Milošević, Dragoslav P.

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Introduction to verification of the GOHAI instrument for measuring the oral health-related quality of life in patients with dentures using the Serbian preliminary version: A pilot study

Popović, Željka; Gajić, Ivanka; Obradović-Đuričić, Kosovka; Milošević, Dragoslav P.

(Vojnomedicinska akademija - Institut za naučne informacije, Beograd, 2015)

TY  - JOUR
AU  - Popović, Željka
AU  - Gajić, Ivanka
AU  - Obradović-Đuričić, Kosovka
AU  - Milošević, Dragoslav P.
PY  - 2015
UR  - https://smile.stomf.bg.ac.rs/handle/123456789/2000
AB  - Background/Aim. Quality of life related to health should be seen as a multidimensional concept that, in addition to the physical symptoms associated with a disease and treatment, should include physical, psychological and social functioning of a person. The primary objective of this study was to use the Serbian preliminary version of the Geriatric Oral Health Assessment Index (GOHAI) questionnaire in order to examine the consistency, reliability and stability, as well as an introduction to the verification tool. Methods. The GOHAI questionnaire with 6-level Likert scale, translated into Serbian, including the relevant oral health characteristics (oral hygiene, required dentures, number of teeth extracted), was filled by five specialists in prosthodontics for 30 randomly selected respondents, before and after the dental prosthetic treatment. Subsequently, in order to measure the reliability of the questionnaire, 27 patients were reinterviewed. Results. The value of Cronbach's Alpha Coefficient (Crα) before the treatment was 0.878, and after the treatment it was 0.788 confirming the internal consistency and stability of the questionnaire. The validity of discriminatory properties of the GOHAI was confirmed by the Spearman's correlation coefficient (r), which was highly significantly associated with oral health characteristics, confirming the high reliability of the measurement. The results of test-retest analysis measured by the individual Pearson's correlation coefficient (r) were in the range of 0.34-0.97, and for the total score r was 0.927, while the Kappa coefficient was 0.63. The correlation analysis of the GOHAI score before the treatment showed that for 10 questions there was a statistically significant correlation of the score with the answers to the questions, and for 6 questions Spearman's r was ≥ 0.7. After the treatment a highly significant correlation of the GOHAI was shown with the answers to 10 questions, while for 5 questions the Spearman's r was > 0.6. The GOHAI average score before the treatment was 19.44 ± 11.12, and after the treatment 2.77 ± 3.83, where the lower value indicates better quality of life. Conclusion. The results of this pilot study confirm internal consistency and stability of the Serbian preliminary version of the GOHAI questionnaire and the causal relation between the quality of life and the characteristics of oral health of the patients with dentures. Accordingly, instrument verification is recommended.
AB  - Uvod/Cilj. Kvalitet života u vezi sa zdravljem treba posmatrati kao multidimenzioni koncept koji, pored fizičkih simptoma vezanih za bolest i lečenje, treba da obuhvati i fizičko, psihičko i društveno funkcionisanje osobe. Primarni cilj studije bio je da se korišćenjem preliminarne srpske verzije upitnika Geriatric Oral Health Assessment Index (GOHAI) ispita konzistentnost, pouzdanost i stabilnost, kao uvod u verifikaciju instrumenta. Metode. GOHAI upitnik sa 6- stepenom Likertovom skalom, preveden na srpski jezik, koji je uključivao i oralnozdravstvene karakteristike (oralna higijena, potrebne zubne nadoknade, broj izvađenih zuba), popunjavan je od strane petoro specijalista stomatološke protetike za 30 slučajno izabranih ispitanika, pre i posle stomatoprotetskog lečenja. Naknadno, radi merenja pouzdanosti upitnika, ponovo je intervjuisano 27 ispitanika. Rezultati. Vrednost Cronbach's Alpha Coefficient (Crα pre lečenja bila je 0,878, a posle lečenja 0,788, čime su potvrđene interna konzistentnost i stabilnost