Abstract
Objectives: To assess the content validity of traditional oral health status scales as measures of oral health related quality of life (OHQOL), based on a general public's perception of the most important ways in which oral health affects quality of life (QoL). Methods: A nationwide United Kingdom study involving a random probability sample of 1778 adults. Data were collected by face-to-face interviews in participants homes. Results: Most 75%(1332) perceived oral health as being important to QoL. Among them, 53%(699/1332) identified oral health's importance to QoL as being in a positive manner. Existing scales predominantly fail to include this dimension. The general public ranked oral health's importance to QoL through a range of physical, social and psychological domains. Most frequently though affecting eating or comfort; domains considered by all instruments. Other domains/ways are presented. It is apparent that even when some of the multidomain scales are employed, they frequently omit items that the public perceives as being most important to QoL. Conclusion: The study raises concerns about the appropriateness of utilising many of the existing oral health status scales as measures of OHQOL because the concepts do not appear to be interchangeable.
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References
Patrick DL, Bergner M. Measurement of health status in the 1990s. Annu Rev Public Health 1990; 11: 165-183.
Slade GD (ed.), Measuring Oral Health and Quality of Life, Chapel Hill: University of North Carolina, Dental Ecology, 1997.
McGrath C, Bedi R. A review of the influences of oral health on the quality of life. Int J Health Prom Educ 1999; 37: 16-119.
Hunt SM. The problem of quality of life. Qual Life Res 1997; 6: 205-212.
WHOQOL Group. The World Health Organisations quality of life assessment (WHOQOL): Position paper from the World Health organisation. Soc Sci Med 1995; 10: 1403-1409.
Bowling A. Measuring Disease: A Review of Disease Specific Quality of life Measurement Scales. Buckingham: Open University Press, 1997: 1-16.
Bowling A. What things are important in people's lives? A survey of the publics judgement to inform scales on health related quality of life. Soc Sci Med 1995; 10: 1447-1462.
Guyatt GH, Nogradi S, Halcrow S, Singer J, Sullivan MJ, Fallen EL. Development and testing of a new measure of health status for clinical trials in heart failure. J Gen Intern Med 1989; 4: 101-107.
O'Boyle CA, McGee H, Hickey A, O'Malley K, Joyce CRB. Individual quality of life in patients undergoing hip replacement. Lancet 1992; 339: 1088-1091.
Locker D, Matear D, Stephens M, Jokovic A. Oral healthrelated quality of life of a population of medically compromised elderly people. Community Dent Health 2002; 19: 90-97.
Cushing AM, Sheiham A, Maizels S. Developing sociodental indicators — the social impact of dental disease. Community Dent Health 1986; 3: 3-17.
Gooch BF, Dolan TA, Bourque, LB. Correlates of self-reported health status upon enrolment in the Rand Health Insurance Experiment. J Dent Educ 1989; 53: 629-637.
Atchison KA, Dolan TA. Development of the geriatric oral health assessment index. J Dent Educ 1990; 54: 680-687.
Straus RP, Hunt RJ. Understanding the value of teeth to older adults: Influences on the quality of life. J Am Dent Assoc 1993; 124: 105-110.
Locker D, Miller Y. Evaluation of subjective oral health status indicators. J Public Health Dent 1994; 54: 167-176.
Slade GD, Spencer AJ. Development and evaluation of the oral health impact profile. Community Dent Health 1994; 11: 3-11.
Kressin NR, Spiro A 3rd, Bosse R, Garcia R, Kazis L. Assessing oral health-related quality of life: Findings from the Normative ageing study. Med Care 1996; 34: 416-427.
Leao A, Sheiham A. The development of a socio-dental measure of dental impacts on daily living. Community Dent Health 1996; 13: 22-26.
Adulyanon S, Vourapukjaru J, Sheiham A. Oral impacts affecting daily performance in a low dental disease Thai population. Community Dent Oral Epidemiol 1996; 24: 385-389.
Cornell JE, Saunders MJ, Paunovich ED, Frisch MB. Oral health quality of life inventory. In: Slade GD (ed.), Measuring Oral Health and Quality of Life. Chapel Hill: University of North Carolina, Dental Ecology, 1997; 135-149.
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McGrath, C., Bedi, R. A national study of the importance of oral health to life quality to inform scales of oral health related quality of life. Qual Life Res 13, 813–818 (2004). https://doi.org/10.1023/B:QURE.0000021696.05528.4c
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DOI: https://doi.org/10.1023/B:QURE.0000021696.05528.4c