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Oszlánszky J, Gulácsi L, Péntek M, Hermann P, Zrubka Z. Psychometric Properties of General Oral Health Assessment Index Across Ages: COSMIN Systematic Review. VALUE IN HEALTH : THE JOURNAL OF THE INTERNATIONAL SOCIETY FOR PHARMACOECONOMICS AND OUTCOMES RESEARCH 2024; 27:805-814. [PMID: 38492926 DOI: 10.1016/j.jval.2024.02.022] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Received: 11/08/2023] [Revised: 02/15/2024] [Accepted: 02/29/2024] [Indexed: 03/18/2024]
Abstract
OBJECTIVES To systematically review the psychometric properties of the Geriatric Oral Health Assessment Index (GOHAI) across age groups using the COnsensus-based Standards for the selection of health Measurement INstruments (COSMIN) methodology. METHODS Data: English peer-reviewed articles reporting studies of the development, translation, or validation of GOHAI. SOURCES PubMed, Web of Science, and EMBASE from Jan 1990 until December 31, 2023. Methodological evaluation: based on COSMIN methodology. The results are presented overall and for 4 age groups (≥60 years, all ages, <60 years, ≤45 years). Structural validity was summarized qualitatively. Internal consistency and reliability were synthesized via random-effects meta-analysis of T-transformed Cronbach α values, and Fisher's Z transformed correlation coefficients. Construct validity and responsiveness were assessed using effect sizes. RESULTS Four hundred ninety-seven records were identified, 72 underwent full-text assessment, resulting in 60 included reports. Structural validity was inconsistent across all age groups and overall. Internal consistency was sufficient with overall α = 0.81, and high evidence quality. Test-retest reliability was consistently sufficient across age groups with overall r = 0.84. For construct validity 361 hypotheses were assessed (37.4% for convergent-, 62.6% for known-groups validity). The percentage of confirmed hypotheses in ≥60-years, all ages, <60-years and ≤45-years were 75.5%, 66.7%, 78.9%, and 88.9%, respectively. Responsiveness was not assessed in the <60-years and ≤45-years age groups, leading to indeterminate overall rating with very low evidence quality. CONCLUSIONS This review affirms that GOHAI has sufficient psychometric properties as an oral health-related quality of life instrument in various age groups, but its responsiveness is scarcely researched and its utility for individual-level follow-up is limited. The measurement properties of oral health-related quality of life tools must be scrutinized in the changing demands of personalized and value-based dental care. (PROSPERO registration: CRD42022384132).
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Affiliation(s)
- Judit Oszlánszky
- Department of Prosthodontics, Faculty of Dentistry, Semmelweis University, Budapest, Hungary.
| | - László Gulácsi
- Health Economics Research Center, University Research and Innovation Center, University of Óbuda, Budapest, Hungary
| | - Márta Péntek
- Health Economics Research Center, University Research and Innovation Center, University of Óbuda, Budapest, Hungary
| | - Péter Hermann
- Department of Prosthodontics, Faculty of Dentistry, Semmelweis University, Budapest, Hungary
| | - Zsombor Zrubka
- Health Economics Research Center, University Research and Innovation Center, University of Óbuda, Budapest, Hungary
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Hennequin M, El Osta N, Munoz-Sanchez ML, Vandenberghe Descamps M, Andreeva VA, Feron G, Nicolas E, Pereira B, Peyron MA, Cousson PY, Sulmont-Rosse C, Faulks D. Age related impairments in ingestion from a large population based-sample. Appetite 2024; 196:107287. [PMID: 38452933 DOI: 10.1016/j.appet.2024.107287] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/23/2023] [Revised: 02/23/2024] [Accepted: 02/26/2024] [Indexed: 03/09/2024]
Abstract
OBJECTIVES Epidemiological data regarding the evolution of problems related to mastication and swallowing with age are lacking. This study aims to (i) describe changes in oral function with age, using data from a large French population, (ii) validate online, self-report uses of an ICF questionnaire in older persons, and (iii) assess whether impairment is related to avoidance of certain foods, xerostomia, body mass index (BMI) and oral health related quality of life (OHRQoL). METHODS Volunteers aged ≥18 years with internet access completed a series of questionnaires on sociodemographic, anthropometric and oral health characteristics (oral function, Xerostomia Index (XI), OHRQoL, reasons for avoidance of certain food). Oral function was assessed using items derived from the International Classification of Functioning (ICF). Five ICF items related to ingestion function and six items related to activities and participation were used. A validation study was undertaken to identify those with poor chewing ability and low salivary flow amongst older participants reporting impairment. FINDINGS 39 597 individuals were included. The prevalence of individuals with impairment for ICF items related to ingestion function and oral activity (eating, drinking and speaking), and the percentage of participants with poor OHRQoL increased significantly with age (p < 0.001). Each ICF item was significantly associated with OHRQoL (p < 0.001), XI (p < 0.001), BMI (p < 0.001) and avoidance of certain food due to chewing or swallowing difficulties. CONCLUSION Overall, 21.5% and 13.5% of the study population had chewing and/or biting impairments respectively, which might affect food selection and consumption. These findings raise individual and population-based issues. Further studies are needed to assess whether impairment in oral function might increase frailty in older individuals, and also to compare data with those from other countries.
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Affiliation(s)
- Martine Hennequin
- Université Clermont Auvergne, CROC, F-63000 Clermont-Ferrand, France; CHU Clermont-Ferrand, Service d'Odontologie, F-63003 Clermont-Ferrand, France.
| | - Nada El Osta
- Université Clermont Auvergne, CROC, F-63000 Clermont-Ferrand, France.
| | - Marie-Laure Munoz-Sanchez
- Université Clermont Auvergne, CROC, F-63000 Clermont-Ferrand, France; CHU Clermont-Ferrand, Service d'Odontologie, F-63003 Clermont-Ferrand, France.
| | - Mathilde Vandenberghe Descamps
- Junia, Université Artois, Université de Liège, Université Littoral Côte d'Opale, UMRT 1158 BioEcoAgro, F-62000 Arras, France.
| | - Valentina A Andreeva
- Équipe de Recherche en Epidémiologie Nutritionnelle (EREN), Centre de Recherche en Epidémiologie et Statistiques, Université Paris Nord/INSERM U1153/INRA U1125/CNAM, COMUE Sorbonne Paris Cité, F-93017 Bobigny, France.
| | - Gilles Feron
- Centre des Sciences du Goût et de l'Alimentation, CNRS, INRAE, Institut Agro, Université de Bourgogne, F-21000 Dijon, France.
| | - Emmanuel Nicolas
- Université Clermont Auvergne, CROC, F-63000 Clermont-Ferrand, France; CHU Clermont-Ferrand, Service d'Odontologie, F-63003 Clermont-Ferrand, France.
| | - Bruno Pereira
- CHU of Clermont-Ferrand, Clinical Research and Innovation Direction (DRCI), 63003, Clermont-Ferrand, France.
| | - Marie-Agnès Peyron
- INRAE Centre, Human Nutrition Unit, Université of Clermont Auvergne, Clermont-Ferrand, France.
| | - Pierre-Yves Cousson
- Université Clermont Auvergne, CROC, F-63000 Clermont-Ferrand, France; CHU Clermont-Ferrand, Service d'Odontologie, F-63003 Clermont-Ferrand, France.
| | - Claire Sulmont-Rosse
- Centre des Sciences du Goût et de l'Alimentation, CNRS, INRAE, Institut Agro, Université de Bourgogne, F-21000 Dijon, France.
| | - Denise Faulks
- Université Clermont Auvergne, CROC, F-63000 Clermont-Ferrand, France; CHU Clermont-Ferrand, Service d'Odontologie, F-63003 Clermont-Ferrand, France.