upitnika. Valjanost diskriminatornog svojstva GOHAI potvrđena je vrednostima Spearmanovog koeficijenta korelacije (r), koji je značajan kada su u pitanju oralnozdravstvene karakteristike, čime je potvrđena valjanost merenja. Rezultati test-retest analize merene pojedinačnim Pearsonovim koeficijentom korelacije (r) bili su u rasponu 0,34-0,97, a za ukupan skor r je bio 0,927, dok je Kappa koeficijent bio 0,63. Korelaciona analiza GOHAI pre lečenja ukazala je da je za 10 pitanja postojala značajna povezanost skora sa odgovorima na pitanja, a za 6 Spearmanov r bio je ≥ 0,7. Posle lečenja utvrđena je značajna veza GOHAI sa odgovorima na 10 pitanja, a za 5 Spearmanov r bio je > 0.6. Prosek GOHAI skora pre lečenja bio je 19,44 ± 11,12, a posle lečenja 2,77 ± 3,83, gde manja vrednost ukazuje na bolji kvalitet života. Zaključak. Rezultati ovog pilot istraživanja potvrdili su internu konzistentnost i stabilnost preliminarne srpske verzije GOHAI upitnika, kao i kauzalnu vezu kvaliteta života sa karakteristikama oralnog zdravlja ispitanika sa zubnim nadoknadama, te se može preporučiti sprovođenje verifikacije instrumenta.
PB  - Vojnomedicinska akademija - Institut za naučne informacije, Beograd
T2  - Vojnosanitetski pregled
T1  - Introduction to verification of the GOHAI instrument for measuring the oral health-related quality of life in patients with dentures using the Serbian preliminary version: A pilot study
T1  - Uvod u verifikaciju instrumenta GOHAI za merenje oralnozdravstvenog kvaliteta života osoba sa zubnim nadoknadama primenom preliminarne srpske verzije - pilot studija
VL  - 72
IS  - 12
SP  - 1055
EP  - 1062
DO  - 10.2298/vsp140624077p
ER  - 
@article{
author = "Popović, Željka and Gajić, Ivanka and Obradović-Đuričić, Kosovka and Milošević, Dragoslav P.",
year = "2015",
abstract = "Background/Aim. Quality of life related to health should be seen as a multidimensional concept that, in addition to the physical symptoms associated with a disease and treatment, should include physical, psychological and social functioning of a person. The primary objective of this study was to use the Serbian preliminary version of the Geriatric Oral Health Assessment Index (GOHAI) questionnaire in order to examine the consistency, reliability and stability, as well as an introduction to the verification tool. Methods. The GOHAI questionnaire with 6-level Likert scale, translated into Serbian, including the relevant oral health characteristics (oral hygiene, required dentures, number of teeth extracted), was filled by five specialists in prosthodontics for 30 randomly selected respondents, before and after the dental prosthetic treatment. Subsequently, in order to measure the reliability of the questionnaire, 27 patients were reinterviewed. Results. The value of Cronbach's Alpha Coefficient (Crα) before the treatment was 0.878, and after the treatment it was 0.788 confirming the internal consistency and stability of the questionnaire. The validity of discriminatory properties of the GOHAI was confirmed by the Spearman's correlation coefficient (r), which was highly significantly associated with oral health characteristics, confirming the high reliability of the measurement. The results of test-retest analysis measured by the individual Pearson's correlation coefficient (r) were in the range of 0.34-0.97, and for the total score r was 0.927, while the Kappa coefficient was 0.63. The correlation analysis of the GOHAI score before the treatment showed that for 10 questions there was a statistically significant correlation of the score with the answers to the questions, and for 6 questions Spearman's r was ≥ 0.7. After the treatment a highly significant correlation of the GOHAI was shown with the answers to 10 questions, while for 5 questions the Spearman's r was > 0.6. The GOHAI average score before the treatment was 19.44 ± 11.12, and after the treatment 2.77 ± 3.83, where the lower value indicates better quality of life. Conclusion. The results of this pilot study confirm internal consistency and stability of the Serbian preliminary version of the GOHAI questionnaire and the causal