Translation and validation of Taiwanese version of the Early Childhood Oral Health Impact Scale (ECOHIS)

Abstract

Background/purpose Treating and preventing dental caries in children have been major health concerns in Taiwan. However, little discussion on oral health-related quality of life in Taiwanese preschooler exists. This study aimed to construct and validate a Taiwanese version of the Early Childhood Oral Health Impact Scale (ECOHIS) for preschool children in Taiwan. Materials and methods A Taiwanese version of the ECOHIS was developed using the forward-backward translation method. Our study population (n = 251) comprised children aged 3–6 years old. Parents of the children signed informed consent and self-completed ECOHIS. Data were analyzed for internal reliability using Cronbach's alpha coefficient, and item-to-total correlation was determined. Criterion validity was tested for the relationship between ECOHIS scores and caries experience (dmft). A multiple linear regression model was used to assess the independent variables of the ECOHIS. Results Cronbach's alpha for the total score of the Taiwanese version of ECOHIS was 0.76. The validity of the ECOHIS was tested, and scores of both the total scale and family impact section were found to be statistically significantly related to dmft ( P < 0.005). Multiple linear regression analysis revealed that with an increase in dmft, the total score of the ECOHIS significantly increased (95% CI = 0.22–0.63, P < 0.001). Conclusion The Taiwanese version of the ECOHIS is a valid and reliable tool to assess the oral health-related effect on 3- to 6-year-old children in Taiwan.

Early Childhood Oral Health Impact Scale: Psychometric Evaluation in Portuguese Preschoolers

“…In the validation study carried out in Malaysia ( 29 ), there were also two items below the recommended item-total correlation, the item "missing school" and the item "financial impact," with values of 0.15 and 0.04, respectively. However, most studies ( 26 - 28 , 36 ) obtained item-total correlations that were always above 0.20.…”

“…In the family impact subscale, the items with the greatest impact were "being upset" (18.27%) and "feeling guilty" (15.38%), which is in agreement with several other studies validating the scale ( 19 , 21 - 24 , 26 , 28 , 29 , 39 ). However, in the original version of ECOHIS ( 18 ), in Nigeria ( 30 ) and Taiwan ( 36 ), the item with the greatest impact was "missing work".…”

“…The lower value of the ECOHIS family can be explained by its small number of items. There is a wide variation in the internal consistency of the ECOHIS items in various validation studies, with the value for the Total ECOHIS varying between 0.76 ( 36 ) and 0.95 ( 30 ). The value found in this study was similar to that in some studies ( 29 , 32 , 36 - 40 ) and lower than others ( 22 , 36 ).…”

“…There is a wide variation in the internal consistency of the ECOHIS items in various validation studies, with the value for the Total ECOHIS varying between 0.76 ( 36 ) and 0.95 ( 30 ). The value found in this study was similar to that in some studies ( 29 , 32 , 36 - 40 ) and lower than others ( 22 , 36 ). On the other hand, there are also several validation studies with higher values ( 18 , 19 , 21 , 23 - 28 ).…”

Oral health-related quality of life (OHRQoL) in Polish adults with periodontal diseases, oral mucosal diseases and dental caries

“…To assess OHRQoL properly, it is necessary to use tools developed and validated for a specific population, with regard to its age, native language and diseases. Until now, many such questionnaires in many language versions have been developed for use in children (e.g., Early Childhood Oral Health Impact Scale (ECOHIS), [14][15][16][17] Child Perceptions Questionnaire (CPQ) [18][19][20], adolescents (Oral Impact on Daily Performance (OIDP) 21,22 ) and adults (Oral Health Impact Profile (OHIP), 23 Geriatric Oral Health Assessment Index (GOHAI), 24,25 Liverpool Oral Rehabilitation Questionnaire (LORQ), 26 the World Health Organization Quality of Life (WHOQOL) assessment tool 27 ).…”