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Soares GH, Bado FMR, Lopes AG, Biazevic MGH, Michel-Crosato E, Mialhe FL. Structure and replicability of oral health-related quality of life networks across patients with schizophrenia and the general community. Community Dent Oral Epidemiol 2023; 51:1216-1224. [PMID: 37166109 DOI: 10.1111/cdoe.12865] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/23/2022] [Revised: 03/31/2023] [Accepted: 05/02/2023] [Indexed: 05/12/2023]
Abstract
OBJECTIVES Schizophrenia is a disabling mental disorder associated with severe social dysfunction. Individuals with long-term mental conditions have poorer Oral Health-Related Quality of Life (OHRQoL) compared to the general population, but little is known about the measurement properties of OHRQoL instruments in this group of patients. This study aimed to examine the replicability of OHRQoL networks across samples of the general community (GC) and patients with schizophrenia (PWS). METHODS Data were obtained from 603 community-dwelling participants and 627 patients with schizophrenia. OHRQoL was measured using the short form of the Oral Health Impact Profile (OHIP-14) questionnaire. A regularized partial correlation network was estimated for each sample. The number of dimensions and structural stability were assessed using Exploratory Graph Analysis. Global strength, edge weights and centrality estimates were compared. Network replicability was examined fitting the PWS data to the GC network structure. RESULTS A single OHIP-14 dimension was identified in the GC sample, whereas three dimensions were detected in the PWS sample. Structural consistency was perfect in the network of GC participants (1), and considerably low in at least two dimensions of the PWS network (0.28; 0.65; 0.16). A moderate correlation for node strength estimates was observed (τ: 0.43; 95% CI: 0.13, 0.72), although edge weights were not correlated (τ: 0.025; 95% CI: -0.11, 0.16). The fit of the PWS data to the GC network structure was deemed unacceptable. CONCLUSION Network models of OHRQoL did not replicate across samples of the general community and outpatients with schizophrenia. Prudent use of OHIP-14 to compare measures of OHRQoL between groups with significant cognitive impartment and the general population is recommended.
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Affiliation(s)
- Gustavo Hermes Soares
- Australian Research Centre for Population Oral Health, University of Adelaide, Adelaide, Australia
| | | | | | | | | | - Fabio Luiz Mialhe
- Piracicaba Dental School, University of Campinas, Piracicaba, Brazil
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Arifin FA, Matsuda Y, Kanno T. Development and Validation of Oral Health-Related Quality of Life Scale for Patients Undergoing Endodontic Treatment (OHQE) for Irreversible Pulpitis. Healthcare (Basel) 2023; 11:2859. [PMID: 37958003 PMCID: PMC10648889 DOI: 10.3390/healthcare11212859] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/30/2023] [Revised: 10/26/2023] [Accepted: 10/26/2023] [Indexed: 11/15/2023] Open
Abstract
An oral health-related quality of life measure specific to patients undergoing endodontic treatment has not been developed. This study aimed to validate the oral health-related quality of life scale for patients undergoing endodontic treatment (OHQE) for irreversible pulpitis, comprised of 42 questions. Sixty-two patients with irreversible pulpitis, comprising 23 (37.1%) males and 39 (62.9%) females, were enrolled between August 2022 and February 2023. Data were collected at three time points: pretreatment, post-treatment, and at the second week post-treatment. Factor analysis revealed physical, psychological, and expectations as subscales of OHQE. Cronbach's alpha coefficients ranged from 0.87 to 0.95 for each subscale. Each subscale of the General Oral Health Assessment Index (GOHAI) was moderately correlated with the OHQE subscales. Good-poor analysis revealed a significant difference between the high-scoring and low-scoring groups for each OHQE subscale. The intraclass correlation coefficients of the OHQE subscales ranged from 0.89 to 0.95. Multivariate linear regression analysis revealed a significant correlation between the pretreatment and post-treatment psychological factors (p < 0.05). Thus, OHQE will help researchers and policymakers understand the impact of oral health on the quality of life of patients with irreversible pulpitis undergoing endodontic treatment. OHQE could contribute to the appropriate planning, treatment decisions, and management of dental treatment.
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Affiliation(s)
- Fadil Abdillah Arifin
- Department of Oral and Maxillofacial Surgery, Shimane University Faculty of Medicine, Izumo 693-8501, Japan; (F.A.A.); (Y.M.)
- Department of Conservative Dentistry, Faculty of Dentistry, Universitas Muslim Indonesia, Makassar 90132, Indonesia
| | - Yuhei Matsuda
- Department of Oral and Maxillofacial Surgery, Shimane University Faculty of Medicine, Izumo 693-8501, Japan; (F.A.A.); (Y.M.)
| | - Takahiro Kanno
- Department of Oral and Maxillofacial Surgery, Shimane University Faculty of Medicine, Izumo 693-8501, Japan; (F.A.A.); (Y.M.)
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Denis F, Rat C, Cros L, Bertaud V, El-Hage W, Jonval L, Soudry-Faure A. Effectiveness of a Therapeutic Educational Oral Health Program for Persons with Schizophrenia: A Cluster Randomized Controlled Trial and Qualitative Approach. Healthcare (Basel) 2023; 11:1947. [PMID: 37444782 DOI: 10.3390/healthcare11131947] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/15/2023] [Revised: 07/01/2023] [Accepted: 07/03/2023] [Indexed: 07/15/2023] Open
Abstract
BACKGROUND The oral health of people with schizophrenia (PWS) is very poor, suggesting a need for oral health promotion programmes with a high level of evidence. The aim of the EBENE study (Clinicaltrials.gov: NCT02512367) was to develop and evaluate the effectiveness of a multidisciplinary therapeutic educational programme in oral health (TEPOH) for PWS. METHODS A multicentre cluster randomised controlled trial, with outpatient psychiatry centres as the unit of randomisation, was designed to compare the effectiveness of TEPOH (intervention group) versus standard care (control group). The trial was conducted in 26 outpatient psychiatry centres in France (14 in the intervention group, 12 in the control group). Eligible patients with a diagnosis of schizophrenia were enroled between 2016 and 2020 and followed for 6 months. The TEPOH group received a multicomponent intervention (comprising an introductory session, three educational sessions, and a debriefing session). The primary endpoint was the evaluation of periodontal disease as a community periodontal index (CPI) score ≥ 3 at Month 6. The trial was completed using a qualitative approach based on semi-structured interviews with caregivers conducted between July 2018 and December 2019. The trial was stopped early due to difficulties in recruiting patients. RESULTS Overall, 81 patients (of 250 planned) were included, and 54 patients completed the trial: 40 in the TEPOH group and 14 in the control group. At baseline, the percentage of CPI ≥ 3 was 42.5% in the TEPOH group and 9.1% in the control group. At Month 6, the percentage of CPI ≥ 3 was 20% in the TEPOH group and 14.3% in the control group. The qualitative evaluation underlined that the professionals emphasised the "seriousness" and "assiduity" of the patients' participation in this programme and that the TEPOH reinforced carers' investment in oral hygiene. It also highlighted structural factors (lack of resources for professionals, lack of teeth in PWS, COVID-19 pandemic) that may have exacerbated the difficulties with enrolment and follow-up. CONCLUSIONS The effectiveness of this TEPOH, developed for PWS as part of the EBENE study, has not been demonstrated. Certain aspects of the programme's content and implementation need to be reconsidered. In particular, an adapted subjective measurement scale should be developed.
