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Fouda SM, Gad MM, Ellakany P, El Zayat M, AlGhamdi M, Abdelrahman H, El-Din MS. Impact of prosthetic rehabilitation on oral health-related quality of life of Saudi Adults: A prospective observational study with pre-post design. Saudi Dent J 2024; 36:1000-1005. [PMID: 39035561 PMCID: PMC11255941 DOI: 10.1016/j.sdentj.2024.04.006] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/24/2024] [Revised: 04/18/2024] [Accepted: 04/21/2024] [Indexed: 07/23/2024] Open
Abstract
This study aimed to assess the impact of prosthetic treatment on the quality of life of partially/completely edentulous patients through the Oral Health Impact Profile-14 (OHIP-14) scale. This pre-post observational study was conducted in the College of Dentistry, Imam Abdulrahman Bin Faisal University, Saudi Arabia, between November 2022 and September 2023. Eligible participants were those aged between 26 and 80, in need of prosthetic treatment, and able to complete the questionnaire voluntarily. The questionnaire presented to the patients had two sections; the first included demographic and dentures-related variables, and the second included the OHIP-14 questionnaire. Differences in overall OHIP-14 scores after treatment about demographic and prosthesis-related factors were assessed using the Mann-Whitney U test/Kruskal Wallis test with a significance level of 0.05. Out of 108 participants, 65 were males, and 43 were females with an average age of 52 years with different prosthetic treatments (13.9 % fixed prostheses, 43.5 % removable partial, and 42.6 % complete dentures). 59.3 % brushed their teeth twice or more daily, and only 36.1 % checked them regularly. Comparison between the OHIP-14 items before and after treatment revealed that subjects exhibited improvement in all the domains. OHIP-14 scores did not differ significantly in terms of age, gender, and education after treatment. OHIP-14 score was considerably higher for patients with medical conditions (P = 0.007) and among complete denture wearers compared to patients with fixed prostheses (P = 0.025). Prosthetic treatment positively impacts oral health-related quality of life (OHRQoL), which improved after treatment, particularly in the social domain. There was an association between patients' medical condition, prosthesis type, and OHIP-14 score.
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Affiliation(s)
- Shaimaa M. Fouda
- Department of Substitutive Dental Sciences, College of Dentistry, Imam Abdulrahman Bin Faisal University, Dammam, Saudi Arabia
| | - Mohammed M. Gad
- Department of Substitutive Dental Sciences, College of Dentistry, Imam Abdulrahman Bin Faisal University, Dammam, Saudi Arabia
| | - Passent Ellakany
- Department of Substitutive Dental Sciences, College of Dentistry, Imam Abdulrahman Bin Faisal University, Dammam, Saudi Arabia
| | - Mai El Zayat
- Department of Substitutive Dental Sciences, College of Dentistry, Imam Abdulrahman Bin Faisal University, Dammam, Saudi Arabia
| | - Maher AlGhamdi
- College of Dentistry, Imam Abdulrahman Bin Faisal University, Dammam, Saudi Arabia
| | - Hams Abdelrahman
- Department of Pediatric Dentistry and Dental Public Health, Faculty of Dentistry, Alexandria University, Egypt
| | - Mai Salah El-Din
- Department of Prosthodontics, Alexandria University Main Hospital, Alexandria, Egypt
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García-Minguillán G, Preciado A, Romeo M, Río JD, Lynch CD, Castillo-Oyagüe R. 'Differences in self-perceived OHRQoL between fully dentate subjects and edentulous patients depending on their prosthesis type, socio-demographic profile, and clinical features'. J Dent 2021; 114:103756. [PMID: 34333055 DOI: 10.1016/j.jdent.2021.103756] [Citation(s) in RCA: 4] [Impact Index Per Article: 1.3] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/06/2021] [Revised: 06/25/2021] [Accepted: 07/01/2021] [Indexed: 10/20/2022] Open
Abstract
