Katrin Bekes1, Maisa Omara2, Sabrina Safar3, Tanja Stamm2. 1. University Clinic of Dentistry, Department of Paediatric Dentistry, Medical University Vienna, Sensengasse 2a, 1090, Vienna, Austria. katrin.bekes@meduniwien.ac.at. 2. Center for Medical Statistics, Informatics, and Intelligent Systems, Section for Outcomes Research, Medical University of Vienna, Spitalgasse 23, 1090, Vienna, Austria. 3. University Clinic of Dentistry, Department of Paediatric Dentistry, Medical University Vienna, Sensengasse 2a, 1090, Vienna, Austria.
Abstract
OBJECTIVES: The aims of this study were to develop a German version of the Early Childhood Oral Health Impact Scale (ECOHIS), a measure of oral health-related quality of life in pre-school-age children, and to assess the instrument's reliability and validity. METHODS: The original English version of the ECOHIS questionnaire was translated into German (ECOHIS-G) by a forward-backward translation method. A total of 336 children aged 0 to 5 years and their caregivers who were recruited at the Department of Paediatric Dentistry in Vienna, Austria, participated in this study. The caregivers completed the ECOHIS-G and their children were clinically examined for the presence of dental caries and plaque accumulation. Reliability of ECOHIS was investigated in a subsample of 59 subjects after 3 weeks. RESULTS: Questionnaire summary score test-retest reliability was 0.81 (intraclass correlation coefficient, 95% confidence interval (CI) ranging from 0.68 to 0.89) and internal consistency was 0.83 (Cronbach's alpha, lower limit of the 95% CI 0.80). Validity of the ECOHIS-G questionnaire was supported by correlation coefficients with global ratings of oral health of - 0.42 (95% CI - 0.45 to - 0.35) and overall well-being of - 0.29 (95% CI - 0.34 to - 0.22) which met the expectations. Mean ECOHIS-G scores were statistically significantly higher in children with caries compared with caries-free children. CONCLUSIONS: The German version of the ECHOHIS was found to be reliable and valid in children aged 0 to 5 years. CLINICAL RELEVANCE: These findings enable assessments of oral health-related quality of life in German-speaking pre-school children.
OBJECTIVES: The aims of this study were to develop a German version of the Early Childhood Oral Health Impact Scale (ECOHIS), a measure of oral health-related quality of life in pre-school-age children, and to assess the instrument's reliability and validity. METHODS: The original English version of the ECOHIS questionnaire was translated into German (ECOHIS-G) by a forward-backward translation method. A total of 336 children aged 0 to 5 years and their caregivers who were recruited at the Department of Paediatric Dentistry in Vienna, Austria, participated in this study. The caregivers completed the ECOHIS-G and their children were clinically examined for the presence of dental caries and plaque accumulation. Reliability of ECOHIS was investigated in a subsample of 59 subjects after 3 weeks. RESULTS: Questionnaire summary score test-retest reliability was 0.81 (intraclass correlation coefficient, 95% confidence interval (CI) ranging from 0.68 to 0.89) and internal consistency was 0.83 (Cronbach's alpha, lower limit of the 95% CI 0.80). Validity of the ECOHIS-G questionnaire was supported by correlation coefficients with global ratings of oral health of - 0.42 (95% CI - 0.45 to - 0.35) and overall well-being of - 0.29 (95% CI - 0.34 to - 0.22) which met the expectations. Mean ECOHIS-G scores were statistically significantly higher in children with caries compared with caries-free children. CONCLUSIONS: The German version of the ECHOHIS was found to be reliable and valid in children aged 0 to 5 years. CLINICAL RELEVANCE: These findings enable assessments of oral health-related quality of life in German-speaking pre-school children.
Entities:
Keywords:
Early Childhood Oral Health Impact Scale (ECOHIS); Oral health-related quality of life (OHRQoL); Psychometric properties; Reliability; Validity
Authors: Elisabeth G Gil; Marit S Skeie; Josefine Halbig; Birgitta Jönsson; Stein Atle Lie; Marite Rygg; Johannes Fischer; Annika Rosén; Athanasia Bletsa; Keijo Luukko; Xie-Qi Shi; Paula Frid; Lena Cetrelli; Karin Tylleskär; Karen Rosendahl; Anne N Åstrøm Journal: BMC Oral Health Date: 2022-09-06 Impact factor: 3.747