title: Assessing oral health-related quality of life in general dental practice in Scotland: validation of the OHIP-14.
abstract: OBJECTIVE
  To validate the Oral Health Impact Profile (OHIP)-14 in a sample of patients attending general dental practice.
  
  
  METHODS
  Patients with pathology-free impacted wisdom teeth were recruited from six general dental practices in Tayside, Scotland, and followed for a year to assess the development of problems related to impaction. The OHIP-14 was completed at baseline and at 1-year follow-up, and analysed using three different scoring methods: a summary score, a weighted and standardized score and the total number of problems reported. Instrument reliability was measured by assessing internal consistency and test-retest reliability. Construct validity was assessed using a number of variables. Linear regression was then used to model the relationship between OHIP-14 and all significantly correlated variables. Responsiveness was measured using the standardized response mean (SRM). Adjusted R(2)s and SRMs were calculated for each of the three scoring methods. Estimates for the differences between adjusted R(2)s and the differences between SRMs were obtained with 95% confidence intervals.
  
  
  RESULTS
  A total of 278 and 169 patients completed the questionnaire at baseline and follow-up, respectively. Reliability - Cronbach's alpha coefficients ranged from 0.30 to 0.75. Alpha coefficients for all 14 items were 0.88 and 0.87 for baseline and follow-up, respectively. Test-retest coefficients ranged from 0.72 to 0.78. Validity - OHIP-14 scores were significantly correlated with number of teeth, education, main activity, the use of mouthwash, frequency of seeing a dentist, the reason for the last dental appointment, smoking, alcohol intake, pain and symptoms. Adjusted R(2)s ranged from 0.123 to 0.202 and there were no statistically significant differences between those for the three different scoring methods. Responsiveness - The SRMs ranged from 0.37 to 0.56 and there was a statistically significant difference between the summary scores method and the total number of problems method for symptomatic patients.
  
  
  CONCLUSIONS
  The OHIP-14 is a valid and reliable measure of oral health-related quality of life in general dental practice and is responsive to third molar clinical change. The summary score method demonstrated performance as good as, or better than, the other methods studied.
authors.affiliation: Section of Public Health, Health Informatics Centre, University of Dundee, UK. m.j.fernandes@dundee.ac.uk
authors.forename: Marcelo José
authors.initials: MJ
authors.lastname: Fernandes
authors.forename: Danny Adolph
authors.initials: DA
authors.lastname: Ruta
authors.forename: Graham Richard
authors.initials: GR
authors.lastname: Ogden
authors.forename: Nigel Berry
authors.initials: NB
authors.lastname: Pitts
authors.forename: Simon Alexander
authors.initials: SA
authors.lastname: Ogston
mesh_terms: D000293:Adolescent; D000328:Adult; D000368:Aged; D000428:Alcohol Drinking; D003729:Dental Care; D003817:Dentition; D004522:Educational Status; D005260:Female; D005500:Follow-Up Studies; D005792:General Practice, Dental; D006801:Humans; D008297:Male; D008875:Middle Aged; D008964:Molar, Third / Q000473:pathology*; D009067:Mouthwashes / Q000627:therapeutic use; D009909:Oral Health; D011788:Quality of Life; D015203:Reproducibility of Results; D012606:Scotland; D012907:Smoking; D014095:Tooth, Impacted / Q000503:physiopathology / Q000523:psychology*; D014098:Toothache / Q000503:physiopathology
chemical_list: D009067:Mouthwashes