Evaluating conceptual model measurement and psychometric properties of Oral health-related quality of life instruments available for older adults: a systematic review
Abstract Background Older adults present a variety of oral diseases and conditions, in addition to co-morbidities and limited access to dental care, which significantly impact their oral health-related quality of life (OHRQoL). There are many instruments published to measure OHRQoL. However, it is c...
| Main Authors: | , , , , , , , , , |
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| Format: | Article |
| Language: | English |
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BMC
2024-01-01
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| Series: | Health and Quality of Life Outcomes |
| Subjects: | |
| Online Access: | https://doi.org/10.1186/s12955-023-02218-7 |
| _version_ | 1797355492358488064 |
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| author | Naira Figueiredo Deana Yolanda Pardo Montse Ferrer Gerardo Espinoza-Espinoza Olatz Garin Patricia Muñoz-Millán Claudia Atala-Acevedo Àngels Pont Margarita Cancino Carlos Zaror |
| author_facet | Naira Figueiredo Deana Yolanda Pardo Montse Ferrer Gerardo Espinoza-Espinoza Olatz Garin Patricia Muñoz-Millán Claudia Atala-Acevedo Àngels Pont Margarita Cancino Carlos Zaror |
| author_sort | Naira Figueiredo Deana |
| collection | DOAJ |
| description | Abstract Background Older adults present a variety of oral diseases and conditions, in addition to co-morbidities and limited access to dental care, which significantly impact their oral health-related quality of life (OHRQoL). There are many instruments published to measure OHRQoL. However, it is challenging for clinicians and researchers to choose the best instrument for a given purpose. Purpose To identify OHRQoL instruments available for older adults and summarize the evidence on the conceptual and measurement model, psychometric properties, interpretability, and administration issues of OHRQoL instruments available for older adults through a systematic review. Methods A systematic search was conducted in MEDLINE, EMBASE, LILACS, and CENTRAL up to February 2023. Articles reporting information on the concept model measurement, psychometric properties, and administration issues of an instrument measuring OHRQoL in older adults were included. Two researchers independently evaluated each instrument using the Evaluating Measures of Patient-Reported Outcomes (EMPRO) tool. The overall score and seven attribute-specific scores were calculated (range 0–100): Conceptual and measurement model, Reliability, Validity, Responsiveness, Interpretability, Burden, and Alternative forms. Results We identified 14 instruments evaluated in 97 articles. The overall score varied between 73.7 and 8.9, with only six questionnaires over the threshold score 50.0. EORTC QLQ OH-15 (cancer-specific questionnaire) achieved the highest score (73.7), followed by OHIP (generic OHRQoL questionnaire) (66.9), GOHAI (generic OHRQoL questionnaire) (65.5), and OHIDL (generic OHRQoL questionnaire) (65.2). Overall, the Conceptual and measurement model and Validity showed the best performance, while Responsiveness and Interpretability showed the worst. Insufficient information was presented for an overall evaluation of DSQ and OHAI. Conclusion The evidence supports using EORTC QLQ-OH15 as a specific instrument to assess OHRQoL in cancer patients and the OHIP-49, GOHAI, or OHIDL as generic instruments to assess OHRQoL either for cross-sectional or longitudinal studies in older adults. |
| first_indexed | 2024-03-08T14:11:57Z |
| format | Article |
| id | doaj.art-2f54bf09fb404e21871d2302f2298676 |
| institution | Directory Open Access Journal |
| issn | 1477-7525 |
| language | English |
| last_indexed | 2024-03-08T14:11:57Z |
| publishDate | 2024-01-01 |
| publisher | BMC |
| record_format | Article |
| series | Health and Quality of Life Outcomes |
| spelling | doaj.art-2f54bf09fb404e21871d2302f22986762024-01-14T12:37:22ZengBMCHealth and Quality of Life Outcomes1477-75252024-01-0122111510.1186/s12955-023-02218-7Evaluating conceptual model measurement and psychometric properties of Oral health-related quality of life instruments available for older adults: a systematic reviewNaira Figueiredo Deana0Yolanda Pardo1Montse Ferrer2Gerardo Espinoza-Espinoza3Olatz Garin4Patricia Muñoz-Millán5Claudia Atala-Acevedo6Àngels Pont7Margarita Cancino8Carlos Zaror9Department of Pediatric Dentistry and Orthodontics, Faculty of Dentistry, Universidad de La FronteraUniversitat Autònoma de BarcelonaHealth Services Research Group, IMIM (Hospital del Mar Medical Research Institute)Center for Research in Epidemiology, Economics