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Affiliation(s)
- Frederic Denis
- Faculty of Dentistry, Tours University, 37000 Tours, France
- EA 75-05 Education, Ethics, Health, Faculty of Medicine, François-Rabelais University, 37000 Tours, France
| | - Corinne Rat
- Clinical Research Unit, La Chartreuse Psychiatric Center, 21033 Dijon, France
| | - Lucie Cros
- Instance Régionale d'Education et Promotion de la Santé, 76100 Rouen, France
| | - Valerie Bertaud
- Health Big Data, LTSI-INSERM U 1099, University of Rennes 1, 35043 Rennes, France
- Rennes University Hospital, Guillaume Regnier Hospital, 35700 Rennes, France
| | - Wissam El-Hage
- CIC 1415, U 1253 iBrain, Institut National de la Santé et de la Recherche Médicale (INSERM), Centre Hospitalier Régional Universitaire (CHRU), 37000 Tours, France
| | - Lysiane Jonval
- USMR-Réseau d'Aide Méthodologiste, University Hospital of Dijon, CEDEX, 21079 Dijon, France
| | - Agnès Soudry-Faure
- USMR-Réseau d'Aide Méthodologiste, University Hospital of Dijon, CEDEX, 21079 Dijon, France
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Study of the Unidimensionality of the Subjective Measurement Scale of Schizophrenia Coping Oral Health Profile and Index: SCOOHPI. Behav Sci (Basel) 2022; 12:bs12110442. [DOI: 10.3390/bs12110442] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/04/2022] [Revised: 11/02/2022] [Accepted: 11/08/2022] [Indexed: 11/16/2022] Open
Abstract
Background: The Schizophrenia Coping Oral Health Profile and Index (SCOOHPI) scale studies the coping strategies of schizophrenic patients with regard to oral health. The structural validity of this scale is studied has been studied using factor analyses. In this article, we study the unidimensionality of the SCOOHPI scale to use it as an index. Methods: We studied the internal consistency of the items of the SCOOHPI scale. Then, we studied the construct validity. The unidimensionality of the SCOOHPI scale was studied by the partial credit model. Results: The data used in this study come from five hospitals, and the total number of individuals participating in this study is 96, of which 72% are men and 59% are smokers. The SCOOHPI scale has good internal consistency (α = 0.84). The validity of divergence was checked by the absence of correlation between the SCOOHPI scale and the GOHAI (General Oral Health Assessment Index) scale. The unidimensionality of the SCOOHPI scale with data smoothing was demonstrated by the partial credit model. Conclusion: In this study, we completed the study of the psychometric validation of the SCOOHPI. The SCOOHPI scale can then contribute to improving evaluation of the coping strategies of schizophrenic patients with regard to oral health.
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Vettore MV, Rebelo MAB, Rebelo Vieira JM, Cardoso EM, Birman D, Leão ATT. Psychometric Properties of the Brazilian Version of GOHAI among Community-Dwelling Elderly People. INTERNATIONAL JOURNAL OF ENVIRONMENTAL RESEARCH AND PUBLIC HEALTH 2022; 19:14725. [PMID: 36429443 PMCID: PMC9690323 DOI: 10.3390/ijerph192214725] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Figures] [Subscribe] [Scholar Register] [Received: 10/12/2022] [Revised: 10/27/2022] [Accepted: 11/01/2022] [Indexed: 06/16/2023]
Abstract
This study assessed the psychometric properties of the Brazilian version of the Geriatric Oral Health Assessment Index (GOHAI). A representative sample of 613 community-dwelling elderly people aged from 65 to 74 years was selected. Sociodemographic data, GOHAI and self-perceived oral health measures were collected. Dental clinical measures were obtained through oral examinations. The dimensional structure and adequacy of components were assessed using Confirmatory Factor Analysis (CFA), inter-item correlations and item-scale correlations. Reliability was evaluated by internal consistency and Intraclass Correlation Coefficients. Correlations between GOHAI scores and self-reported oral health measures were conducted to assess convergent validity. The relationship between dental clinical measures and GOHAI was tested through Poisson Regression to examine discriminant validity. The link between GOHAI items and dimensions was supported by CFA. Item 12 showed a poor factor loading. The inter-item correlations varied from 0.047 to 0.442, and item-scale correlations ranged from 0.305 to 0.612. Cronbach's alpha was 0.704. The test-retest correlation for GOHAI was 0.882. GOHAI scores were correlated by self-rated oral health measures. Poor dental clinical measures were associated with GOHAI. The Brazilian version of GOHAI showed adequate psychometric properties. However, the weak dimensional structure of GOHAI suggests the need to perform cross-cultural adaptation of GOHAI for Brazilian elderly people.
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Affiliation(s)
- Mario Vianna Vettore
- Department of Health and Nursing Sciences, University of Agder (UiA), Universitetsveien 25, 4630 Kristiansand, Norway
| | - Maria Augusta Bessa Rebelo
- Faculty of Dentistry, Federal University of Amazonas, Av. Ministro Waldemar Pedrosa, 1539, Praça 14 de Janeiro, Manaus 69025-050, Brazil
| | - Janete Maria Rebelo Vieira
- Faculty of Dentistry, Federal University of Amazonas, Av. Ministro Waldemar Pedrosa, 1539, Praça 14 de Janeiro, Manaus 69025-050, Brazil
| | - Evangeline Maria Cardoso
- School of Health Sciences, State University of Amazonas, Avenida Carvalho Leal—1777, Manaus 69065-001, Brazil
| | - Dina Birman
- Faculty of Dentistry, Federal University of Amazonas, Av. Ministro Waldemar Pedrosa, 1539, Praça 14 de Janeiro, Manaus 69025-050, Brazil
| | - Anna Thereza Thomé Leão
- Department of Dental Clinic, Division of Periodontics, School of Dentistry, Universidade Federal do Rio de Janeiro, Rio de Janeiro 21941-617, Brazil
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Turner E, Berry K, Aggarwal VR, Quinlivan L, Villanueva T, Palmier-Claus J. Oral health self-care behaviours in serious mental illness: A systematic review and meta-analysis. Acta Psychiatr Scand 2022; 145:29-41. [PMID: 33862664 DOI: 10.1111/acps.13308] [Citation(s) in RCA: 4] [Impact Index Per Article: 2.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 04/01/2021] [Accepted: 04/12/2021] [Indexed: 11/29/2022]
Abstract
AIM To understand the relationship between serious mental illness and oral health self-care behaviours using meta-analytic methods and a narrative synthesis of available literature. METHOD The review followed the Preferred Reporting Items for Systematic Reviews and Meta-analyses guidelines [PROSPERO reference: CRD42020176779]. Search terms pertaining to serious mental illness and oral health were entered into EMBASE, PsycINFO, Medline and CINAHL. Eligible studies included a sample of people with a serious mental illness and a quantitative measure of an oral health self-care behaviour (eg dental visits, toothbrushing). The Effective Public Health Practice Project tool was utilised to appraise the quality of the literature. Studies in the meta-analysis contained a non-clinical or general population comparator sample. RESULTS People with a serious mental illness were significantly less likely to visit the dentist (OR 0.46, 95% CI 0.32-0.065, p > 0.001) or brush their teeth (OR 0.19, 95% CI 0.08-0.42, p < 0.001) when compared to non-clinical comparator samples. Few studies explored other oral health self-care behaviours (eg flossing and mouth washing), but uptake was generally low in people with a serious mental illness. The study quality of included studies was variable. CONCLUSIONS The research showed a reduced uptake of oral health self-care behaviours in people with a serious mental illness. Suboptimal oral health can negatively impact on physical, social and psychological functioning. Further research is needed to understand the reasons for low rates of oral health self-care behaviours in this population.
