Parental perceptions of children's oral health: The Early Childhood Oral Health Impact Scale (ECOHIS)
Parental perceptions of children's oral health: The Early Childhood Oral Health Impact Scale (ECOHIS)
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DOI：
10.1186/1477-7525-5-6
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发表时间：
2007-01-30
影响因子：
3.6
通讯作者：
Slade, Gary D.
中科院分区：
文献类型：
--
作者：
Pahel, Bhavna Talekar;Rozier, R. Gary;Slade, Gary D.
背景资料：牙科疾病和治疗经验会对学龄前儿童及其照顾者的口腔健康相关生活质量（OHRQL）产生负面影响。目前还没有有效和可靠的工具来衡量这些负面影响非常年幼的儿童。本研究的目的是开发早期儿童口腔健康影响量表（ECOHIS）来衡量学龄前儿童及其家庭的OHRQL。方法：22名卫生专业人员评估了45个项目，评估口腔健康问题对6-14岁儿童及其家庭的影响。卫生专业人员确定了36个项目与学龄前儿童有关。30名家长评价了这36个项目对学龄前儿童的重要性; 13个（9个儿童和4个家庭）项目被认为是重要的。13个项目的ECOHIS管理到295个5岁儿童的父母，以评估结构效度和内部一致性信度（使用克朗巴赫的α）。重测信度进行了评估，在另一个样本的父母（N = 46）使用的组内相关系数（ICC）。结果：ECOHIS分数的儿童和父母部分，表明生活质量较差显着相关的公平或较差的父母评级，他们的孩子的一般和口腔健康，并在孩子的牙齿疾病的存在。儿童组和家庭组的Cronbach’s α分别为0.91和0.95，重测信度ICC为0.84。结论：ECOHIS在儿童及其家庭的OHRQL评价中具有良好的应用价值。需要在其他人群中进行研究，以进一步确定仪器的技术特性。
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.