and Oral Public Health (CIEESPO), Faculty of Dentistry, Universidad de La FronteraHealth Services Research Group, IMIM (Hospital del Mar Medical Research Institute)Department of Pediatric Dentistry and Orthodontics, Faculty of Dentistry, Universidad de La FronteraDepartment of Pediatric Dentistry and Orthodontics, Faculty of Dentistry, Universidad de La FronteraHealth Services Research Group, IMIM (Hospital del Mar Medical Research Institute)Department of Psychology, Universidad de La FronteraDepartment of Pediatric Dentistry and Orthodontics, Faculty of Dentistry, Universidad de La FronteraAbstract Background Older adults present a variety of oral diseases and conditions, in addition to co-morbidities and limited access to dental care, which significantly impact their oral health-related quality of life (OHRQoL). There are many instruments published to measure OHRQoL. However, it is challenging for clinicians and researchers to choose the best instrument for a given purpose. Purpose To identify OHRQoL instruments available for older adults and summarize the evidence on the conceptual and measurement model, psychometric properties, interpretability, and administration issues of OHRQoL instruments available for older adults through a systematic review. Methods A systematic search was conducted in MEDLINE, EMBASE, LILACS, and CENTRAL up to February 2023. Articles reporting information on the concept model measurement, psychometric properties, and administration issues of an instrument measuring OHRQoL in older adults were included. Two researchers independently evaluated each instrument using the Evaluating Measures of Patient-Reported Outcomes (EMPRO) tool. The overall score and seven attribute-specific scores were calculated (range 0–100): Conceptual and measurement model, Reliability, Validity, Responsiveness, Interpretability, Burden, and Alternative forms. Results We identified 14 instruments evaluated in 97 articles. The overall score varied between 73.7 and 8.9, with only six questionnaires over the threshold score 50.0. EORTC QLQ OH-15 (cancer-specific questionnaire) achieved the highest score (73.7), followed by OHIP (generic OHRQoL questionnaire) (66.9), GOHAI (generic OHRQoL questionnaire) (65.5), and OHIDL (generic OHRQoL questionnaire) (65.2). Overall, the Conceptual and measurement model and Validity showed the best performance, while Responsiveness and Interpretability showed the worst. Insufficient information was presented for an overall evaluation of DSQ and OHAI. Conclusion The evidence supports using EORTC QLQ-OH15 as a specific instrument to assess OHRQoL in cancer patients and the OHIP-49, GOHAI, or OHIDL as generic instruments to assess OHRQoL either for cross-sectional or longitudinal studies in older adults.https://doi.org/10.1186/s12955-023-02218-7Oral health-related quality of lifeAgedEMPROInstrumentsPsychometricsOutcome assessment |
| spellingShingle | Naira Figueiredo Deana Yolanda Pardo Montse Ferrer Gerardo Espinoza-Espinoza Olatz Garin Patricia Muñoz-Millán Claudia Atala-Acevedo Àngels Pont Margarita Cancino Carlos Zaror Evaluating conceptual model measurement and psychometric properties of Oral health-related quality of life instruments available for older adults: a systematic review Health and Quality of Life Outcomes Oral health-related quality of life Aged EMPRO Instruments Psychometrics Outcome assessment |
| title | Evaluating conceptual model measurement and psychometric properties of Oral health-related quality of life instruments available for older adults: a systematic review |
| title_full | Evaluating conceptual model measurement and psychometric properties of Oral health-related quality of life instruments available for older adults: a systematic review |
| title_fullStr | Evaluating conceptual model measurement and psychometric properties of Oral health-related quality of life instruments available for older adults: a systematic review |
| title_full_unstemmed | Evaluating conceptual model measurement and psychometric properties of Oral health-related quality of life instruments available for older adults: a systematic review |
| title_short | Evaluating conceptual model measurement and psychometric properties of Oral health-related quality of life instruments available for older adults: a systematic review |
| title_sort | evaluating conceptual model measurement and psychometric properties of oral health related quality of life instruments available for older adults a systematic review |
| topic | Oral health-related quality of life Aged EMPRO Instruments Psychometrics Outcome assessment |
| url | https://doi.org/10.1186/s12955-023-02218-7 |
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