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Affiliation(s)
- Elizabeth Turner
- Division of Psychology & Mental Health, The University of Manchester, Manchester, UK.,Greater Manchester Mental Health NHS Foundation Trust, Manchester, UK
| | - Katherine Berry
- Division of Psychology & Mental Health, The University of Manchester, Manchester, UK.,Greater Manchester Mental Health NHS Foundation Trust, Manchester, UK
| | - Vishal R Aggarwal
- School of Dentistry, Faculty of Medicine and Health, The University of Leeds, Leeds, UK
| | - Leah Quinlivan
- Division of Psychology & Mental Health, The University of Manchester, Manchester, UK.,Greater Manchester Mental Health NHS Foundation Trust, Manchester, UK.,NIHR Greater Manchester Patient Safety Translational Research Centre, The University of Manchester, Manchester Academic Health Science Centre, Manchester, UK
| | | | - Jasper Palmier-Claus
- The Spectrum Centre for Mental Health Research, Faculty of Health & Medicine, Lancaster University, Lancaster, UK.,Lancashire & South Cumbria NHS Foundation Trust, Lancashire, UK
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Denis F, Rouached I, Siu-Paredes F, Delpierre A, Amador G, El-Hage W, Rude N. Psychometric Properties of the Schizophrenia Oral Health Profile: Preliminary Results. INTERNATIONAL JOURNAL OF ENVIRONMENTAL RESEARCH AND PUBLIC HEALTH 2021; 18:ijerph18179090. [PMID: 34501679 PMCID: PMC8430897 DOI: 10.3390/ijerph18179090] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Download PDF] [Figures] [Subscribe] [Scholar Register] [Received: 07/29/2021] [Revised: 08/23/2021] [Accepted: 08/24/2021] [Indexed: 12/20/2022]
Abstract
The Schizophrenia Oral Health Profile questionnaire was developed to assess the oral health-related quality of life among individuals with schizophrenia based on their perceptions rather than from caregivers. A 5-point Likert scale was used to self-report on 42 items. In the present study, different analyses were conducted to determine the dimensional structure of the final scale: (1) inter-item correlation analysis and Cronbach’s α coefficient, (2) Rasch model analysis, (3) exploratory factor analysis and (4) confirmatory factor analysis. The final version of the Schizophrenia Oral Health Profile questionnaire consisted of 20 items and an internal structure composed of three dimensions: (1) emotions related to oral health, (2) oral pain and discomfort and (3) self-image, others’ views and the need for care. We showed that the difficulty and discrimination indices of each of the 20 selected items were acceptable according to the Rasch model, as well as their inter-item and inter-score correlations (α = 0.875). The psychometric study of the Schizophrenia Oral Health Profile questionnaire is still in progress to investigate reproducibility, sensitivity to change and external structure.
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Affiliation(s)
- Frédéric Denis
- Faculty of Dentistry, Nantes University, 44000 Nantes, France;
- Department of Odontology, Tours University Hospital, 37000 Tours, France;
- EA 75-05 Education, Ethique, Santé, Faculté de Médecine, Université de Tours, 37000 Tours, France
- Correspondence:
| | - Ines Rouached
- EA 481 Integrative and Clinical Neurosciences, University of Besançon, 25000 Besançon, France; (I.R.); (F.S.-P.); (N.R.)
| | - Francesca Siu-Paredes
- EA 481 Integrative and Clinical Neurosciences, University of Besançon, 25000 Besançon, France; (I.R.); (F.S.-P.); (N.R.)
- Faculté d’Odontologie de Reims, Université Champagne Ardenne, 51100 Reims, France
| | - Alexis Delpierre
- Department of Odontology, Tours University Hospital, 37000 Tours, France;
| | - Gilles Amador
- Faculty of Dentistry, Nantes University, 44000 Nantes, France;
| | - Wissam El-Hage
- U1253, iBrain, CIC1415, Inserm, CHRU de Tours (Regional University Hospital Centre), Université de Tours, 37000 Tours, France;
| | - Nathalie Rude
- EA 481 Integrative and Clinical Neurosciences, University of Besançon, 25000 Besançon, France; (I.R.); (F.S.-P.); (N.R.)
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Denis F, Siu-Paredes F, Maitre Y, Amador G, Rude N. A qualitative study on experiences of persons with schizophrenia in oral-health-related quality of life. Braz Oral Res 2021; 35:e050. [PMID: 33759972 DOI: 10.1590/1807-3107bor-2021.vol35.0050] [Citation(s) in RCA: 4] [Impact Index Per Article: 1.3] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/20/2020] [Accepted: 10/30/2020] [Indexed: 11/21/2022] Open
Abstract
Our study aimed to explore the views and experiences in oral health and oral-health-related quality of life (OHRQoL) of persons with schizophrenia (PWS) in order to expand the understanding of the factors that either limit or facilitate their healthcare pathway, which can ultimately optimize their oral health and/or OHRQoL. A qualitative study was conducted in France in the Côte d'Or department (530 000 in habitants) centered on PWS's perceived meanings regarding oral health or OHRQoL, and semi-structured individual interviews were used. A conventional content analysis approach was chosen in order to highlight unrevealed themes. A sample of 20 PWS (12 males; 8 females) with a median age was 45.8 (± 9.5) were recruited to assess views and experiences regarding OHRQoL, which were focused on three dimensions: an individual dimension related to experience of "oral symptoms", a second dimension related to experience of "stress and its management", and a third related to "Autonomy dimension in oral health". We showed that PWS clearly expressed their mental representations of oral health and OHRQoL. This study supports that PWS were able to define their needs and had the ability to discuss their oral health and OHRQoL. These finding could be used to support specific interventions for this population to better manage the negative impact of antipsychotics and help them to consult dentists on a regular basis.
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Affiliation(s)
- Frédéric Denis
- Université François-Rabelais, Faculté de Médecine, Santé, Tours, France
| | | | | | - Gilles Amador
- Université de Nantes, Faculté d'Odontologie, Nantes, France
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Bianco A, Mazzea S, Fortunato L, Giudice A, Papadopoli R, Nobile CGA, Pavia M. Oral Health Status and the Impact on Oral Health-Related Quality of Life among the Institutionalized Elderly Population: A Cross-Sectional Study in an Area of Southern Italy. INTERNATIONAL JOURNAL OF ENVIRONMENTAL RESEARCH AND PUBLIC HEALTH 2021; 18:ijerph18042175. [PMID: 33672197 PMCID: PMC7926719 DOI: 10.3390/ijerph18042175] [Citation(s) in RCA: 3] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Download PDF] [Subscribe] [Scholar Register] [Received: 01/14/2021] [Revised: 02/09/2021] [Accepted: 02/18/2021] [Indexed: 12/20/2022]
Abstract
Background: The objectives of this study were to describe the oral health status in the institutionalized geriatric population in an area of southern Italy and to identify the impact of oral health on the Oral Health Related Quality of Life (OHRQoL). Methods: Data were collected from individuals aged ≥60 years in randomly selected Calabrian long-term care facilities. The dental health status was assessed recording the decayed, missing, or filled dental elements due to the carious lesions (DMFT) index, the presence of visible dental plaque, and the gingival condition. The influence of the dental health status on the self-perceived value of life was assessed using the Geriatric Oral Health Assessment Index (GOHAI). Results: Among the 344 elderly individuals included, 18.4% reported frequent tooth-brushing, and only 39.9% reported the need of dental care. The DMFT index was 26.4. Less than a third of the participants had a GOHAI score of ≤50 which is suggestive of highly compromised OHRQoL. The GOHAI score was significantly better for elderly individuals with no self-perceived need of dental care and with a lower DMFT index. Conclusions: The burden of oral conditions among residents in long-term care facilities was considerable, with a high prevalence of missing teeth and dentures. Strategies targeting care providers are needed.
