Int J Stomatol

Int J Stomatol ›› 2020, Vol. 47 ›› Issue (5): 557-562.doi: 10.7518/gjkq.2020100

• Original Articles • Previous Articles     Next Articles

Reliability and validity evaluation of the Chinese version of the oral potentially malignant disorder questionnaire

Peng Shuyuan1,2,3(),Xiang Xuerong1,Chen Fangchun1,Sun Yan1,2,Yin Feng1,2,Li Min1,2,3()   

  1. 1.Dept. of Oral Mucosa, Stomatological Hospital of Chongqing Medical University, Chongqing 401147, China
    2.Chongqing Key Laboratory of Oral Diseases and Biomedical Science, Chongqing 401147, China
    3.Chongqing Municipal Key Laboratory of Oral Biomedical Engineering of Higher Education, Chongqing 401147, China
  • Received:2020-03-05 Revised:2020-05-20 Online:2020-09-01 Published:2020-09-16
  • Contact: Min Li E-mail:2017110902@stu.cqmu.edu.cn;limin028@hospital.cqmu.edu.cn
  • Supported by:
    Key Medical Research Projects of Chongqing Health and Family Planning Commission(2016ZD-XM020);Chongqing University Innovation Team Construction Plan(CXTDG201602006)

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Abstract:

Objective This study aimed to evaluate the reliability and validity of the Chinese version of the oral potentially malignant disorders questionnaire (OPMDQ). Methods Initial translation, back-translation, quality evaluation, cultural adjustments, and pre-evaluation of the OPMDQ were performed to develop a Chinese version. This questionnaire was distributed to 370 subjects [210 patients with oral potentially malignant disorders (OPMD) and 160 healthy subjects] to evaluate its reliability and validity. After the subjects accomplished the questionnaires, the collected data were analyzed to evaluate the reliability and validity of the scale. Results Exactly 339 efficient scales were collected, with completion rate of 91.6%. The α value of the total Cronbach coefficient in the scale was 0.876, and the total score of the interclass correlation coefficient of the test-retest was 0.84. Following exploratory factor analysis, four factors were extracted and showed an accumulating contribution rate of up to 67.89%, suggesting that the scale had the expected joint and logical relationships ranging from 0.469 to 0.854. For the discri-minant validity of the scale, the difference between the scale scores of patients with OPMD and those of healthy subjects were statistically significant (P<0.001), suggesting that the scale had good discriminant validity. Conclusion The Chinese version of the OPMDQ displayed good reliability and validity, as indicated by strict performance tests. This questionnaire can be applied to evaluate the quality of patients with oral potentially malignant disorders in China.

Key words: oral potentially malignant disorder, reliability, validity, quality of life, questionnaire

CLC Number: 

  • R73

TrendMD: 

Tab 1

Basic characteristics of the subjects"

调查项目 OPMD组（n=196） 对照组（n=143） t/χ2值 P值
例数 构成比/% 例数 构成比/%
年龄/岁（$\bar{x}±s$） 51.9±16.7 49.1±15.4 1.597 0.116
性别 男 78 39.8 57 39.9 0.000 0.990
女 118 60.2 86 60.1
就业情况 已就业 146 74.5 112 78.3 0.668 0.414
未就业 50 25.5 31 21.7
学历 小学 48 24.5 32 22.4 2.140 0.343
中学 96 49.0 81 56.6
本科及以上学历 52 26.5 30 21.0
婚姻状况 已婚 173 88.3 125 87.4 0.057 0.812
未婚 23 11.7 18 12.6
临床诊断 OLK 53 27.0
OLP 108 55.1
OSF 35 17.9

Tab 2

Distribution of the OPMDQ response of the subjects and discriminant validity analysis of the OPMDQ"