OBJECTIVES This observational cross-sectional study aimed to evaluate and compare the oral health-related quality of life (OHRQoL) and clinical performance between dentate subjects and edentulous patients restored with conventional dentures or implant overdentures. METHODS 85 edentulous patients were grouped as follows: Group-1 (CD): conventional denture wearers (n= 42), and Group-2 (IO): implant-retained overdenture wearers (n= 43). For the OHRQoL comparisons, a control group of subjects with a healthy natural dentition (Group-3, ND; n= 50) was included. Participants completed three validated questionnaires (OHIP-14sp, OHIP-20sp, and QoLIP-10). Socio-demographic data, prosthesis-related factors, clinical condition of the mouth, and patient subjective evaluations, were gathered. Descriptive and non-parametric probes were run (α= 0.05). RESULTS The ND group was the most unsatisfied (OHIP-14sp; p≤ 0.001). The OHIP-20sp attributed significantly worse Psychological disability (p= 0.029) and Handicap (p= 0.027) to CD wearers when compared to IO wearers. The CD group showed the significantly highest need for relining (p= 0.041), and the lowest retention (p= 0.011). The OHIP-14sp disclosed a significantly worse OHRQoL for those volunteers who had a job (p= 0.003), a basic education instead of a secondary one (p= 0.022), and no partner (p= 0.006). CONCLUSIONS The overall OHRQoL was comparable for both prosthodontic groups, being modulated by socio-demographic and prosthesis-related features. Nonetheless, CD wearers presented prosthetic complications more frequently.
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Affiliation(s)
| | - Arelis Preciado
- Faculty of Dentistry, Complutense University of Madrid (UCM), Pza. Ramón y Cajal s/n, 28040, Madrid, Spain.
| | - Marta Romeo
- Faculty of Dentistry, Complutense University of Madrid (UCM), Pza. Ramón y Cajal s/n, 28040, Madrid, Spain.
| | - Jaime Del Río
- Faculty of Dentistry, Complutense University of Madrid (UCM), Pza. Ramón y Cajal s/n, 28040, Madrid, Spain.
| | - Christopher D Lynch
- University Dental School & Hospital/ University College Cork, T12 E8YV, Wilton, Cork, Ireland.
| | - Raquel Castillo-Oyagüe
- Faculty of Dentistry, Complutense University of Madrid (UCM), Pza. Ramón y Cajal s/n, 28040, Madrid, Spain.
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Nonmalignant Oral Disease--Specific Dental Patient-Reported Outcome Measures for Adult Patients: A Systematic Review. J Evid Based Dent Pract 2021; 21:101529. [PMID: 34051957 DOI: 10.1016/j.jebdp.2021.101529] [Citation(s) in RCA: 19] [Impact Index Per Article: 6.3] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 12/17/2019] [Revised: 12/31/2020] [Accepted: 01/22/2021] [Indexed: 11/23/2022]
Abstract
OBJECTIVES Dental patient-reported outcome measures (dPROMs) can be differentiated into outcome measures for all oral diseases, so-called disease-generic dPROMs, and measures for specific oral diseases, so-called disease-specific dPROMs. The aim of this systematic review was to identify the psychometrically validated nonmalignant disease-specific dPROMs for adult patients and the dental patient-reported outcomes (dPROs) they measure. METHODS This systematic review searched Ovid MEDLINE, Embase, PsycINFO, and the Cochrane databases along with hand searching, through July 28, 2020, to identify original articles of English language, multi-item dPROMs for adult dental patients with a specific oral disease, condition, or oral manifestations of systemic diseases. We analyzed the questionnaires for content commonalities, the reference or recall period, and the dimensionality. RESULTS We retrieved 4228 unique references and identified 34 questionnaires; of which, 31 questionnaires captured impacts from oral diseases or conditions and three from oral manifestations of systemic diseases. All questionnaires together contained 102 dPROMs, measuring 75 dPROs. Oral health-related quality of life was a broader dPRO, which was measured by 24 dPROMs. The 74 narrower dPROs were measured by 78 dPROMs. The dPRO names suggested that essentially four dPROs were measured: Oral Function (N = 19), Orofacial Pain (N = 7), Orofacial Appearance (N = 11), and Psychosocial Impact (N = 37). CONCLUSIONS Many psychometrically validated tools (N = 102) are available to measure the impact of specific nonmalignant oral disease on patients. While these tools intend to measure the particular patient-perceived impact profile of the oral disease, all tools measure in essence only four, more general concepts - the dimensions of oral health-related quality of life.