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Affiliation(s)
- Aida Bianco
- Department of Health Sciences, School of Medicine, University of Catanzaro “Magna Græcia”, Viale Europa, 88100 Catanzaro, Italy; (A.B.); (S.M.); (R.P.)
| | - Silvia Mazzea
- Department of Health Sciences, School of Medicine, University of Catanzaro “Magna Græcia”, Viale Europa, 88100 Catanzaro, Italy; (A.B.); (S.M.); (R.P.)
| | - Leonzio Fortunato
- Department of Health Sciences, School of Dentistry, University of Catanzaro “Magna Græcia”, Via T. Campanella, 88100 Catanzaro, Italy; (L.F.); (A.G.)
| | - Amerigo Giudice
- Department of Health Sciences, School of Dentistry, University of Catanzaro “Magna Græcia”, Via T. Campanella, 88100 Catanzaro, Italy; (L.F.); (A.G.)
| | - Rosa Papadopoli
- Department of Health Sciences, School of Medicine, University of Catanzaro “Magna Græcia”, Viale Europa, 88100 Catanzaro, Italy; (A.B.); (S.M.); (R.P.)
| | | | - Maria Pavia
- Department of Health Sciences, School of Medicine, University of Catanzaro “Magna Græcia”, Viale Europa, 88100 Catanzaro, Italy; (A.B.); (S.M.); (R.P.)
- Department of Experimental Medicine, University of Campania “Luigi Vanvitelli”, Via L. Armanni, 5, 80138 Naples, Italy
- Correspondence: ; Tel./Fax: +39-81-5667716
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Mohamad Fuad MA, Yacob H, Mohamed N, Wong NI. Association of sociodemographic factors and self-perception of health status on oral health-related quality of life among the older persons in Malaysia. Geriatr Gerontol Int 2020; 20 Suppl 2:57-62. [PMID: 33370853 DOI: 10.1111/ggi.13969] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 02/09/2020] [Revised: 05/01/2020] [Accepted: 05/27/2020] [Indexed: 11/30/2022]
Abstract
AIM This study aimed to evaluate the oral health-related quality of life (OHRQoL) among older persons in Malaysia and its associations with sociodemographic and self-perception towards general health as well as oral health. METHODS A cross-sectional survey among community dwelling older persons utilizing stratified cluster sampling was conducted in 2018. Well-trained interviewers conducted a face-to-face interview with older persons aged ≥60 years to collect information on participants' sociodemographic characteristics, self-perception on general as well as oral health using the Geriatric Oral Health Assessment Index (GOHAI). Multivariate analysis of the data collected was performed using SPSS version 23. RESULTS Overall, the GOHAI mean ± SD score for older persons in Malaysia was 51.83 ± 7.98, which was an average of fair mean (P < 0.001). Those with poor self-rated oral health (48.34 ± 8.96) or poor self-rated general health (47.13 ± 8.93) had poor mean OHRQoL (P < 0.001). Logistic regression analysis shows older persons who stay with spouse/partner (adjusted odds ratio [aOR]: 1.96 [1.66, 2.31]), no formal education (aOR: 1.84 [1.29, 2.61]) and self-perceived unhealthy oral health (aOR: 3.83 [3.19, 4.59]) were significantly associated with higher odds of having poor OHRQoL. CONCLUSIONS The estimated OHRQoL of older persons in Malaysia is rated as fair, with minimum association contributed by the sociodemographic factors, but with a significant influence by self-rated oral and general health. Self-perception of health can be used as a good indicator to estimate the OHRQoL. Geriatr Gerontol Int 2020; 20: 57-62.
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Affiliation(s)
- Mohamad Anuar Mohamad Fuad
- Institute for Public Health, National Institutes of Health, Ministry of Health, Selangor, Malaysia.,Biostatistics & Repository Data Sector, National Institutes of Health, Ministry of Health, Selangor, Malaysia
| | - Habibah Yacob
- Branch of Oral Health Epidemiology & Research, Oral Health Program, Ministry of Health, Putrajaya, Malaysia
| | - Nurulasmak Mohamed
- Branch of Oral Health Epidemiology & Research, Oral Health Program, Ministry of Health, Putrajaya, Malaysia
| | - Norazizah Ibrahim Wong
- Biostatistics & Repository Data Sector, National Institutes of Health, Ministry of Health, Selangor, Malaysia
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Haresaku S, Nakashima F, Hara Y, Kuroki M, Aoki H, Kubota K, Naito T. Associations of Oral Health-Related Quality of Life with age, oral status, and oral function among psychiatric inpatients in Japan: a cross-sectional study. BMC Oral Health 2020; 20:361. [PMID: 33317511 PMCID: PMC7737280 DOI: 10.1186/s12903-020-01355-5] [Citation(s) in RCA: 5] [Impact Index Per Article: 1.3] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/10/2020] [Accepted: 12/08/2020] [Indexed: 01/10/2023] Open
Abstract
BACKGROUND As the general population of Japan ages, the population of hospitalized psychiatric patients is also ageing. The purpose of this study was to investigate the associations of oral health-related quality of life (OHRQoL) with age and oral health, including oral and swallowing function, among psychiatric inpatients. METHODS The subjects included 165 psychiatric inpatients in psychiatric hospitals in Japan. The General Oral Health Assessment Index (GOHAI) and the Eating Assessment Tool (EAT-10) were included in the questionnaire survey for the measurement of OHRQoL and the screening of dysphagia. A score ≥ 3 on the EAT-10 was defined as suspected dysphagia. Oral examinations and oral diadochokinesis (ODK) measurements for the tongue-lip motor function evaluation were conducted. The inpatients with acute psychiatric symptoms, moderate and severe dementia, and cognitive impairment that affected their ability to communicate and relate their feelings were excluded. A chi-squared test, the Mann-Whitney U test, and linear regression analysis were used for the analysis. The data were analysed at the 5% significance level. RESULTS A total of 100 (64.5%) psychiatric inpatients (mean age, 67.3 [SD, 14.5] years, 49% males, and 51% females) participated in this study. The means ± SDs for the decayed missing filled teeth (DMFT) index and GOHAI score were 20.6 ± 6 and 49.7 ± 7.9, respectively. The GOHAI score in the older age group (≥ 65 years) was significantly lower than that in the younger age group (< 65 years). The mean ODK scores were less than 3 times/s for all syllables. The percentage of the participants with suspected dysphagia was 45.0%. Tooth loss and suspected dysphagia were significantly associated with low GOHAI scores. The EAT-10 score was significantly correlated with the GOHAI score only after adjusting for age and sex (β = - 0.725, 95% CI - 0.97, - 0.64). CONCLUSIONS In hospitalized psychiatric patients, impaired oral health in the older subjects was more pronounced compared with that among general adults. Tooth loss and swallowing function were associated with OHRQoL. Therefore, oral care for the recovery of occlusal and swallowing functions may be needed to improve OHRQoL among psychiatric patients.
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Affiliation(s)
- Satoru Haresaku
- Department of Nursing, Fukuoka Nursing College, 2-15-1 Tamura, Sawara-ku, Fukuoka, 814-0193, Japan.
