Growing recognition that quality of life is an important outcome of de
ntal care has created a need for a range of instruments to measure ora
l health-related quality of life. This study aimed to derive a subset
of items from the Oral Health Impact Profile (OHIP-49) - a 49-item que
stionnaire that measures people's perceptions of the impact of oral co
nditions on their well-being, Secondary analysis was conducted using d
ata from an epidemiologic study of 1217 people aged 60+ years in South
Australia, Internal reliability analysis, factor analysis and regress
ion analysis were undertaken to derive a subset (OHIP-14) questionnair
e and its validity was evaluated by assessing associations with sociod
emographic and clinical oral status variables. Internal reliability of
the OHIP-14 was evaluated using Cronbach's coefficient alpha, Regress
ion analysis yielded an optimal set of 14 questions, The OHIP-14, acco
unted for 94% of variance in the OHIP-49; had high reliability (alpha
= 0.88); contained questions from each of the seven conceptual dimensi
ons of the OHIP-49; and had a good distribution of prevalence for indi
vidual questions, OHIP-14 scores and OHIP-49 scores displayed the same
pattern of variation among sociodemographic groups of older adults. I
n a multivariate analysis of dentate people, eight oral status and soc
iodemographic variables were associated (P<0.05) with both the OHIP-49
and the OHIP-14, While it will be important to replicate these findin
gs in other populations, the findings suggest that the OHIP-14 has goa
d reliability, validity and precision.