维度 OPMD组 对照组 t值 P值
诊断困难 8.24±2.29 6.64±2.58 6.021 <0.001
体格损伤和功能限制 16.59±4.72 14.76±4.3 3.659 <0.001
心理和社会影响 17.08±5.87 14.86±5.25 3.594 <0.001
治疗对日常生活的影响 6.68±2.26 5.49±2.32 4.734 <0.001
总计 48.56±12.42 41.75±11.76 5.098 <0.001

Tab 3

The reliability of the Chinese version of the OPMDQ"

维度 条目数 克朗巴赫α系数 ICC
诊断困难 3 0.963 0.76
体格损伤和功能限制 7 0.848 0.88
心理和社会影响 7 0.735 0.85
治疗对日常生活的影响 3 0.843 0.85
总计 20 0.876 0.84

Tab 4

Exploratory factor analysis of the Chinese version of OPMDQ"

条目序号 条目内容 因子1 因子2 因子3 因子4
11 您的口腔问题让您困扰吗 0.770
17 在聚餐、工作或者社交活动进食时会感到尴尬吗 0.634
15 您会担心您的口腔问题转变为口腔癌吗 0.574
16 您担心治疗结果影响您的生活吗 0.570
13 您的口腔问题影响您的人际关系吗 0.524
12 您的口腔问题会让您感到压抑或情绪低落吗 0.483
14 您的口腔问题影响您对生活的满意度吗 0.469
10 您感到口干吗 0.758
4 您的口腔问题让您痛苦和苦恼吗 0.746
7 您的口腔问题影响您的食欲吗 0.648
6 您张口有困难吗 0.640
8 您的口腔问题影响您进食吗 0.616
9 您的口腔问题影响您的味觉吗 0.604
5 当您进食辛辣食物时您有灼烧感吗 0.472
3 您的口腔问题确诊前,采用多种方式来治疗您会感到多大压力 0.733
2 就诊多名医生来诊断口腔问题对您的日常生活有多大影响 0.625
1 对您而言,诊断口腔问题有多难 0.543
19 您对口腔问题的治疗效果满意吗 0.854
20 预约治疗对您的日常生活有影响吗 0.488
18 治疗口腔问题您经历了多少痛苦 0.474
[1] Goodson ML, Sloan P, Robinson CM, et al. Oral precursor lesions and malignant transformation: who, where, what, and when[J]. Br J Oral Maxillofac Surg, 2015,53(9):831-835.
doi: 10.1016/j.bjoms.2015.08.268 pmid: 26388071
[2] Kumar S, Debnath N, Ismail MB, et al. Prevalence and risk factors for oral potentially malignant disor-ders in Indian population[J]. Adv Prev Med, 2015,2015:208519.
doi: 10.1155/2015/208519 pmid: 26347822
[3] Warnakulasuriya S, Johnson NW, van der Waal I. Nomenclature and classification of potentially ma-lignant disorders of the oral mucosa[J]. J Oral Pathol Med, 2007,36(10):575-580.
doi: 10.1111/j.1600-0714.2007.00582.x pmid: 17944749
[4] Benyamini Y, Leventhal H, Leventhal EA. Self-rated oral health as an independent predictor of self-rated general health, self-esteem and life satisfaction[J]. Soc Sci Med, 2004,59(5):1109-1116.
doi: 10.1016/j.socscimed.2003.12.021
[5] Watson JM, Logan HL, Tomar SL, et al. Factors associated with early-stage diagnosis of oral and pharyngeal cancer[J]. Community Dent Oral Epide-miol, 2009,37(4):333-341.
[6] Slade GD, Spencer AJ. Development and evaluation of the oral health impact profile[J]. Community Dent Health, 1994,11(1):3-11.
pmid: 8193981
[7] Ni Riordain R, Meaney S, McCreary C. A patient-centered approach to developing a quality-of-life questionnaire for chronic oral mucosal diseases[J]. Oral Surg Oral Med Oral Pathol Oral Radiol Endod, 2011,111(5):578-586.
doi: 10.1016/j.tripleo.2010.12.011 pmid: 21429772
[8] McGrath C, Bedi R. An evaluation of a new measure of oral health related quality of life: OHQoL-UK(W)[J]. Community Dent Health, 2001,18(3):138-143.
pmid: 11580088
[9] Tadakamadla J, Kumar S, Lalloo R, et al. Development and validation of a quality-of-life questionnaire for patients with oral potentially malignant disorders[J]. Oral Surg Oral Med Oral Pathol Oral Radiol, 2017,123(3):338-349.
