Does the mode of administration of the Oral Health Impact Profile-49 affect the outcome score?
Does the mode of administration of the Oral Health Impact Profile-49 affect the outcome score?
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DOI：
10.1016/j.jdent.2013.10.016
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发表时间：
2014-01-01
影响因子：
4.4
通讯作者：
Preshaw, Philip M.
中科院分区：
文献类型：
--
作者：
Desai, Radhika;Durham, Justin;Preshaw, Philip M.
目的：探讨两种不同给药方式(手动-自我完成和电话访谈)对口腔健康影响量表(OHIP-49)结果评分的差异。方法：83例慢性牙周炎患者(n=83，女性54%，男性46%，平均年龄49.1+/-9.5岁)按随机顺序使用两种给药模式(手动自我完成和电话访谈)完成OHIP-49，两种模式的最短冲洗期为2周，均发生在牙周治疗前。结果：手工完成的OHIP-49得分中位数(中位数36[IQR=20~70])显著高于电话访谈(中位数27[IQR=1161])(p<；0.01)。这一全球问题与OHIP领域有很好的相关性，但没有发现任何像OHIP-49本身那样的顺序效应的证据(在两种模式下的第一次给药期间，OHIP-49对OHRQOL的影响更大)。结论：给药模式(手动自我完成与电话采访)确实对慢性牙周炎患者的OHIP-49得分有实质性影响。OHRQOL在两种管理模式之间存在差异，当问卷手动自行完成时，OHRQOL得分显著较高(表明OHRQOL较差)。临床意义：OHIP-49等生活质量调查问卷的管理模式可能会潜在地影响得出的结果得分。这项研究调查了OHIP-49在慢性牙周炎患者中，如果通过手动自我完成或电话访谈提供的结果评分是否有差异。我们发现，两种模式之间存在显著差异：患者手动完成自我完成的得分显著高于电话采访完成的得分。因此，重要的是在OHIP-49的完成模式上保持一致，因为混合模式可能会给使用该仪器的临床研究带来额外的误差。(C)2013爱思唯尔有限公司。保留所有权利。
Objective: To determine if there are differences in outcome scores if the Oral Health Impact Profile-49 (OHIP-49) is delivered by two different modes of administration (manual-self complete versus telephone interview).Methods: Patients with chronic periodontitis (n = 83, 54% females and 46% males, mean age 49.1 +/- 9.5 years) completed the OHIP-49 using two modes of administration (manual self-complete and telephone interview) in a randomly assigned order, with a minimum washout period of 2 weeks between modes, both episodes occurring prior to any periodontal treatment being provided. To assess convergent validity, after each mode of administration, the patients were additionally asked a global question about their oral health-related quality of life (OHRQoL).Results: Median OHIP-49 scores recorded by manual self-complete (median 36 [IQR = 20-70]) were significantly higher than those recorded by telephone interview (median 27 [ IQR = 1161]) (p < 0.01). The global question was well correlated to the OHIP domains, but did not reveal any evidence of an order effect such as was seen with OHIP-49 itself (which showed a higher impact on OHRQoL during the first administration in either mode).Conclusions: The mode of administration (manual-self complete versus telephone interview) did substantially influence the OHIP-49 scores in patients with chronic periodontitis. The OHRQoL differed between the two modes of administration, with significantly higher scores (indicating poorer OHRQoL) when the questionnaire was manually self-completed.Clinical significance: The mode of administration of quality of life questionnaires such as OHIP-49 could potentially affect the outcome scores derived. This study investigated whether there is a difference in outcome scores if OHIP-49 is delivered via manual self-complete or by telephone interview in patients with chronic periodontitis. We found that there was a significant difference between the two modes: manual self-completion by the patients yielded significantly higher scores than completion by telephone interview. It is therefore important to be consistent in the mode of completion of OHIP-49, as mixing modes could introduce additional error into clinical studies that utilise this instrument. (C) 2013 Elsevier Ltd. All rights reserved.