relation between the quality of life and the characteristics of oral health of the patients with dentures. Accordingly, instrument verification is recommended., Uvod/Cilj. Kvalitet života u vezi sa zdravljem treba posmatrati kao multidimenzioni koncept koji, pored fizičkih simptoma vezanih za bolest i lečenje, treba da obuhvati i fizičko, psihičko i društveno funkcionisanje osobe. Primarni cilj studije bio je da se korišćenjem preliminarne srpske verzije upitnika Geriatric Oral Health Assessment Index (GOHAI) ispita konzistentnost, pouzdanost i stabilnost, kao uvod u verifikaciju instrumenta. Metode. GOHAI upitnik sa 6- stepenom Likertovom skalom, preveden na srpski jezik, koji je uključivao i oralnozdravstvene karakteristike (oralna higijena, potrebne zubne nadoknade, broj izvađenih zuba), popunjavan je od strane petoro specijalista stomatološke protetike za 30 slučajno izabranih ispitanika, pre i posle stomatoprotetskog lečenja. Naknadno, radi merenja pouzdanosti upitnika, ponovo je intervjuisano 27 ispitanika. Rezultati. Vrednost Cronbach's Alpha Coefficient (Crα pre lečenja bila je 0,878, a posle lečenja 0,788, čime su potvrđene interna konzistentnost i stabilnost upitnika. Valjanost diskriminatornog svojstva GOHAI potvrđena je vrednostima Spearmanovog koeficijenta korelacije (r), koji je značajan kada su u pitanju oralnozdravstvene karakteristike, čime je potvrđena valjanost merenja. Rezultati test-retest analize merene pojedinačnim Pearsonovim koeficijentom korelacije (r) bili su u rasponu 0,34-0,97, a za ukupan skor r je bio 0,927, dok je Kappa koeficijent bio 0,63. Korelaciona analiza GOHAI pre lečenja ukazala je da je za 10 pitanja postojala značajna povezanost skora sa odgovorima na pitanja, a za 6 Spearmanov r bio je ≥ 0,7. Posle lečenja utvrđena je značajna veza GOHAI sa odgovorima na 10 pitanja, a za 5 Spearmanov r bio je > 0.6. Prosek GOHAI skora pre lečenja bio je 19,44 ± 11,12, a posle lečenja 2,77 ± 3,83, gde manja vrednost ukazuje na bolji kvalitet života. Zaključak. Rezultati ovog pilot istraživanja potvrdili su internu konzistentnost i stabilnost preliminarne srpske verzije GOHAI upitnika, kao i kauzalnu vezu kvaliteta života sa karakteristikama oralnog zdravlja ispitanika sa zubnim nadoknadama, te se može preporučiti sprovođenje verifikacije instrumenta.",
publisher = "Vojnomedicinska akademija - Institut za naučne informacije, Beograd",
journal = "Vojnosanitetski pregled",
title = "Introduction to verification of the GOHAI instrument for measuring the oral health-related quality of life in patients with dentures using the Serbian preliminary version: A pilot study, Uvod u verifikaciju instrumenta GOHAI za merenje oralnozdravstvenog kvaliteta života osoba sa zubnim nadoknadama primenom preliminarne srpske verzije - pilot studija",
volume = "72",
number = "12",
pages = "1055-1062",
doi = "10.2298/vsp140624077p"
}
Popović, Ž., Gajić, I., Obradović-Đuričić, K.,& Milošević, D. P.. (2015). Introduction to verification of the GOHAI instrument for measuring the oral health-related quality of life in patients with dentures using the Serbian preliminary version: A pilot study. in Vojnosanitetski pregled
Vojnomedicinska akademija - Institut za naučne informacije, Beograd., 72(12), 1055-1062.
https://doi.org/10.2298/vsp140624077p
Popović Ž, Gajić I, Obradović-Đuričić K, Milošević DP. Introduction to verification of the GOHAI instrument for measuring the oral health-related quality of life in patients with dentures using the Serbian preliminary version: A pilot study. in Vojnosanitetski pregled. 2015;72(12):1055-1062.
doi:10.2298/vsp140624077p .
Popović, Željka, Gajić, Ivanka, Obradović-Đuričić, Kosovka, Milošević, Dragoslav P., "Introduction to verification of the GOHAI instrument for measuring the oral health-related quality of life in patients with dentures using the Serbian preliminary version: A pilot study" in Vojnosanitetski pregled, 72, no. 12 (2015):1055-1062,
https://doi.org/10.2298/vsp140624077p . .
1
4
3
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Health safety multidisciplinary approach to the study of oral health quality of life

