Validity and Reliability of a Questionnaire for Measuring Child Oral-health-related Quality of Life

Abstract

Oral-health-related quality of life measures that exist are designed for adults. This study aimed to develop and evaluate the CPQ(11-14), a self-report measure of the impact of oral and oro-facial conditions on 11- to 14-year-old children. An item pool was generated with the use of a literature review and interviews with health professionals, parents, and child patients. The 36 items rated the most frequent and bothersome by 83 children were selected for the CPQ(11-14). Validity testing involved a new sample of 123 children. Test-retest reliability was assessed in a subgroup of these children (n = 65). Mean CPQ(11-14) scores were highest for oro-facial (31.4), lower for orthodontic (24.3), and lowest for pedodontic (23.3) patients. There were significant associations between the CPQ(11-14) score and global ratings of oral health (p < 0.05) and overall well-being (p < 0.01). The Cronbach's alpha and intraclass correlation coefficient for the CPQ(11-14) were 0.91 and 0.90, respectively. These results suggest that the CPQ(11-14) is valid and reliable.

Agreement between mothers and children with malocclusion in rating children's oral health-related quality of life

“…A number of measures have been designed to assess oral health-related quality of life (OHQoL) [4][5][6][7][8] , although the relationship between the outcomes from these measures and OH-QoL has recently been questioned 3 . Many of the measures have been developed for use in adults and might not address issues relevant to children 9 .…”

“…Jokovic et al 7 have developed the Child Oral Health Quality of Life Questionnaire (COHQOL), which includes age specific measures for children between the ages of 6 to 14 years (the Child Perceptions Questionnaire or CPQ), as well as the Parental-Caregiver Perceptions Questionnaire (P-CPQ) 11 . The CPQ [11][12][13][14] and P-CPQ are comparable questionnaires with 31 items in common organised into four domains, namely oral symptoms, functional limitations, emotional and social well-being.…”

Qualidade de vida e saúde bucal em crianças e adolescentes: aspectos conceituais e metodológicos

“…Introdução A saúde bucal vinha historicamente sendo avaliada por meio de critérios exclusivamente clínicos, os quais não permitem a determinação do real impacto dos problemas bucais na vida dos indivíduos (LOCKER et al, 2002). A necessidade de determinar a repercussão integral de alterações presentes na cavidade bucal levou ao desenvolvimento dos instrumentos de avaliação da qualidade de vida relacionada à saúde bucal, que são utilizados com frequência cada vez maior em pesquisas odontológicas (JOKOVIC et al, 2002).…”

“…A qualidade de vida relacionada à saúde bucal em crianças permaneceu por mais tempo desconhecida, sendo objeto de estudo de instrumentos desenvolvidos mais recentemente (JOKOVIC et al, 2002;2004;GHERUNPONG et al, 2004;BRODER et al, 2007;PAHEL et al, 2007).…”

“…Portanto, o desenvolvimento de instrumentos específicos para crianças viabiliza a mensuração mais acurada do impacto dos problemas bucais sobre a sua qualidade de vida. Levando isso em consideração, Jokovic et al (2002;2004) O contexto cultural e linguístico no qual o instrumento de avaliação da qualidade de vida é utilizado pode influenciar a validade e confiabilidade dos relatos obtidos. Com poucas exceções, os indicadores de qualidade de vida relacionada à saúde são desenvolvidos em língua inglesa e têm como população-alvo indivíduos de países que falam inglês.…”