Validation of a modified version of the Spanish Geriatric Oral Health Assessment Index (GOHAI-SP) for adults and elder people

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.

Psychometric properties of the Urdu version of the Geriatric Oral Health Assessment Index (GOHAI) and oral health‐related quality of life in the elder Pakistani population

“…18,19,22,30 This study was carried out on 408 participants which are comparable to the Iranian study (417) 22 and in other similar studies, the range of the participants varies from 101 to 288 subjects. 17,20,30 The mean GOHAI-U score (40.2) in this study was close to the mean GOHAI score in Jordan (40.9) and Turkish (42.5) studies, 23,25 but lower than studies in developed countries like the USA (52.5), Germany (53.0), Sweden (49.8) and France (46.4) 20,21,24 and relatively higher score then studies in India (32.02) and Saudi Arabia (32.1). 19,23 The majority of participants in this study had no oral prostheses (70.8%), and previous reports suggested that having dentures (full and partial) can significantly affect QoL in a positive way.…”

“…[10][11][12][13][14] Before using any measure in a region or community with a different language and culture, it needs to undergo a procedure of translation, cultural adaptation, and tested for its validity and reliability. 15 Since its development, GOHAI has been translated and used widely in different populations (China, Malaysia, Iran, Sweden, Germany, Spain, France, Turkey, Japan, India, Jordan, and Saudi Arabia) and shown to have an acceptable psychometric properties 9,[16][17][18][19][20][21][22][23][24][25] However, despite its global popularity, a GOHAI is never translated and used in Pakistani elder population for assessing their OHRQoL. Therefore, the aim of the study was to develop the Urdu version of the Geriatric Oral Health Assessment Index (GOHAI-U), assess its reliability and validity, and demonstrate its psychometric properties with regard to OHRQoL in the elder Pakistani population.…”

Oral Health‐Related Quality of Life in Chronic Liver Failure Patients Measured by OHIP‐14 and GOHAI

“…The MELD score in the present study was calculated with the blood creatinine, bilirubin, and INR (international normalized ratio) values recorded at the time of listing for liver transplant surgery by the transplant team. MELD scores were divided into three groups: low (MELD < 10), medium (MELD [11][12][13][14][15][16][17][18], and high (MELD 19-40).…”

“…Furthermore, the GOHAI (Geriatric Oral Health Assessment Index) questionnaire is also an assessment tool for examining the relationship between oral diseases and quality of life in the elderly. This tool also addresses three main dimensions: (1) physical function, (2) psychosocial function, and (3) pain or discomfort [15]. Accordingly, considering the importance of oral health in liver transplant success and its consequent impact on the quality of life of these patients, we decided to design this study to assess the effects of oral health status and disease severity on OHRQOL of candidates for liver transplant surgery.…”

Autopercepção da qualidade de vida relacionada com a saúde bucal de idosos em Fortaleza, Ceará

“…Há vários exemplos desses questionários validados na literatura, e a sua escolha deve se basear em informações do público-alvo e nos objetivos da pesquisa. Uma dessas medidas é o The Geriatric Oral Health Assessment Index (GOHAI), um índice criado para avaliar as limitações bucais e a satisfação com a saúde bucal do público idoso 7,8 .…”