 0.0 | 74.8 | 12.9 | 9.0 | 1.4 | 1.8 |
11 | Irritability with others due to dental problems | 277 | 0.18 | 0.57 | 0.0 | 88.4 | 6.5 | 3.2 | 1.8 | 0.0 |
12 | Difficulty in doing usual jobs due to dental problems | 278 | 0.13 | 0.46 | 0.0 | 91.4 | 5.8 | 1.8 | 1.1 | 0.0 |
13 | Less satisfaction in life due to dental issues | 278 | 0.17 | 0.53 | 0.0 | 88.8 | 6.8 | 3.6 | 0.4 | 0.4 |
14 | Total unable to function due to dental issues | 278 | 0.12 | 0.44 | 0.0 | 91.7 | 4.7 | 3.2 | 0.4 | 0.0 |
Patient-reported oral health | Overall condition of your oral health | 1 | 2 | 3 | 4 | 5 | ||||
290 | 2.94 | 0.90 | 3.00 | 6.9 | 20.0 | 47.9 | 22.4 | 2.8 |
OHIP-14 Item | 1 | 2 | 3 | 4 | 5 | 6 | 7 | 8 | 9 | 10 | 11 | 12 | 13 | 14 |
---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
1 | (0.67) | |||||||||||||
2 | 0.50 | |||||||||||||
3 | 0.28 | 0.34 | (0.72) | |||||||||||
4 | 0.36 | 0.38 | 0.56 | |||||||||||
5 | 0.34 | 0.40 | 0.22 | 0.44 | (0.70) | |||||||||
6 | 0.40 | 0.45 | 0.32 | 0.53 | 0.54 | |||||||||
7 | 0.45 | 0.52 | 0.29 | 0.46 | 0.39 | 0.50 | (0.72) | |||||||
8 | 0.46 | 0.50 | 0.39 | 0.58 | 0.40 | 0.45 | 0.56 | |||||||
9 | 0.58 | 0.56 | 0.41 | 0.51 | 0.35 | 0.51 | 0.51 | 0.63 | (0.64) | |||||
10 | 0.27 | 0.34 | 0.31 | 0.51 | 0.55 | 0.54 | 0.40 | 0.38 | 0.47 | |||||
11 | 0.47 | 0.52 | 0.26 | 0.47 | 0.44 | 0.56 | 0.55 | 0.61 | 0.59 | 0.49 | (0.74) | |||
12 | 0.57 | 0.48 | 0.33 | 0.45 | 0.30 | 0.42 | 0.63 | 0.51 | 0.53 | 0.40 | 0.59 | |||
13 | 0.47 | 0.45 | 0.27 | 0.40 | 0.36 | 0.45 | 0.64 | 0.49 | 0.57 | 0.53 | 0.58 | 0.64 | (0.77) | |
14 | 0.50 | 0.52 | 0.34 | 0.43 | 0.32 | 0.43 | 0.61 | 0.49 | 0.54 | 0.44 | 0.61 | 0.67 | 0.62 | |
Overall oral health | 0.14 | 0.07 | 0.22 | 0.15 | 0.21 | 0.21 | 0.12 | 0.16 | 0.11 | 0.28 | 0.14 | 0.17 | 0.18 | 0.09 |
Item # | Original Dimension | Modified Dimension | ||
---|---|---|---|---|
Dimension Name | Factor Loading | Dimension Name | Factor Loading | |
1 | Functional Limitation | 0.834 | Physical Impact | 0.804 |
2 | Functional Limitation | 0.867 | Physical Impact | 0.834 |
3 | Physical Pain | 0.723 | Pain Impact | 0.720 |
4 | Physical Pain | 1.004 | Pain Impact | 1.008 |
5 | Psychological Discomfort | 0.734 | Psychological Impact | 0.724 |
6 | Psychological Discomfort | 0.895 | Psychological Impact | 0.889 |
7 | Physical Disability | 0.859 | Physical Impact | 0.854 |
8 | Physical Disability | 0.900 | Physical Impact | 0.897 |
9 | Psychological Disability | 0.870 | Physical Impact | 0.906 |
10 | Psychological Disability | 0.761 | Psychological Impact | 0.853 |
11 | Social Disability | 0.922 | Physical Impact | 0.924 |
12 | Social Disability | 0.961 | Physical Impact | 0.963 |
13 | Handicap | 0.904 | Physical Impact | 0.889 |
14 | Handicap | 0.961 | Physical Impact | 0.947 |
Model Fit Indexes | ||||
Chi-Square | 115.364 | 115.276 | ||
Df | 56 | 74 | ||
NC | 2.060 | 1.558 | ||
RMSEA (95% CI) | 0.061 (0.045, 0.077) | 0.044 (0.028, 0.059) | ||
CFI | 0.990 | 0.993 | ||
TLI | 0.984 | 0.992 | ||
SRMR | 0.040 | 0.039 |
Original: OHIP-14 | Modified: MOHIP-14PW | ||
---|---|---|---|
Dimension Name | Spearman Correlation with Overall Oral Health | Dimension Name | Spearman Correlation with Overall Oral Health |
Functional Limitation | 0.13 | Physical Impact | 0.23 |
Physical Pain | 0.21 | Psychological Impact | 0.29 |
Psychological Discomfort | 0.23 | Pain Impact | 0.21 |
Physical Disability | 0.16 | ||
Psychological Disability | 0.28 | ||
Social Disability | 0.16 | ||
Handicap | 0.19 | ||
Average | 0.19 | Average | 0.24 |
Range | (0.13, 0.28) | Range | (0.21, 0.29) |
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Yang, C.; Huang, S.S.; Moore Simas, T.A.; Silk, H.; Savageau, J.A.; Russell, S.L. The MOHIP-14PW (Modified Oral Health Impact Profile 14-Item Version for Pregnant Women): A Real-World Study of Its Psychometric Properties and Relationship with Patient-Reported Oral Health. Healthcare 2022, 10, 461. https://doi.org/10.3390/healthcare10030461
Yang C, Huang SS, Moore Simas TA, Silk H, Savageau JA, Russell SL. The MOHIP-14PW (Modified Oral Health Impact Profile 14-Item Version for Pregnant Women): A Real-World Study of Its Psychometric Properties and Relationship with Patient-Reported Oral Health. Healthcare. 2022; 10(3):461. https://doi.org/10.3390/healthcare10030461
Chicago/Turabian StyleYang, Chengwu, Shulamite S. Huang, Tiffany A. Moore Simas, Hugh Silk, Judith A. Savageau, and Stefanie L. Russell. 2022. "The MOHIP-14PW (Modified Oral Health Impact Profile 14-Item Version for Pregnant Women): A Real-World Study of Its Psychometric Properties and Relationship with Patient-Reported Oral Health" Healthcare 10, no. 3: 461. https://doi.org/10.3390/healthcare10030461
APA StyleYang, C., Huang, S. S., Moore Simas, T. A., Silk, H., Savageau, J. A., & Russell, S. L. (2022). The MOHIP-14PW (Modified Oral Health Impact Profile 14-Item Version for Pregnant Women): A Real-World Study of Its Psychometric Properties and Relationship with Patient-Reported Oral Health. Healthcare, 10(3), 461. https://doi.org/10.3390/healthcare10030461