Is assessment of oral health-related quality of life burdensome? An item nonresponse analysis of the oral health impact profile

Abstract Aim This study aimed to investigate if in the 49-item Oral Health Impact Profile (OHIP): (i) more missing data occurred when participants answered more questions, (ii) more missing data occurred in a particular item or set of related items, and (iii) item missingness was associated with the...

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Autores principales:	Swaha Pattanaik, Chi Hyun Lee, Mike T. John, Phonsuda Chanthavisouk, Danna Paulson
Formato:	article
Lenguaje:	EN
Publicado:	BMC 2021
Materias:	Missing data Oral health-related quality of life Oral health impact profile Patient-reported outcome measures Dentistry RK1-715
Acceso en línea:	https://doaj.org/article/480444ee0dea43f0bf87407e9942f9ae
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spelling	oai:doaj.org-article:480444ee0dea43f0bf87407e9942f9ae2021-11-28T12:29:28ZIs assessment of oral health-related quality of life burdensome? An item nonresponse analysis of the oral health impact profile10.1186/s12903-021-01954-w1472-6831https://doaj.org/article/480444ee0dea43f0bf87407e9942f9ae2021-11-01T00:00:00Zhttps://doi.org/10.1186/s12903-021-01954-whttps://doaj.org/toc/1472-6831Abstract Aim This study aimed to investigate if in the 49-item Oral Health Impact Profile (OHIP): (i) more missing data occurred when participants answered more questions, (ii) more missing data occurred in a particular item or set of related items, and (iii) item missingness was associated with the demographic characteristics and oral health-related quality of life (OHRQoL) impairment level. Methods We used OHIP data from the Dimensions of OHRQoL (DOQ) project, which consolidated data from 35 individual studies. Among these studies, we analyzed OHIP data from 19 studies (4,847 surveyed individuals, of which 3,481 were completed under supervision and 1,366 were completed unsupervised) that contained some missing information. We computed descriptive statistics to investigate the OHIP missingness. We also used logistic regression analyses, with missing information as the dependent variable, and number of questions filled in (OHIP item rank) as the independent variable for samples with and without supervision. To investigate whether missing data occurs more in a particular item or set of related items we fitted regression models with individual OHIP items and the OHRQoL dimensions as indicator variables. We also investigated age, gender, and OHRQoL level as predictor variables for missing OHIP items. Results We found very low levels of missingness across individual OHIP items and set of related items, and there was no particular item or set of related items that was associated with more missing data. Also, more missing data did not depend on whether the participants answered more questions. In studies without supervision, older persons and females were 5.47 and 2.66 times more likely to have missing items than younger persons and females. However, in studies with supervision, older persons, and participants with more OHRQoL impairment were 1.70 and 2.65 times more likely to have missing items. Conclusion The study participants from general and dental patient populations did not find OHIP-49 burdensome. OHIP item missingness did not depend on a particular OHIP item or set of related items, or if the study participants responded to a greater number of OHIP items. We did not find a consistent pattern of the influence of sociodemographic and OHRQoL magnitude information on OHIP missingness. The amount of missing OHIP information was low making any potential influence likely small in magnitude.Swaha PattanaikChi Hyun LeeMike T. JohnPhonsuda ChanthavisoukDanna PaulsonBMCarticleMissing dataOral health-related quality of lifeOral health impact profilePatient-reported outcome measuresDentistryRK1-715ENBMC Oral Health, Vol 21, Iss 1, Pp 1-11 (2021)
institution	DOAJ
collection	DOAJ
language	EN
topic	Missing data Oral health-related quality of life Oral health impact profile Patient-reported outcome measures Dentistry RK1-715
spellingShingle	Missing data Oral health-related quality of life Oral health impact profile Patient-reported outcome measures Dentistry RK1-715 Swaha Pattanaik Chi Hyun Lee Mike T. John Phonsuda Chanthavisouk Danna Paulson Is assessment of oral health-related quality of life burdensome? An item nonresponse analysis of the oral health impact profile