pmid: 28094217
[10] Del Greco L, Walop W, Eastridge L. Questionnaire development: 3. Translation[J]. CMAJ, 1987,136(8):817-818.
pmid: 3567792
[11] Beaton DE, Bombardier C, Guillemin F, et al. Guide-lines for the process of cross-cultural adaptation of self-report measures[J]. Spine, 2000,25(24):3186-3191.
doi: 10.1097/00007632-200012150-00014 pmid: 11124735
[12] 辛蔚妮, 凌均棨. 口腔健康影响程度量表的验证研究[J]. 中华口腔医学杂志, 2006,41(4):242-245.
Xin WN, Ling JQ . Validation of a Chinese version of the oral health impact profile-14[J]. Chin J Stomatol, 2006,41(4):242-245.
[13] Reissmann DR, John MT, Schierz O. Influence of administration method on oral health-related quality of life assessment using the Oral Health Impact Profile[J]. Eur J Oral Sci, 2011,119(1):73-78.
doi: 10.1111/j.1600-0722.2010.00805.x
[14] Huntington NL, Spetter D, Jones JA, et al. Develop-ment and validation of a measure of pediatric oral health-related quality of life: the POQL[J]. J Public Heal Dent, 2011,71(3):185-193.
[15] Kolawole KA, Otuyemi OD, Oluwadaisi AM. Assess-ment of oral health-related quality of life in Nigerian children using the Child Perceptions Questionnaire (CPQ 11-14)[J]. Eur J Paediatr Dent, 2011,12(1):55-59.
[16] Sansare K, Kapoor R, Karjodkar F. Validity of chronic oral mucosal diseases questionnaire in oral submu-cous fibrosis[J]. Clin Oral Investig, 2019,23(2):873-877.
doi: 10.1007/s00784-018-2504-0 pmid: 29948274
[17] Kakudate N, Morita M, Fukuhara S, et al. Develop-ment of the outcome expectancy scale for self-care among periodontal disease patients[J]. J Eval Clin Pract, 2011,17(6):1023-1029.
doi: 10.1111/j.1365-2753.2010.01425.x
[18] Vilar-Villanueva M, Gándara-Vila P, Blanco-Aguilera E, et al. Psychological disorders and quality of life in oral lichen planus patients and a control group[J]. Oral Dis, 2019,25(6):1645-1651.
doi: 10.1111/odi.13106 pmid: 30993798
[19] Cai L, Ahlström G, Tang PF, et al. Psychometric evaluation of the Chinese version of the Person-centred Climate Questionnaire—Staff version (PCQ-S)[J]. BMJ Open, 2017,7(8):e017250.
doi: 10.1136/bmjopen-2017-017250 pmid: 28851797
[20] Rosales RS, García-Gutierrez R, Reboso-Morales L, et al. The Spanish version of the patient-rated wrist evaluation outcome measure: cross-cultural adapta-tion process, reliability, measurement error and cons-truct validity[J]. Health Qual Life Outcomes, 2017,15(1):169.
doi: 10.1186/s12955-017-0745-2 pmid: 28836994
[21] Souza FT, Santos TP, Bernardes VF, et al. The impact of burning mouth syndrome on health-related quality of life[J]. Health Qual Life Outcomes, 2011,9:57.
doi: 10.1186/1477-7525-9-57 pmid: 21801374
[22] Tadakamadla J, Kumar S, Lalloo R, et al. Impact of oral potentially malignant disorders on quality of life[J]. J Oral Pathol Med, 2018,47(1):60-65.
doi: 10.1111/jop.12620 pmid: 28766765
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