Child Perceptions Questionnaire in Croatia: Two Domains for Measuring Oral Health

Darko Pop Acev, Martina Brumini, Martina Šlaj, Višnja Katić, Stjepan Špalj, Darko Pop Acev, Martina Brumini, Martina Šlaj, Višnja Katić, Stjepan Špalj

Abstract

Objective: To perform cross-cultural adaptation and to test psychometric properties of the 8-item CPQ in 11-14 year-olds: stepwise-regression (RSF:8) and item-impact (ISF:8) short-forms.

Materials and methods: The sample included 237 orthodontic patients aged 11-14 at two University Dental Clinics in Croatia. Structural and construct validity, reliability and responsiveness were assessed. Intraoral examination included an assessment of dental caries and malocclusion severity.

Results: Two domains instead of originally suggested four are more appropriate for the assessment of oral health-related quality of life (OHRQoL) in both ISF:8 and RSF:8 (60.05% and 52.24% variance; α=0.56-0.85). Oral symptoms and functional limitations from the original instrument were grouped in one dimension that defines oral function, while emotional and social well-being was grouped in a dimension of psychosocial well-being. Instruments are able to detect differences between subjects with low and high caries and malocclusion severity. They were stable when there were no changes in oral conditions, while it was possible to detect differences induced by correction of malocclusion following orthodontic treatment (p<0.05).

Conclusion: A 8-item CPQ demonstrated good psychometric properties but points to the fact that two domains instead of four are more appropriate for the assessment of OHRQoL in 11-14 year-olds.

Keywords: Adolescent; Dental Health Surveys; Oral Health; Quality of Life; Reproducibility of Results.

Conflict of interest statement

Conflict of interest: The authors report no conflict of interest.

Figures

Figure 1
Figure 1
Discriminant validity between clinical groups based on severity of dental caries, and based on malocclusion severity (asterisks mark differences significant at p

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