RESPONSIVENESS OF BRAZILIAN VERSION OF OHIPEDENT FOR APPLICATIONS OF PATIENT-CENTERED APPROACHES IN CLINICAL PRACTICE AND RESEARCH

Abstract

Objective: to evaluate the responsiveness of the Brazilian version of OHIP-EDENT instrument to applications of patient-centered approaches in dental clinical practice and research. Materials and Methods: one hundred edentulous patients up to 50 years old attending a public university clinic were enrolled in this non- randomized clinical study. All subjects received a new CD and answered an oral health-related quality of life (OHRQoL) instrument before treatment (BT) and 3 months after treatment (AT). The responsiveness was analyzed by dividing the mean score ranging from BT to AT by the standard deviation of change scores considering 0.2, 0.5, and 0.8 represent small, moderate, and large clinical changes, respectively. Results: There was a decrease in AT and DT in total scores and in all subscales (p<0.001). The OHIP-EDENT responsiveness scores dropped 14.46 points after treatment, demonstrating a positive reduction as well as an improvement in the patient OHRQoL after new CD. The SRM scored as 1.74, representing satisfactory responsiveness. Conclusion: the OHIP-EDENT (Brazilian version) presents capacity to detect changes in edentulous patients. This instrument can help weigh risks and benefits, assess the cost effectiveness of treatments, and influence recommendations on health policies adopting a more holistic approach to healthcare.