Parental perceptions of children's oral health: the Early Childhood Oral Health Impact Scale (ECOHIS)

Bhavna Talekar Pahel, R Gary Rozier, Gary D Slade, Bhavna Talekar Pahel, R Gary Rozier, Gary D Slade

Abstract

Background: Dental disease and treatment experience can negatively affect the oral health related quality of life (OHRQL) of preschool aged children and their caregivers. Currently no valid and reliable instrument is available to measure these negative influences in very young children. The objective of this research was to develop the Early Childhood Oral Health Impact Scale (ECOHIS) to measure the OHRQL of preschool children and their families.

Methods: Twenty-two health professionals evaluated a pool of 45 items that assess the impact of oral health problems on 6-14-year-old children and their families. The health professionals identified 36 items as relevant to preschool children. Thirty parents rated the importance of these 36 items to preschool children; 13 (9 child and 4 family) items were considered important. The 13-item ECOHIS was administered to 295 parents of 5-year-old children to assess construct validity and internal consistency reliability (using Cronbach's alpha). Test-retest reliability was evaluated among another sample of parents (N = 46) using the intraclass correlation coefficient (ICC).

Results: ECOHIS scores on the child and parent sections indicating worse quality of life were significantly associated with fair or poor parental ratings of their child's general and oral health, and the presence of dental disease in the child. Cronbach's alphas for the child and family sections were 0.91 and 0.95 respectively, and the ICC for test-retest reliability was 0.84.

Conclusion: The ECOHIS performed well in assessing OHRQL among children and their families. Studies in other populations are needed to further establish the instrument's technical properties.

Figures

Figure 1
Figure 1
Steps in the development of the Early Childhood Oral Health Impact Scale (ECOHIS).

References

    1. Slade GD. Measuring oral health and quality of life. Chapel Hill, Department of Dental Ecology, School of Dentistry, University of North Carolina; 1997. p. 160.
    1. Kaplan RM. The significance of quality of life in health care. Qual Life Res. 2003;12:3–16. doi: 10.1023/A:1023547632545.
    1. Slade GD, Strauss RP, Atchison KA, Kressin NR, Locker D, Reisine ST. Conference summary: assessing oral health outcomes-measuring health status and quality of life. Community Dent Health. 1998;15:3–7.
    1. Jokovic A, Locker D, Stephens M, Kenny D, Tompson B, Guyatt G. Measuring parental perceptions of child oral health-related quality of life. J Public Health Dent. 2003;63:67–72.
    1. Locker D, Jokovic A, Stephens M, Kenny D, Tompson B, Guyatt G. Family impact of child oral and oro-facial conditions. Commun Dent Oral Epidemiol. 2002;30:438–448. doi: 10.1034/j.1600-0528.2002.00015.x.
    1. Jokovic A, Locker D, Stephens M, Kenny D, Tompson B, Guyatt G. Validity and reliability of a questionnaire for measuring child oral-health-related quality of life. J Dent Res. 2002;81:459–463.
    1. Jokovic A, Locker D, Tompson B, Guyatt G. Questionnaire for measuring oral health-related quality of life in eight- to ten-year-old children. Pediatr Dent. 2004;26:512–518.
    1. Filstrup SL, Briskie D, da Fonseca M, Lawrence L, Wandera A, Inglehart MR. Early childhood caries and quality of life: child and parent perspectives. Pediatr Dent. 2003;25:431–440.
    1. Vargas CM, Crall JJ, Schneider DA. Sociodemographic distribution of pediatric dental caries: NHANES III, 1988-1994. J Am Dent Assoc. 1998;129:1229–1238.
    1. Li Y, Wang W. Predicting caries in permanent teeth from caries in primary teeth: an eight-year cohort study. J Dent Res. 2002;81:561–566.
    1. Acs G, Lodolini G, Kamisky S, Cisneros GJ. Effect of nursing caries on body weight in a pediatric population. Pediatr Dent. 1992;14:302–305.
    1. Ayhan H, Suskan E, Yildrim S. The effect of nursing or rampant caries on height, body weight and head circumference. J Clin Pediatr Dent. 1996;20:209–212.
    1. Casamassimo PS. Relationships between oral and systemic health. Pediatr Clin North Am. 2000;47:1149–1157. doi: 10.1016/S0031-3955(05)70261-3.
    1. Gift HC, Reisine ST, Larach DC. The social impact of dental problems and visits. Am J Public Health. 1992;82:1663–1668.
    1. Rebok G, Riley A, Forrest C, Starfield B, Green B, Robertson J, Tambor E. Elementary school-aged children's reports of their health: a cognitive interviewing study. Qual Life Res. 2001;10:59–70. doi: 10.1023/A:1016693417166.
    1. Hetherington EM, Parke RD, Locke VO. Child psychology: a contemporary viewpoint. 5th. New York, The McGraw-Hill Companies; 1999.
    1. Juniper EF, Guyatt GH, Jaeschke R. How to develop and validate a new health-related quality of life instrument. In: Spilker B, editor. Quality of Life and Pharmacoeconomics in Clinical Trials. Philadelphia, Lippincott-Raven Publishers; 1996.
    1. Guyatt GH, Feeny DH, Patrick DL. Measuring health-related quality of life. Ann Intern Med. 1993;118:622–629.
    1. DeVellis R. Scale development: theory and applications. 2. New York, Sage Publications, Inc; 2003.
    1. Landgraf JM, Abetz L, Ware JE. The CHQ: A User's Manual. Boston, MA, HealthAct, The Health Institute, New England Medical Center; 1999.
    1. Raat H, Landgraf JM, Ostenbrink R, Moll H, Essink-Bot M. Reliability and validity of the Infant Toddler Quality of Life Questionnaire (ITQOL) in a general population and respiratory disease sample. Qual Life Res. 2006;DOI 10.1007/s11136-006-9134-8
    1. Kim HY, Preisser JS, Rozier RG, Valiyaparambil JV. Multilevel analysis of group-randomized trials with binary outcomes. Community Dent Oral Epidemiol. 2006;34:241–251. doi: 10.1111/j.1600-0528.2006.00307.x.
    1. McGraw KO, Wong SP. Forming inferences about some intraclass correlation coefficients. Psychol Methods. 1996;1:30–46. doi: 10.1037/1082-989X.1.1.30.
    1. Gift HC, Atchison KA. Oral health, health and health related quality of life. Med Care. 1995;33:NS57–NS77. doi: 10.1097/00005650-199511001-00008.
    1. Trochim WMK. The Research Methods Knowledge Base. 2nd. Cincinnati, OH, Atomic Dog Publishing; 2001.
    1. Eiser C, Morse R. Quality-of-life measures in chronic diseases of childhood. Health Technol Assess. 2001;5
    1. Landis JR, Koch GG. The measurement of observer agreement for categorical data. Biometrics. 1977;33:159–174. doi: 10.2307/2529310.
    1. Stein REK, Riessman CK. The development of an Impact-on-Family scale - Preliminary findings. Medical Care. 1980;18:465–472. doi: 10.1097/00005650-198004000-00010.
    1. Juniper EF, Guyatt GH, Feeny DH, Ferrie PJ, Griffith LE, Townsend M. Measuring quality of life in the parents of children with asthma. Quality of Life Research. 1996;5:27–34. doi: 10.1007/BF00435966.

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