| | - Fuyuko Nakashima
- Department of Nursing, Fukuoka Nursing College, 2-15-1 Tamura, Sawara-ku, Fukuoka, 814-0193, Japan
| | - Yayoi Hara
- Department of Nursing, Fukuoka Nursing College, 2-15-1 Tamura, Sawara-ku, Fukuoka, 814-0193, Japan
| | - Madoka Kuroki
- Department of Dental Hygiene, Fukuoka College of Health Sciences, 2-15-1 Tamura, Sawara-ku, Fukuoka, 814-0193, Japan
| | - Hisae Aoki
- Department of Nursing, Fukuoka Nursing College, 2-15-1 Tamura, Sawara-ku, Fukuoka, 814-0193, Japan
| | - Keiko Kubota
- Department of Nursing, Fukuoka Nursing College, 2-15-1 Tamura, Sawara-ku, Fukuoka, 814-0193, Japan
| | - Toru Naito
- Section of Geriatric Dentistry, Department of General Dentistry, Fukuoka Dental College, 2-15-1 Tamura, Sawara-ku, Fukuoka, 814-0193, Japan
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Venkatesan A, V AS, Ramalingam S, Seenivasan MK, Narasimhan M. Evaluation of Oral Health Status Using the Geriatric Oral Health Assessment Index Among the Geriatric Population in India: A Pilot Study. Cureus 2020; 12:e7344. [PMID: 32328358 PMCID: PMC7170016 DOI: 10.7759/cureus.7344] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/05/2022] Open
Abstract
Introduction and aim Clinical indicators alone are insufficient for evaluating oral health. In addition to health and disease, oral health includes socio-dental indicators of physical, psychological, and social aspects of well-being. The adaptive capacity of an individual influences the perception of oral health-related quality of life (OHRQoL). Indices such as the Oral Health Impact Profile, Oral Impacts on Daily Performances, and the Geriatric Oral Health Assessment Index (GOHAI) have been used to measure OHRQoL. This study was designed to assess OHRQoL in older individuals using the GOHAI. Methods Subjects aged older than 65 years who visited our institution from January to March 2016 were included. Subjects with cognitive behavior disorders were excluded. Subjects were assigned into three groups based on age: 65-69 years, 70-74 years, and 75 years or older. The participants were asked 12 questions, and their responses were assessed by age group. Our Institutional Ethics Committee approved the study protocol. Results The 219 subjects recruited included 126 (57.5%) patients aged 65-69 years, 57 (26.0%) patients aged 70-74 years, and 36 (16.4%) patients aged 75 years or older. Several physical, physiological, and psychological aspects of the GOHAI differed significantly among these three groups, with overall OHRQoL decreasing with age. Conclusion Although oral healthcare problems were widespread in the geriatric population, they were not a primary concern. Attitudes toward dentistry require improvement. However, further studies in larger populations are required to assess geriatric oral health.
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Affiliation(s)
- Akshaya Venkatesan
- Oral Pathology, Faculty of Dental Sciences, Sri Ramachandra Institution of Higher Education and Research, Chennai, IND
| | - Annie Sylvea V
- Oral Pathology, Faculty of Dental Sciences, Sri Ramachandra Institute of Higher Education and Research, Chennai, IND
| | - Suganya Ramalingam
- Oral Pathology, Sri Ramachandra Institute of Higher Education and Research, Chennai, IND
| | | | - Malathi Narasimhan
- Oral Pathology, Faculty of Dental Sciences, Sri Ramachandra Institute of Higher Education and Research, Chennai, IND
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Aguirre-Bustamante J, Barón-López FJ, Carmona-González FJ, Pérez-Farinós N, Wärnberg J. Validation of a modified version of the Spanish Geriatric Oral Health Assessment Index (GOHAI-SP) for adults and elder people. BMC Oral Health 2020; 20:61. [PMID: 32075623 PMCID: PMC7031997 DOI: 10.1186/s12903-020-1047-3] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/07/2019] [Accepted: 02/12/2020] [Indexed: 12/13/2022] Open
Abstract
Background The Geriatric Oral Health Assessment Index (GOHAI) was developed and validated in 1990 and translated into Spanish in 1999. Since then, the original version has been used in numerous studies, but it has not been re-evaluated in terms of language in the new generations of older adults. The purpose of this study is to confirm the validity of the Spanish version of the Geriatric Oral Health Assessment Index (GOHAI-SP) after three decades to be used as part of an ongoing field trial. Methods The GOHAI-SP was pilot tested in a focus group to confirm linguistic comprehension. A version with minor language changes was administered to individuals with metabolic syndrome aged 55–75 years from one health care district in southern Spain as part of an ongoing field trial (PREDIMED-Plus). Clinical evaluation included assessment of dental and periodontal status. The psychometric properties of the GOHAI-SP were evaluated through stability and internal consistency measures, and concurrent and discriminant validity were assessed. Results The new version of the GOHAI-SP was administered to 100 individuals. The application time was reduced by 7 min. The alpha value for reliability was 0.87. The item-scale correlation coefficients ranged from 0.54 to 0.75, and the test–re-test correlation for the total score was 0.75. There were inverse correlations between GOHAI-SP scores and the number of lost teeth and the decayed-missing-filled teeth index (p < 0.001). Conclusions The GOHAI-SP questionnaire remains a valid and useful tool to assess oral health-related quality of life in primary health care settings. A linguistic update of the questionnaire brought improvements to the instrument application. Trial registration The PREDIMED-Plus trial is registered in the ISRCTN registry with reference number ISRCTN89898870. Registration date: 4th July 2014.
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Affiliation(s)
- Javiera Aguirre-Bustamante
- Facultad de Odontología, Universidad San Sebastián, Lientur 1457, Concepción, 4080871, Chile.,Department of Nursing, School of Health Sciences, University of Málaga - Instituto de Investigación Biomédica de Málaga (IBIMA), Arquitecto Francisco Peñalosa, 3, Málaga, 29071, Spain
| | - Francisco Javier Barón-López
- Department of Public Health, School of Medicine, University of Málaga - Instituto de Investigación Biomédica de Málaga (IBIMA), Boulevard Louis Pasteur s/n, 29071, Málaga, Spain
| | - Francisco Jesús Carmona-González
- Unidad de Gestión Clínica Torrequebrada, Distrito de Atención Primaria Costa del Sol. Servicio Andaluz de Salud, Benalmádena, 29630, Málaga, Spain
| | - Napoleón Pérez-Farinós
- Department of Public Health, School of Medicine, University of Málaga - Instituto de Investigación Biomédica de Málaga (IBIMA), Boulevard Louis Pasteur s/n, 29071, Málaga, Spain. .,Centro de Investigación Biomédica en Red Fisiopatología de la Obesidad y la Nutrición (CIBEROBN), Institute of Health Carlos III, Madrid, Spain.
| | - Julia Wärnberg
- Department of Nursing, School of Health Sciences, University of Málaga - Instituto de Investigación Biomédica de Málaga (IBIMA), Arquitecto Francisco Peñalosa, 3, Málaga, 29071, Spain.,Centro de Investigación Biomédica en Red Fisiopatología de la Obesidad y la Nutrición (CIBEROBN), Institute of Health Carlos III, Madrid, Spain
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Chapuis J, Siu-Paredes F, Pavageau C, Amador G, Rude N, Denis F. Anticholinergic Drugs and Oral Health-related Quality of Life in Patients with Schizophrenia: A Pilot Study. Transl Neurosci 2020; 11:10-16. [PMID: 32104590 PMCID: PMC7029653 DOI: 10.1515/tnsci-2020-0003] [Citation(s) in RCA: 7] [Impact Index Per Article: 1.8] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/18/2019] [Accepted: 01/16/2020] [Indexed: 12/11/2022] Open
Abstract
OBJECTIVE The aim of this study was to explore, in a sample population of people with schizophrenia (PWS), the role of the anticholinergic burden on the perception of oral health-related quality of life (OHrQoL) in France. METHODS A pilot study was performed between March 2014 and January 2016. PWS were recruited from a population in Côte d'Or department in France. Dental status was investigated using the Decayed, Missing, or Filled Teeth (DMFT) index, the Xerostomia Index (XI), and the Global Oral Health Assessment Index (GOHAI) for OHrQoL. The anticholinergic impregnation score was recorded using the anticholinergic impregnation scale (AIS). RESULTS A sample of 62 people was selected. The DMFT score was 16.5± 8.7, the XI score was 22.9±7.8, the GOHAI score was 43.0±8.8, and the AIS score was 3.1±2.8. In total, 169 drugs were prescribed to the people of our sample, and 114 different anticholinergic drugs were observed. The most frequently used anticholinergic drugs (51.40%), in the study had a low antimuscarinic potency (1 point according to AIS scale). The multiple linear regression model showed that the OHrQoL scores were significantly lower when the DMFT scores, XI score, and anticholinergic scores were high. CONCLUSIONS This pilot study highlighted the potential role of the anticholinergic burden on the OHrQoL of PWS. A study with a validated specific scale for the OHrQoL and a standard anticholinergic burden scale should be conducted to clarify the role of anticholinergic drugs on the OHrQoL for PWS.