description	Abstract Aim This study aimed to investigate if in the 49-item Oral Health Impact Profile (OHIP): (i) more missing data occurred when participants answered more questions, (ii) more missing data occurred in a particular item or set of related items, and (iii) item missingness was associated with the demographic characteristics and oral health-related quality of life (OHRQoL) impairment level. Methods We used OHIP data from the Dimensions of OHRQoL (DOQ) project, which consolidated data from 35 individual studies. Among these studies, we analyzed OHIP data from 19 studies (4,847 surveyed individuals, of which 3,481 were completed under supervision and 1,366 were completed unsupervised) that contained some missing information. We computed descriptive statistics to investigate the OHIP missingness. We also used logistic regression analyses, with missing information as the dependent variable, and number of questions filled in (OHIP item rank) as the independent variable for samples with and without supervision. To investigate whether missing data occurs more in a particular item or set of related items we fitted regression models with individual OHIP items and the OHRQoL dimensions as indicator variables. We also investigated age, gender, and OHRQoL level as predictor variables for missing OHIP items. Results We found very low levels of missingness across individual OHIP items and set of related items, and there was no particular item or set of related items that was associated with more missing data. Also, more missing data did not depend on whether the participants answered more questions. In studies without supervision, older persons and females were 5.47 and 2.66 times more likely to have missing items than younger persons and females. However, in studies with supervision, older persons, and participants with more OHRQoL impairment were 1.70 and 2.65 times more likely to have missing items. Conclusion The study participants from general and dental patient populations did not find OHIP-49 burdensome. OHIP item missingness did not depend on a particular OHIP item or set of related items, or if the study participants responded to a greater number of OHIP items. We did not find a consistent pattern of the influence of sociodemographic and OHRQoL magnitude information on OHIP missingness. The amount of missing OHIP information was low making any potential influence likely small in magnitude.
format	article
author	Swaha Pattanaik Chi Hyun Lee Mike T. John Phonsuda Chanthavisouk Danna Paulson
author_facet	Swaha Pattanaik Chi Hyun Lee Mike T. John Phonsuda Chanthavisouk Danna Paulson
author_sort	Swaha Pattanaik
title	Is assessment of oral health-related quality of life burdensome? An item nonresponse analysis of the oral health impact profile
title_short	Is assessment of oral health-related quality of life burdensome? An item nonresponse analysis of the oral health impact profile
title_full	Is assessment of oral health-related quality of life burdensome? An item nonresponse analysis of the oral health impact profile
title_fullStr	Is assessment of oral health-related quality of life burdensome? An item nonresponse analysis of the oral health impact profile
title_full_unstemmed	Is assessment of oral health-related quality of life burdensome? An item nonresponse analysis of the oral health impact profile
title_sort	is assessment of oral health-related quality of life burdensome? an item nonresponse analysis of the oral health impact profile
publisher	BMC
publishDate	2021
url	https://doaj.org/article/480444ee0dea43f0bf87407e9942f9ae
work_keys_str_mv	AT swahapattanaik isassessmentoforalhealthrelatedqualityoflifeburdensomeanitemnonresponseanalysisoftheoralhealthimpactprofile AT chihyunlee isassessmentoforalhealthrelatedqualityoflifeburdensomeanitemnonresponseanalysisoftheoralhealthimpactprofile AT miketjohn isassessmentoforalhealthrelatedqualityoflifeburdensomeanitemnonresponseanalysisoftheoralhealthimpactprofile AT phonsudachanthavisouk isassessmentoforalhealthrelatedqualityoflifeburdensomeanitemnonresponseanalysisoftheoralhealthimpactprofile AT dannapaulson isassessmentoforalhealthrelatedqualityoflifeburdensomeanitemnonresponseanalysisoftheoralhealthimpactprofile
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Is assessment of oral health-related quality of life burdensome? An item nonresponse analysis of the oral health impact profile

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