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

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  • Author(s): Pahel BT;Pahel BT; Rozier RG; Slade GD
  • Source:
    Health and quality of life outcomes [Health Qual Life Outcomes] 2007 Jan 30; Vol. 5, pp. 6. Date of Electronic Publication: 2007 Jan 30.
  • Publication Type:
    Journal Article; Research Support, N.I.H., Extramural; Research Support, U.S. Gov't, P.H.S.; Validation Study
  • Language:
    English
  • Additional Information
    • Source:
      Publisher: BioMed Central Country of Publication: England NLM ID: 101153626 Publication Model: Electronic Cited Medium: Internet ISSN: 1477-7525 (Electronic) Linking ISSN: 14777525 NLM ISO Abbreviation: Health Qual Life Outcomes Subsets: MEDLINE
    • Publication Information:
      Original Publication: [London] : BioMed Central, c2003-
    • Subject Terms:
      Attitude to Health* ; Oral Health* ; Quality of Life* ; Surveys and Questionnaires*; Parents/*psychology ; Psychometrics/*instrumentation ; Tooth Diseases/*psychology; Academic Medical Centers ; Child Behavior/psychology ; Child, Preschool ; Dental Care for Children ; Humans ; North Carolina ; Perception ; Self Concept ; Socioeconomic Factors ; Tooth Diseases/epidemiology ; Tooth Diseases/physiopathology
    • 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.
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    • Grant Information:
      R01 DE013949 United States DE NIDCR NIH HHS; 1-D33-AH-30002-03 United States AH BHP HRSA HHS; R01-DE13949 United States DE NIDCR NIH HHS
    • Publication Date:
      Date Created: 20070201 Date Completed: 20070321 Latest Revision: 20220408
    • Publication Date:
      20240628
    • Accession Number:
      PMC1802739
    • Accession Number:
      10.1186/1477-7525-5-6
    • Accession Number:
      17263880