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García-Minguillán G, Del Río J, Preciado A, Lynch CD, Castillo-Oyagüe R. Impact of the retention system of implant fixed dental restorations on the peri-implant health, state of the prosthesis, and patients’ oral health-related quality of life. J Dent 2020; 94:103298. [DOI: 10.1016/j.jdent.2020.103298] [Citation(s) in RCA: 4] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/01/2020] [Revised: 02/12/2020] [Accepted: 02/13/2020] [Indexed: 11/17/2022] Open
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Tao G, Charm G, Kabacińska K, Miller WC, Robillard JM. Evaluation Tools for Assistive Technologies: A Scoping Review. Arch Phys Med Rehabil 2020; 101:1025-1040. [PMID: 32059944 DOI: 10.1016/j.apmr.2020.01.008] [Citation(s) in RCA: 8] [Impact Index Per Article: 2.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 12/12/2019] [Accepted: 01/02/2020] [Indexed: 11/28/2022]
Abstract
OBJECTIVE Assistive technologies (ATs) support independence and well-being in people with cognitive, perceptual, and physical limitations. Given the increasing availability and diversity of ATs, evaluating the usefulness of current and emerging ATs is crucial for informed comparison. We aimed to chart the landscape and development of AT evaluation tools (ETs; ATETs) across disparate fields in order to improve the process of AT evaluation and development. DATA SOURCES We performed a scoping review of ATETs through database searching of MEDLINE, Embase, CINAHL, HaPI, PsycINFO, Cochrane Reviews, and Compendex as well as citation mining. STUDY SELECTION Articles explicitly referencing ATETs were retained for screening. We included ETs if they were designed to specifically evaluate ATs. DATA EXTRACTION We extracted 5 attributes of ATETs: AT category, construct evaluated, conceptual frameworks, type of end user input used for ATET development, and presence of validity testing. DATA SYNTHESIS From screening 23,434 records, we included 159 ATETs. Specificity of tools ranged from single to general ATs across 40 AT categories. Satisfaction, functional performance, and usage were the most common constructs of 103 identified. We identified 34 conceptual frameworks across 53 ETs. Finally, 36% incorporated end user input and 80% showed validation testing. CONCLUSIONS We characterized a wide range of AT categories with diverse approaches to their evaluation based on varied conceptual frameworks. Combining these frameworks in future ATETs may provide more holistic views of AT usefulness. ATET selection may be improved with guidelines for conceptually reconciling results of disparate ATETs. Future ATET development may benefit from more integrated approaches to end user engagement.
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Affiliation(s)
- Gordon Tao
- GF Strong Rehabilitation Research Lab, Vancouver Coastal Research Institute, Vancouver, British Columbia; Department of Occupational Science and Occupational Therapy, The University of British Columbia, Vancouver, British Columbia
| | - Geoffrey Charm
- GF Strong Rehabilitation Research Lab, Vancouver Coastal Research Institute, Vancouver, British Columbia; Department of Integrated Sciences, The University of British Columbia, Vancouver, British Columbia
| | - Katarzyna Kabacińska
- Division of Neurology, Department of Medicine, The University of British Columbia, Vancouver, British Columbia
| | - William C Miller
- GF Strong Rehabilitation Research Lab, Vancouver Coastal Research Institute, Vancouver, British Columbia; Department of Occupational Science and Occupational Therapy, The University of British Columbia, Vancouver, British Columbia
| | - Julie M Robillard
- Division of Neurology, Department of Medicine, The University of British Columbia, Vancouver, British Columbia; British Columbia Women's and Children's Hospital, Vancouver, British Columbia, Canada.
