Impact of response shift on the assessment of treatment effects using the Oral Health Impact Profile.
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Impact of response shift on the assessment of treatment effects using the Oral Health Impact Profile. / Reißmann, Daniel; Remmler, Antje; John, Mike T; Schierz, Oliver; Hirsch, Christian.
In: EUR J ORAL SCI, Vol. 120, No. 6, 6, 2012, p. 520-525.Research output: SCORING: Contribution to journal › SCORING: Journal article › Research › peer-review
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TY - JOUR
T1 - Impact of response shift on the assessment of treatment effects using the Oral Health Impact Profile.
AU - Reißmann, Daniel
AU - Remmler, Antje
AU - John, Mike T
AU - Schierz, Oliver
AU - Hirsch, Christian
PY - 2012
Y1 - 2012
N2 - The assessment of changes in oral health-related quality of life (OHRQoL) is challenging because individuals' concepts and internal standards of OHRQoL may change over time. The aim of this study was to detect response shifts in OHRQoL assessments made using the Oral Health Impact Profile (OHIP). Oral health-related quality of life was assessed in a consecutive sample of 126 patients seeking prosthodontic care. Patients were asked to rate their OHRQoL before treatment started and 1 month after treatment was finished, using the German 49-item version of the OHIP. When rating their OHRQoL after treatment, patients were also asked to rate their pre-treatment OHRQoL without having access to their baseline data. The response shift was calculated as the difference in OHIP summary scores between the initial assessment and the retrospective baseline assessment. The OHIP mean scores decreased from 31.8 at the initial baseline assessment to 24.4 after treatment. The retrospective baseline assessment resulted in an OHIP mean score of 38.1, corresponding to a response shift of 6.3 OHIP points. The effect size (Cohen's d = 0.21) of the response shift was considered small. The response shift phenomenon and its magnitude have important implications for dental practice, where patients and dentists often assess perceived treatment effects retrospectively.
AB - The assessment of changes in oral health-related quality of life (OHRQoL) is challenging because individuals' concepts and internal standards of OHRQoL may change over time. The aim of this study was to detect response shifts in OHRQoL assessments made using the Oral Health Impact Profile (OHIP). Oral health-related quality of life was assessed in a consecutive sample of 126 patients seeking prosthodontic care. Patients were asked to rate their OHRQoL before treatment started and 1 month after treatment was finished, using the German 49-item version of the OHIP. When rating their OHRQoL after treatment, patients were also asked to rate their pre-treatment OHRQoL without having access to their baseline data. The response shift was calculated as the difference in OHIP summary scores between the initial assessment and the retrospective baseline assessment. The OHIP mean scores decreased from 31.8 at the initial baseline assessment to 24.4 after treatment. The retrospective baseline assessment resulted in an OHIP mean score of 38.1, corresponding to a response shift of 6.3 OHIP points. The effect size (Cohen's d = 0.21) of the response shift was considered small. The response shift phenomenon and its magnitude have important implications for dental practice, where patients and dentists often assess perceived treatment effects retrospectively.
KW - Adult
KW - Humans
KW - Male
KW - Aged
KW - Female
KW - Middle Aged
KW - Aged, 80 and over
KW - Adolescent
KW - Questionnaires
KW - Prospective Studies
KW - Outcome Assessment (Health Care)
KW - Patient Satisfaction
KW - Oral Health
KW - Prosthodontics
KW - Quality of Life
KW - Sickness Impact Profile
KW - Dental Care
KW - Adult
KW - Humans
KW - Male
KW - Aged
KW - Female
KW - Middle Aged
KW - Aged, 80 and over
KW - Adolescent
KW - Questionnaires
KW - Prospective Studies
KW - Outcome Assessment (Health Care)
KW - Patient Satisfaction
KW - Oral Health
KW - Prosthodontics
KW - Quality of Life
KW - Sickness Impact Profile
KW - Dental Care
M3 - SCORING: Journal article
VL - 120
SP - 520
EP - 525
JO - EUR J ORAL SCI
JF - EUR J ORAL SCI
SN - 0909-8836
IS - 6
M1 - 6
ER -