Popović, Željka; Gajić, Ivanka; Obradović-Đuričić, Kosovka; Milošević, Dragoslav P.

(Ministarstvo odbrane Srbije - Vojnoizdavački zavod, Beograd, 2014)

TY  - JOUR
AU  - Popović, Željka
AU  - Gajić, Ivanka
AU  - Obradović-Đuričić, Kosovka
AU  - Milošević, Dragoslav P.
PY  - 2014
UR  - https://smile.stomf.bg.ac.rs/handle/123456789/1871
AB  - The aim of this paper is to promote the necessity of a multidisciplinary approach to the study of oral health and oral health quality of life. When it comes to oral health, multidisciplinary approach requires the study of oral health from a medical and dental point of view, but also from a social and socio-medical aspects, with full appreciation of the importance of psycho-social problems caused by oral diseases. It is obvious that there is a professional need to define a multidimensional model for monitoring of dental patients, which will enable the provision of relevant indicators for the assessment of oral health problems, and hence for planning and programming of measures in the field of dentistry, from the aspect of public health, and socio-medical standpoint.
AB  - Cilj ovog rada je da promoviše neophodnost multidisciplinarnog pristupa proučavanju oralnog zdravlja, odnosno oralno-zdravstvenog kvaliteta života. Kada je u pitanju oralno zdravlje, multidisciplinarni pristup zahteva proučavanje oralnog zdravlja sa medicinskog, odnosno stomatološkog stanovišta, ali i sa društvenog, socio-medicinskog aspekta, uz puno uvažavanje značaja psiho-socijalnih problema, koje oralne bolesti uzrokuju. Očigledno je da postoji stručna potreba da se definiše multidimenzionalni model za praćenje (monitoring) stomatoloških pacijenata, koji će omogućiti obezbeđivanje relevantnih indikatora za sagledavanje oralno-zdravstvenih problema, a samim tim i za planiranje i programiranje mera u oblasti stomatologije, sa aspekta javnog zdravlja, odnosno socijalno-medicinskog stanovišta.
PB  - Ministarstvo odbrane Srbije - Vojnoizdavački zavod, Beograd
T2  - Vojno delo
T1  - Health safety multidisciplinary approach to the study of oral health quality of life
T1  - Bezbednost zdravlja - multidisciplinarni pristup proučavanju oralno-zdravstvenog kvaliteta života
VL  - 66
IS  - 3
SP  - 255
EP  - 265
DO  - 10.5937/vojdelo1403255p
ER  - 
@article{
author = "Popović, Željka and Gajić, Ivanka and Obradović-Đuričić, Kosovka and Milošević, Dragoslav P.",
year = "2014",
abstract = "The aim of this paper is to promote the necessity of a multidisciplinary approach to the study of oral health and oral health quality of life. When it comes to oral health, multidisciplinary approach requires the study of oral health from a medical and dental point of view, but also from a social and socio-medical aspects, with full appreciation of the importance of psycho-social problems caused by oral diseases. It is obvious that there is a professional need to define a multidimensional model for monitoring of dental patients, which will enable the provision of relevant indicators for the assessment of oral health problems, and hence for planning and programming of measures in the field of dentistry, from the aspect of public health, and socio-medical standpoint., Cilj ovog rada je da promoviše neophodnost multidisciplinarnog pristupa proučavanju oralnog zdravlja, odnosno oralno-zdravstvenog kvaliteta života. Kada je u pitanju oralno zdravlje, multidisciplinarni pristup zahteva proučavanje oralnog zdravlja sa medicinskog, odnosno stomatološkog stanovišta, ali i sa društvenog, socio-medicinskog aspekta, uz puno uvažavanje značaja psiho-socijalnih problema, koje oralne bolesti uzrokuju. Očigledno je da postoji stručna potreba da se definiše multidimenzionalni model za praćenje (monitoring) stomatoloških pacijenata, koji će omogućiti obezbeđivanje relevantnih indikatora za sagledavanje oralno-zdravstvenih problema, a samim tim i za planiranje i programiranje mera u oblasti stomatologije, sa aspekta javnog zdravlja, odnosno socijalno-medicinskog stanovišta.",
publisher = "Ministarstvo odbrane Srbije - Vojnoizdavački zavod, Beograd",
journal = "Vojno delo",
title = "Health safety multidisciplinary approach to the study of oral health quality of life, Bezbednost zdravlja - multidisciplinarni pristup proučavanju oralno-zdravstvenog kvaliteta života",
volume = "66",
number = "3",
pages = "255-265",
doi = "10.5937/vojdelo1403255p"
}
Popović, Ž., Gajić, I., Obradović-Đuričić, K.,& Milošević, D. P.. (2014). Health safety multidisciplinary approach to the study of oral health quality of life. in Vojno delo
Ministarstvo odbrane Srbije - Vojnoizdavački zavod, Beograd., 66(3), 255-265.
https://doi.org/10.5937/vojdelo1403255p
Popović Ž, Gajić I, Obradović-Đuričić K, Milošević DP. Health safety multidisciplinary approach to the study of oral health quality of life. in Vojno delo. 2014;66(3):255-265.
doi:10.5937/vojdelo1403255p .
Popović, Željka, Gajić, Ivanka, Obradović-Đuričić, Kosovka, Milošević, Dragoslav P., "Health safety multidisciplinary approach to the study of oral health quality of life" in Vojno delo, 66, no. 3 (2014):255-265,
https://doi.org/10.5937/vojdelo1403255p . .