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Uehara PN, Matsubara VH, Igai F, Sesma N, Mukai MK, Araujo MG. Short Dental Implants (≤7mm) Versus Longer Implants in Augmented Bone Area: A Meta-Analysis of Randomized Controlled Trials. Open Dent J 2018; 12:354-365. [PMID: 29875888 PMCID: PMC5958294 DOI: 10.2174/1874210601812010354] [Citation(s) in RCA: 16] [Impact Index Per Article: 2.7] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/05/2017] [Revised: 03/21/2018] [Accepted: 04/23/2018] [Indexed: 11/22/2022] Open
Abstract
Aim: The aim of this systematic review was to compare the survival rate and the marginal bone loss between short implants (≤7 mm) placed in the atrophic area and longer implants placed in the augmented bone area of posterior regions of maxillaries. Methods: Electronic search using three databases was performed up to May 2017 to identify Randomized Controlled Trials (RCT) assessing short implants survival with a minimal follow-up of 12 months post-loading. For the meta-analysis, a Risk Difference (RD) with the 95% Confidence Interval (CI) was used to pool the results of implant failure rate for each treatment group. For the marginal bone changes, Mean Differences (MD) with 95% CI were calculated. Results: Seven randomized controlled trials met the inclusion criteria, being included in qualitative and quantitative analyses. The RD between the short implant group and the control group was -0.02 (95% CI: -0.04 to 0.00), I2=0 and Chi2=3.14, indicating a favorable survival rate for short implant, but with no statistical significance (p=0.09). Discussion: For marginal bone loss, the mean difference was -0,13 (95%CI: -0.22 to -0.05), favoring the test group with statistical significance (p=0.002). The studies showed more heterogeneity for bone loss compared to survival rate. Short and longer implants showed similar survival rates after one year of loading, however the marginal bone loss around short implants was lower than in longer implants sites. Conclusion: Placement of implants ≤7 mm of length was found to be a predictable alternative for the rehabilitation of atrophic posterior regions, avoiding all the disadvantages intrinsic to bone augmentation procedures.
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Affiliation(s)
- Priscila N Uehara
- Department of Prosthodontics, School of Dentistry, University of Sao Paulo, Sao Paulo, Brazil
| | - Victor Haruo Matsubara
- Dental School, Oral Health Centre of Western Australia, The University of Western Australia, Perth, WA, Australia
| | - Fernando Igai
- Department of Prosthodontics, School of Dentistry, University of Sao Paulo, Sao Paulo, Brazil
| | - Newton Sesma
- Department of Prosthodontics, School of Dentistry, University of Sao Paulo, Sao Paulo, Brazil
| | - Marcio K Mukai
- Department of Prosthodontics, School of Dentistry, University of Sao Paulo, Sao Paulo, Brazil
| | - Mauricio G Araujo
- Department of Dentistry, State University of Maringa, Parana, Brazil
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Fracture load of metal-ceramic, monolithic, and bi-layered zirconia-based posterior fixed dental prostheses after thermo-mechanical cycling. J Dent 2018; 73:97-104. [PMID: 29678585 DOI: 10.1016/j.jdent.2018.04.012] [Citation(s) in RCA: 29] [Impact Index Per Article: 4.8] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/12/2018] [Accepted: 04/15/2018] [Indexed: 11/23/2022] Open
Abstract