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Affiliation(s)
- Justine Chapuis
- University Hospital of Tours ,Odontology Department, 37170Chambray-lès-Tours, France
| | - Francesca Siu-Paredes
- EA 481 Integrative Neurosciences and Clinical. University Hospital of Besançon, 25000Besançon, France
- Université Champagne Ardenne. Faculté d’odontologie de Reims, 51100Reims, France
| | - Claire Pavageau
- University Hospital of Tours. Service d’odontologie du CHU de Tours, 37170Chambray-lès-Tours, France
| | - Gilles Amador
- Université de Nantes, Faculté d'Odontologie de Nantes, 44000Nantes, France
| | - Nathalie Rude
- EA 481 Integrative Neurosciences and Clinical. University Hospital of Besançon, 25000Besançon, France
| | - Frédéric Denis
- University Hospital of Tours ,Odontology Department, 37170Chambray-lès-Tours, France
- Université de Nantes, Faculté d'Odontologie de Nantes, 44000Nantes, France
- EA 75-05 Education, Ethique, Santé. Université de Tours, Faculté de Médecine, 37032Tours, France
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Deeb MA, Abduljabbar T, Vohra F, Zafar MS, Hussain M. Assessment of factors influencing oral health-related quality of life (OHRQoL) of patients with removable dental prosthesis. Pak J Med Sci 2020; 36:213-218. [PMID: 32063962 PMCID: PMC6994890 DOI: 10.12669/pjms.36.2.1257] [Citation(s) in RCA: 6] [Impact Index Per Article: 1.5] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/20/2019] [Revised: 09/06/2019] [Accepted: 10/09/2019] [Indexed: 11/24/2022] Open
Abstract
OBJECTIVE The aim of this study was to evaluate factors affecting oral health related quality of life (OHRQoL) of patients using removable dental prosthesis. METHODS The present study employed a cross sectional analytical design. A total of 200 patients participated and interviewed using a cross sectional analytical design. In the first section of the questionnaire patients were asked about demographic data whereas the second part of the questionnaire assessed medical history, oral habits, smoking status, oral hygiene habits and frequency of dental visit. The questionnaire also collected information regarding patient's removable prosthesis. Questionnaire of OHIP-DENT (Oral Health Impact Profile) was also employed to measure oral health quality of life (OHRQoL) on the domains of functional limitation (FL), physical pain (P1), psychological discomfort (P2), physical disability (D1), psychological disability (D2), social disability (D3) and handicap (H). Relationships between the demographic, socio-economic and education variables and others OHIP-EDENT scores were explored by comparing mean scores by applying ANOVA. RESULTS The study participants comprised of 107 males (53.5%) and 93 females (46.5%). Regarding oral care, participants reporting to visit their dentist within one year were 40.0%. The highest score was recorded for the functional limitation (FL) domain (15.62±6.6), followed by social disability (D3) (15.23±5.06) and physical pain (P1) (14.28±4.8). The respective scores for physical (D1) and psychological disability (D2) and handicap (H) were 10.47±4.84, 11.32±5.38 and 12.45±4.50 respectively. CONCLUSIONS Removable partial denture patients showed minimum problems with mastication, social compromise and functional discomfort. The oral health quality of life of removable denture patients is significantly influenced by patient education level, socio-economic status, medical conditions, smoking and tobacco use habits.
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Affiliation(s)
- Modhi Al Deeb
- Modhi Al Deeb, Department of Prosthetic Dental Science, College of Dentistry, King Saud University, Riyadh 11545, Saudi Arabia
| | - Tariq Abduljabbar
- Tariq Abduljabbar, Department of Prosthetic Dental Science, Research Chair for Biological Research in Dental Health, College of Dentistry, King Saud University, Riyadh 11545, Saudi Arabia
| | - Fahim Vohra
- Fahim Vohra, Department of Prosthetic Dental Sciences, College of Dentistry, King Saud University, Riyadh 11545, Saudi Arabia
| | - Muhammad S. Zafar
- Muhammad S. Zafar, Dept. of Restorative Dentistry, College of Dentistry, Taibah University, Al Madina Al Munawara, 41311, Saudi Arabia
| | - Mudassir Hussain
- Mudassir Hussain, Department of Community and Preventive Dentistry, Karachi Medical and Dental College, Karachi, Pakistan
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Oral health in schizophrenia patients: A French Multicenter Cross-Sectional Study. Presse Med 2019; 48:e89-e99. [DOI: 10.1016/j.lpm.2018.06.018] [Citation(s) in RCA: 15] [Impact Index Per Article: 3.0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 01/13/2018] [Revised: 05/12/2018] [Accepted: 06/21/2018] [Indexed: 11/18/2022] Open
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Frederic D, Corinne R, Matthieu R, Francesca SP, Stephanie TJ, Nathalie R. The Schizophrenia Oral Health Profile: Development and Feasibility. Transl Neurosci 2018; 9:123-131. [PMID: 30263228 PMCID: PMC6153450 DOI: 10.1515/tnsci-2018-0019] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/23/2018] [Accepted: 08/29/2018] [Indexed: 12/26/2022] Open
Abstract
Background The aim of this study was to present the different stages of development of the Schizophrenia Oral Health Profile (SOHP) questionnaire, aimed at assessing oral disorders and their impacts on functioning and psychosocial wellbeing for patients with schizophrenia (PWS) and to give the results of a feasibility study conducted in France Materials and methods The first step of this qualitative study was semi-structured interviews were conducted with 20 PWS and 6 health professionals (HP). A focus group integrating 4 PWS and 4 HP was also organised to identify the items of the SOHP. The data were analysed using a thematic analysis. Second, a feasibility study was conducted in a sample of 30 PWS who answered the SOHP questionnaire. The acceptability and understanding of the SOHP were evaluated, using a specific questionnaire. Results The semi-structured interviews and focus groups included 34 individuals in total. Items’ selection was done with several stages and led to a SOHP scale with 53 final items related to oral disorders and their impacts on functioning and psychosocial well-being. These items were classified in 13 preselected dimensions including one additional module related to the side effects of medications (11 items). The feasibility study showed good acceptability and understanding of the items of the SOHP scale. Conclusions The psychometric validation of the SOHP scale, involving a large sample of PWS, is currently in progress. The SOHP is important to evaluate PWS oral health needs and to offer appropriate strategies to improve oral health of this persons. Trial registration Clinical Trials Gov NCT02730832. Date registered: 21 March, 2016.
