Comparison of the GOHAI and OHIP‐14 as measures of the oral health‐related quality of life of the elderly

Abstract

– Objectives: This paper compares the performance of the GOHAI and the OHIP‐14 as measures of the oral health‐related quality of life of the compromised elderly. Methods: Data were obtained from a cross‐sectional survey of 225 participants, most of whom lived in a large geriatric care centre. Results: The mean age of subjects was 83 years and the majority had one or more chronic medical conditions and physical disabilities. Their main oral problems were high rates of tooth loss and xerostomia. Additive and simple count methods were used to derive GOHAI and OHIP‐14 scores. Using the additive method, 8.4% had a GOHAI score of zero and 30.3% an OHIP‐14 score of zero. Using the simple count method the percentage with a score of zero was 15.1% and 45.8%. Both measures discriminated between dentate subjects with and without one or more dentures, with and without a chewing problem and with and without dry mouth. Both also showed significant associations with self‐rated oral health and satisfaction with oral health status. Associations tended to be stronger between GOHAI scores and these variables. The measures were equally good at predicting overall psychological well‐being and life satisfaction. Although the GOHAI identified more oral functional and psychosocial impacts than the OHIP‐14, neither was markedly superior to the other when used as discriminatory measures. However, the high prevalence of subjects with zero scores may compromise the ability of the OHIP‐14 to detect within‐subject change.

The relationship between the clinical features of idiopathic burning mouth syndrome and self-perceived quality of life

“…The GOHAI is based on a patient-centered definition of oral health reporting self-perceived oral functional problems and psychosocial impacts associated with oral diseases (37). Taking into account the content of questionnaires, the OHIP-14 gives greater weight to psychological and behavioral outcomes, whereas the GOHAI gives greater weight to functional limitations, pain, and discomfort (38). Both OHIP-14 and GOHAI have good internal consistency, reliability, and validity.…”

Oral health-related quality of life and the IOTN index as predictors of children's perceived needs and acceptance for orthodontic treatment

“…This assessment has also an important role to play in clinical practice. 2 Of all the dental treatments that require the use of oral health-related quality of life measures, the treatment of maloc clusion, which has such a large psycho social component, calls out for the use of oral health-related quality of life meas ures. Paradoxically, despite the fact that demand for treatment is mostly related to personal concern about appearance and other psychological factors, morphologic change, measured by occlusal indices or cephalometric measures, has been the main criterion to assess both acceptance and effectiveness of orthodontic treat ment.…”

Oral Health- Related Quality of Life Assessed in Adults: Integrative Review

“…Constata-te, ainda, que na dimensão Limitações funcionais, o GOHAI possui itens referentes a problemas ao trincar, mastigar, engolir e falar, enquanto o OHIP-14 refere problemas com pronunciar palavras e saborear alimentos. Infere-se, assim, que o GOHAI permite identificar impactos relativos à disfunção e dor enquanto o OHIP-14 deteta, com maior facilidade, impactos psicológicos (Locker et al, 2001).…”