Health-related quality of life in elderly patients hospitalized with chronic heart failure

Erceg, Predrag; Despotović, Nebojša; Milošević, Dragoslav P.; Soldatović, Ivan; Zdravković, Sanja; Tomić, Snezana; Marković, Ivana; Mihajlović, Gordana; Brajović, Milan; Bojović, Ognjen; Potić, Bojana; Davidović, Mladen

(Dove Medical Press Ltd, Albany, 2013)

TY  - JOUR
AU  - Erceg, Predrag
AU  - Despotović, Nebojša
AU  - Milošević, Dragoslav P.
AU  - Soldatović, Ivan
AU  - Zdravković, Sanja
AU  - Tomić, Snezana
AU  - Marković, Ivana
AU  - Mihajlović, Gordana
AU  - Brajović, Milan
AU  - Bojović, Ognjen
AU  - Potić, Bojana
AU  - Davidović, Mladen
PY  - 2013
UR  - https://smile.stomf.bg.ac.rs/handle/123456789/1849
AB  - Background: Chronic heart failure is a very common condition in the elderly, characterized not only by high mortality rates, but also by a strong impact on health-related quality of life (HRQOL). Previous studies of HRQOL in elderly heart failure subjects have included mostly outpatients, and little is known about determinants of HRQOL in hospitalized elderly population, especially in Serbia. In this study, we tried to identify factors that influence HRQOL in elderly patients hospitalized with chronic heart failure in Serbia. Methods: The study population consisted of 136 patients aged 65 years or older hospitalized for chronic heart failure. HRQOL was assessed using the Minnesota Living with Heart Failure questionnaire. Predictors of HRQOL were identified by multiple linear regression analysis. Results: Univariate analysis showed that patients with lower income, a longer history of chronic heart failure, and longer length of hospital stay, as well as those receiving aldosterone antagonists and digoxin, taking multiple medications, in a higher NYHA class, and showing signs of depression and cognitive impairment had significantly worse HRQOL. Presence of depressive symptoms (P lt 0.001), higher NYHA class (P=0.021), lower income (P=0.029), and longer duration of heart failure (P=0.049) were independent predictors of poor HRQOL. Conclusion: Depressive symptoms, higher NYHA class, lower income, and longer duration of chronic heart failure are independent predictors of poor HRQOL in elderly patients hospitalized with chronic heart failure in Serbia. Further, there is an association between multiple medication usage and poor HRQOL, as well as a negative impact of cognitive impairment on HRQOL. Hence, measures should be implemented to identify such patients, especially those with depressive symptoms, and appropriate interventions undertaken in order to improve their HRQOL.
PB  - Dove Medical Press Ltd, Albany
T2  - Clinical Interventions in Aging
T1  - Health-related quality of life in elderly patients hospitalized with chronic heart failure
VL  - 8
SP  - 1539
EP  - 1546
DO  - 10.2147/CIA.S53305
ER  - 
@article{
author = "Erceg, Predrag and Despotović, Nebojša and Milošević, Dragoslav P. and Soldatović, Ivan and Zdravković, Sanja and Tomić, Snezana and Marković, Ivana and Mihajlović, Gordana and Brajović, Milan and Bojović, Ognjen and Potić, Bojana and Davidović, Mladen",
year = "2013",