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Affiliation(s)
- Denis Frederic
- Clinical Research Unit, La Chartreuse Psychiatric Centre, 21033 Dijon, France.,EA 75-05 Education, Ethique, Santé, Université François-Rabelais Tours, Faculté de Médecine, 37032 Tours, France
| | - Rat Corinne
- Clinical Research Unit, La Chartreuse Psychiatric Centre, 21033 Dijon, France
| | - Reynaud Matthieu
- Clinical Research Unit, La Chartreuse Psychiatric Centre, 21033 Dijon, France
| | - Siu-Paredes Francesca
- EA 481 Integrative and Clinical Neurosciences, University Hospital of Besançon, F-25000 Besançon, France.,Université Champagne Ardenne. Faculté d'Odontologie de Reims, 51100 Reims, France
| | - Tubert-Jeannin Stephanie
- Université Clermont Auvergne, EA4847 CROC Centre for Clinical Research in Dentistry, Clermont-Ferrand, France
| | - Rude Nathalie
- EA 481 Integrative and Clinical Neurosciences, University Hospital of Besançon, F-25000 Besançon, France
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Siu-Paredes F, Rude N, Rat C, Reynaud M, Hamad M, Moussa-Badran S, Denis F. The Schizophrenia Coping Oral Health Profile. Development and Feasibility. Transl Neurosci 2018; 9:78-87. [PMID: 29967693 PMCID: PMC6024692 DOI: 10.1515/tnsci-2018-0014] [Citation(s) in RCA: 5] [Impact Index Per Article: 0.8] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 02/10/2018] [Accepted: 05/22/2018] [Indexed: 12/14/2022] Open
Abstract
BACKGROUND The aim of this work was to present the creation of appropriate tools to evaluate the coping strategies in Oral-Health-related Quality of Life (OHrQOL) implemented by persons with schizophrenia (PWS), the Schizophrenia Coping Oral Health Profile (SCOOHP), and the results of a feasibility study. METHODS A qualitative investigation was conducted between June 2016 and May 2017.The first step included 26 semi-structured individual interviews, 20 with PWS and 6 with health professionals (HPs), and 2 focus groups (PWS and HPs) to explore the experiences of the participants and how they felt about coping strategies in OHrQOL. The second step was a feasibility study involving a statistical analysis to test the acceptability and internal consistency (Cronbach's α) of the SCOOHP. RESULTS The analysis of these interviews allowed for us to obtain 277 items from 3545 verbatim transcriptions related to various dimensions of OHrQOL. We presented the items selected in coping concepts in this study. After selecting items in several stages, we drew up the SCOOHP scale with 23 items (15 items for positive coping and 8 items for negative coping). The feasibility study showed good acceptability, good understanding of the items and good consistency reliability (α = 0.59). CONCLUSIONS This is the first study that has enabled us to draw up a specific tool to assess coping strategies in OHrQOL of PWS. A multicentre study involving a larger sample of PWS is underway in order to perform the psychometric validation of the SCOOHP. TRIAL REGISTRATION Clinical Trials Gov NCT02730832. Date registered: 21 March 2016.
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Affiliation(s)
- Francesca Siu-Paredes
- Université Champagne Ardenne, Faculté d’Odontologie de Reims, 2 rue du Général Koenig 51100, Reims, France
- EA 481 Integrative Neurosciences and Clinical, University Hospital of Besançon, F-25000Besançon, France
| | - Nathalie Rude
- EA 481 Integrative Neurosciences and Clinical, University Hospital of Besançon, F-25000Besançon, France
| | - Corinne Rat
- Clinical Research Unit, La Chartreuse Psychiatric Centre, 21033Dijon, France
| | - Matthieu Reynaud
- Clinical Research Unit, La Chartreuse Psychiatric Centre, 21033Dijon, France
| | - Mohamad Hamad
- EA 481 Integrative Neurosciences and Clinical, University Hospital of Besançon, F-25000Besançon, France
| | - Sahar Moussa-Badran
- Université Champagne Ardenne, Faculté d’Odontologie de Reims, 2 rue du Général Koenig 51100, Reims, France
| | - Frederic Denis
- Clinical Research Unit, La Chartreuse Psychiatric Centre, 21033Dijon, France
- EA 75-05 Education, Ethique, Santé, Université François-Rabelais Tours, Faculté de Médecine, 37032Tours, France
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21
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Azogui-Lévy S, Dray-Spira R, Attal S, Hartemann A, Anagnostou F, Azerad J. Factors associated with oral health-related quality of life in patients with diabetes. Aust Dent J 2018; 63:163-169. [DOI: 10.1111/adj.12577] [Citation(s) in RCA: 8] [Impact Index Per Article: 1.3] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Accepted: 11/04/2017] [Indexed: 01/01/2023]
Affiliation(s)
- S Azogui-Lévy
- Department of Oral Public Health; Denis-Diderot University - Paris 07; Paris France
- Department of Odontology; Assistance Publique-Hôpitaux de Paris (AP-HP); Pitié-Salpêtrière Hospital; Paris France
| | - R Dray-Spira
- Pierre Louis Institut - Epidemiology and Public Health (IPLESP); Inserm-Pierre et Marie Curie University - Paris 06; Paris France
| | - S Attal
- Department of Oral Public Health; Denis-Diderot University - Paris 07; Paris France
- Department of Odontology; Assistance Publique-Hôpitaux de Paris (AP-HP); Pitié-Salpêtrière Hospital; Paris France
| | - A Hartemann
- Endocrinology, Nutrition and Diabetes Department; Assistance Publique-Hôpitaux de Paris (AP-HP); Pitié-Salpêtrière Hospital; Paris France
- Pierre et Marie Curie University - Paris 06; Paris France
- Institute of Cardiometabolism and Nutrition; Paris France
| | - F Anagnostou
- Department of Odontology; Assistance Publique-Hôpitaux de Paris (AP-HP); Pitié-Salpêtrière Hospital; Paris France
- Department of Periodontology; Denis-Diderot University - Paris 07; Paris France
| | - J Azerad
- Department of Odontology; Assistance Publique-Hôpitaux de Paris (AP-HP); Pitié-Salpêtrière Hospital; Paris France
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22
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Denis F, Bizien P, Tubert-Jeannin S, Hamad M, Trojak B, Rude N, Hardouin JB. A Rasch Analysis between Schizophrenic Patients and the General Population. Transl Neurosci 2017; 8:139-146. [PMID: 29104802 PMCID: PMC5662753 DOI: 10.1515/tnsci-2017-0020] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.1] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/02/2017] [Accepted: 10/10/2017] [Indexed: 12/21/2022] Open
Abstract
Background The aim of this study was to test the General Oral Health Assessment Index Questionnaire (GOHAI) items for differential item functioning (DIF) according to demographic characteristics (gender, age) and mental health status (schizophrenic disorders versus general population) using Rasch analysis. Methods This is a cross-sectional study using aggregated baseline data from a validation study of the GOHAI in the French general population (GP) and similar validation study in persons with schizophrenia (PWS). DIF was tested using the Partial Credit Model. DIF were estimated in different groups of patients. Results The cohort comprised 363 persons: 65% were female, 83% were 25-45 years old and 30% were PWS.Five of the 12 items exhibited DIF. DIF effects were observed with schizophrenia for 3 items, with age for 3 items and with gender for 1 item. The variable “age” gave a significant explanation of the latent variable: the latent variable decreased with age (-0.40±0.08-p<0.001 for each increase of the age of 10 years). This decrease represented an effect size of 0.27 which can be qualified of a small to medium effect. The status of the individuals (GP versus PWS) and the gender did not significantly explain differences in the values of the latent variable. Conclusion The GOHAI scores may not be comparable across sub-groups defined by health status, age and gender without accounting for DIF. In the future, other studies should explore this way with other Oral Health related Quality of Life assessment tools and populations with mental illness.
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Affiliation(s)
- Frederic Denis
- La Chartreuse Psychiatric Centre, 21033, Dijon, France.,Université Champagne Ardenne, Faculté d'Odontologie de Reims, Département de Santé Publique. 2 rue du Général Koenig, 51100, Reims, France.,EA 481 Integrative Neurosciences and Clinical, University Hospital of Besançon, F-25000, Besançon, France
| | - Pablo Bizien
- UMR 1246 INSERM - SPHERE "methodS in Patient-centered outcomes and HEalth ResEarch", Nantes, France
| | - Stéphanie Tubert-Jeannin
- Université Clermont Auvergne, CROC - EA4847, Centre for Clinical Research in Dentistry, F-63000, Clermont-Ferrand, France
| | - Mohamad Hamad
- EA 481 Integrative Neurosciences and Clinical, University Hospital of Besançon, F-25000, Besançon, France
| | - Benoit Trojak
- Department of Psychiatry and Addictology, University Hospital of Dijon, 21079, Dijon, France
| | - Nathalie Rude
- EA 481 Integrative Neurosciences and Clinical, University Hospital of Besançon, F-25000, Besançon, France
| | - Jean-Benoit Hardouin
- UMR 1246 INSERM - SPHERE "methodS in Patient-centered outcomes and HEalth ResEarch", Nantes, France
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