OBJECTIVES This study aims to evaluate the fracture load of differently fabricated 3-unit posterior fixed dental prostheses (FDPs) with an intermediate pontic. METHODS Fifty sets of two stainless-steel abutments were randomly assigned to five groups (n = 10 each) depending on the material and technique used for manufacturing the FDPs: (1) Metal-ceramic (MC, control); (2) Lava Zirconia (LZ, bi-layered); (3) Lava Plus (LM, monolithic); (4) VITA In-Ceram YZ (YZ, bi-layered); and (5) IPS e-max ZirCAD (ZZ, bi-layered). After being luted to the dies, all FDPs were submitted to thermo-mechanical cycling (120,000 masticatory cycles, 50 N; plus 774 thermal cycles of 5 °C/55 °C, dwell time: 30 s). Samples were then subjected to a three-point bending test until fracture in a universal testing machine (cross-head speed: 1 mm/min). Fracture load of the veneering ceramic (VF) and total fracture load (TF) were recorded. Microstructure and failure patterns were assessed. Data was analysed using one-way ANOVA and Tukey HSD post-hoc tests (α = 0.05). RESULTS MC restorations recorded higher VF and TF values than did zirconia FDPs (p = 0.0001), which showed no between-group differences. Within the bi-layered groups, TF was significantly higher than VF. LM pieces registered lower average grain size than did LZ specimens (p = 0.001). Overall, the connector was the weakest part. CONCLUSIONS All of the groups tested could withstand clinical chewing forces in terms of average fracture load. Zirconia-based samples performed similarly to each other, but showed lower mean fracture load values than did metal-ceramic ones. CLINICAL SIGNIFICANCE Monolithic zirconia may be recommendable for solving the chipping problem.
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Casar-Espinosa JC, Castillo-Oyagüe R, Serrera-Figallo MÁ, Garrido-Serrano R, Lynch CD, Menéndez-Collar M, Torres-Lagares D, Gutiérrez-Pérez JL. Combination of straight and tilted implants for supporting screw-retained dental prostheses in atrophic posterior maxillae: A 2-year prospective study. J Dent 2017; 63:85-93. [PMID: 28587977 DOI: 10.1016/j.jdent.2017.05.022] [Citation(s) in RCA: 5] [Impact Index Per Article: 0.7] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 02/21/2017] [Revised: 05/13/2017] [Accepted: 05/30/2017] [Indexed: 11/28/2022] Open
Abstract
OBJECTIVES To evaluate the two-year survival rate (SR) and marginal bone loss (MBL) of fixed dental prostheses (FDPs) supported by straight (S) and tilted (T) implants under the influence of diverse study variables. METHODS A prospective investigation comprising 21 patients provided with a total of 27 maxillary screw-retained restorations fixed to 70 dental implants was developed. Two groups of implants were considered depending on their inclination with respect to the occlusal plane: Group 1 (S, n=37): straight/axial implants and Group 2 (T, n=33): tilted/angled fixations. Each FDP was supported by a combination of S and T implants. SR and MBL were assessed at the time of loading and two years after surgery. Patient-, surgical- and/or rehabilitation-related information was gathered. Data were statistically analysed at the α=0.05 significance level. RESULTS After 24 months, a 100% SR was achieved and the MBL of S and T implants were statistically similar. T implants located in the molar region showed lower MBL than did those replacing premolars (p=0.031). CONCLUSIONS Upright and angled fixations inserted at posterior maxillary areas resulted in comparable survival rates and peri-implant MBL after two years. The marginal bone resorption around tilted implants depended on their location. CLINICAL SIGNIFICANCE Screw-retained restorations fixed to straight and tilted implants seem to be a safe treatment option in posterior atrophic maxillae.