abstract = "Background: Chronic heart failure is a very common condition in the elderly, characterized not only by high mortality rates, but also by a strong impact on health-related quality of life (HRQOL). Previous studies of HRQOL in elderly heart failure subjects have included mostly outpatients, and little is known about determinants of HRQOL in hospitalized elderly population, especially in Serbia. In this study, we tried to identify factors that influence HRQOL in elderly patients hospitalized with chronic heart failure in Serbia. Methods: The study population consisted of 136 patients aged 65 years or older hospitalized for chronic heart failure. HRQOL was assessed using the Minnesota Living with Heart Failure questionnaire. Predictors of HRQOL were identified by multiple linear regression analysis. Results: Univariate analysis showed that patients with lower income, a longer history of chronic heart failure, and longer length of hospital stay, as well as those receiving aldosterone antagonists and digoxin, taking multiple medications, in a higher NYHA class, and showing signs of depression and cognitive impairment had significantly worse HRQOL. Presence of depressive symptoms (P lt 0.001), higher NYHA class (P=0.021), lower income (P=0.029), and longer duration of heart failure (P=0.049) were independent predictors of poor HRQOL. Conclusion: Depressive symptoms, higher NYHA class, lower income, and longer duration of chronic heart failure are independent predictors of poor HRQOL in elderly patients hospitalized with chronic heart failure in Serbia. Further, there is an association between multiple medication usage and poor HRQOL, as well as a negative impact of cognitive impairment on HRQOL. Hence, measures should be implemented to identify such patients, especially those with depressive symptoms, and appropriate interventions undertaken in order to improve their HRQOL.",
publisher = "Dove Medical Press Ltd, Albany",
journal = "Clinical Interventions in Aging",
title = "Health-related quality of life in elderly patients hospitalized with chronic heart failure",
volume = "8",
pages = "1539-1546",
doi = "10.2147/CIA.S53305"
}
Erceg, P., Despotović, N., Milošević, D. P., Soldatović, I., Zdravković, S., Tomić, S., Marković, I., Mihajlović, G., Brajović, M., Bojović, O., Potić, B.,& Davidović, M.. (2013). Health-related quality of life in elderly patients hospitalized with chronic heart failure. in Clinical Interventions in Aging
Dove Medical Press Ltd, Albany., 8, 1539-1546.
https://doi.org/10.2147/CIA.S53305
Erceg P, Despotović N, Milošević DP, Soldatović I, Zdravković S, Tomić S, Marković I, Mihajlović G, Brajović M, Bojović O, Potić B, Davidović M. Health-related quality of life in elderly patients hospitalized with chronic heart failure. in Clinical Interventions in Aging. 2013;8:1539-1546.
doi:10.2147/CIA.S53305 .
Erceg, Predrag, Despotović, Nebojša, Milošević, Dragoslav P., Soldatović, Ivan, Zdravković, Sanja, Tomić, Snezana, Marković, Ivana, Mihajlović, Gordana, Brajović, Milan, Bojović, Ognjen, Potić, Bojana, Davidović, Mladen, "Health-related quality of life in elderly patients hospitalized with chronic heart failure" in Clinical Interventions in Aging, 8 (2013):1539-1546,
https://doi.org/10.2147/CIA.S53305 . .
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