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Affiliation(s)
- Juan-Carlos Casar-Espinosa
- Department of Stomatology, Faculty of Dentistry, University of Seville (US), C/Avicena, s/n, 41009, Seville, Spain
| | - Raquel Castillo-Oyagüe
- Department of Buccofacial Prostheses, Faculty of Dentistry, Complutense University of Madrid (U.C.M.), Pza. Ramón y Cajal, s/n, 28040, Madrid, Spain.
| | | | - Roberto Garrido-Serrano
- Department of Stomatology, Faculty of Dentistry, University of Seville (US), C/Avicena, s/n, 41009, Seville, Spain
| | | | - Manuel Menéndez-Collar
- Department of Stomatology, Faculty of Dentistry, University of Seville (US), C/Avicena, s/n, 41009, Seville, Spain
| | - Daniel Torres-Lagares
- Department of Stomatology, Faculty of Dentistry, University of Seville (US), C/Avicena, s/n, 41009, Seville, Spain
| | - José-Luis Gutiérrez-Pérez
- Department of Stomatology, Faculty of Dentistry, University of Seville (US), C/Avicena, s/n, 41009, Seville, Spain
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Castillo-Oyagüe R, Perea C, Suárez-García MJ, Río JD, Lynch CD, Preciado A. Validation of the “Quality of Life related to function, aesthetics, socialization, and thoughts about health-behavioural habits (QoLFAST-10)” scale for wearers of implant-supported fixed partial dentures. J Dent 2016; 55:82-91. [DOI: 10.1016/j.jdent.2016.10.004] [Citation(s) in RCA: 8] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/26/2016] [Revised: 10/06/2016] [Accepted: 10/07/2016] [Indexed: 11/25/2022] Open
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Validation of a new, specific, complete, and short OHRQoL scale (QoLFAST-10) for wearers of implant overdentures and fixed-detachable hybrid prostheses. J Dent 2016; 49:22-32. [DOI: 10.1016/j.jdent.2016.04.011] [Citation(s) in RCA: 13] [Impact Index Per Article: 1.6] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/17/2016] [Revised: 04/20/2016] [Accepted: 04/25/2016] [Indexed: 11/18/2022] Open
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Smith KA, Bosch JD, Pelletier G, MacKenzie M, Hoy MY. The Development of a Tracheostomy-Specific Quality of Life Questionnaire. Ann Otol Rhinol Laryngol 2016; 125:667-71. [DOI: 10.1177/0003489416644619] [Citation(s) in RCA: 8] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/17/2022]
Abstract
Objective: A long-term tracheostomy can be a life-altering event and can have significant effects on patients’ quality of life (QOL). There is currently no instrument available to evaluate tracheostomy-specific QOL. To address this deficiency, the objective of this study was to create and preliminarily validate a pilot tracheostomy-specific QOL questionnaire to assess its feasibility. Methods: A multidisciplinary team developed the pilot tracheostomy-specific QOL questionnaire (TQOL) in 3 phases: item generation, item review, and scale construction. The survey was administered at 0 and 2 weeks to a pilot group of tracheostomy patients with concurrent administration of a validated general QOL questionnaire at week 0. Convergence validity, test-retest reliability, and internal consistency were the primary outcome measures. Results: A total of 37 patients completed the study (mean tracheostomy duration = 90 weeks). The convergence validity of the TQOL was moderately strong ( r = 0.72), and the test-retest reliability was strong ( r = 0.75). The TQOL also demonstrated good internal consistency (Cronbach’s alpha = 0.82). Conclusion: The TQOL has moderately strong internal consistency, convergence validity, and test-retest reliability. While additional refinement and validation may improve the questionnaire, these initial results are promising and support further development of this tool.
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Affiliation(s)
- Kristine A. Smith
- Division of Otolaryngology–Head and Neck Surgery, Department of Surgery; University of Calgary, Calgary, AB, Canada
| | - John Douglas Bosch
- Division of Otolaryngology–Head and Neck Surgery, Department of Surgery; University of Calgary, Calgary, AB, Canada
| | - Guy Pelletier
- Department of Psychology, University of Calgary, Calgary, AB, Canada
| | - Marianne MacKenzie
- Department of Respiratory Technology, Alberta Health Services, Calgary, AB, Canada
| | - Monica Y. Hoy
- Division of Otolaryngology–Head and Neck Surgery, Department of Surgery; University of Calgary, Calgary, AB, Canada
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