The Development and Evaluation of the Slovenian Version of the Early Childhood Oral Health Impact Scale (ECOHIS-SVN)

LIKAR OSTRC, Lenka; FRANKOVIČ, Sabina; PAVLIČ, Alenka

doi:10.2478/sjph-2023-0025

Abstract

Introduction

There has been no valid and reliable instrument available to measure the impact of oral health on the quality of life of Slovenian preschool children. The main aim of this study was to develop and evaluate the validity and reliability of the first Slovenian instrument assessing Oral Health-Related Quality of Life (OHRQoL) preschool children: the ECOHIS-SVN.

Methods

The ECOHIS-SVN was developed using forward-backward translations and with the participation of children aged under six and their parents. The children’s teeth were examined, and parents were asked to complete questionnaires, including the ECOHIS-SVN. The internal consistency of ECOHIS-SVN was evaluated through the calculation of Cronbach’s alpha (α), test-retest reliability with an intra-class-correlation coefficient (ICC), convergent validity with Spearman’s rank correlation (r) and criterion validity with the Mann-Whitney test. The association between the ECOHIS-SVN score and parents’ age, educational level, self-reported oral health and OHIP-SVN14 was estimated using multiple linear regression.

Results

In the study, 255 children participated, with a mean age of 4.8 years (±0.8). The ECOHIS-SVN questionnaire was completed by the parents of all 255 children and re-filled by 71 parents. The results of the total ECOHIS-SVN scale include α=0.85, ICC=0.85, and r=0.6-0.75. A statistically significant association was found between the ECOHIS-SVN and parents’ age and between the ECOHIS-SVN and parents’ OHIP-SVN14 in the whole group and in the subgroup of children with no teeth affected by cavitated caries (dmft=0) (p=0.025, p=0.028), respectively.

Conclusion

ECOHIS-SVN enables further studies to assess the OHRQoL of preschool children in the Slovenian-speaking population.

References

Ranfl M, Zaletel-Kragelj L. Assessment of the association between dentate status and self-rated general health. Zdr Varst. 2017;56(2):131-139. doi: 10.1515/sjph-2017-0017.
Open DOI Search in Google Scholar Back to article
Spanemberg JC, Cardoso JA, Slob E, López-López J. Quality of life related to oral health and its impact in adults. J Stomatol Oral Maxillofac Surg. 2019;120(3):234-239. doi: 10.1016/j.jormas.2019.02.004.
Open DOI Search in Google Scholar Back to article
Leadley RM, Armstrong N, Reid KJ, Allen A, Misso KV, Kleijnen J. Healthy aging in relation to chronic pain and quality of life in Europe. Pain Pract. 2014;14(6):547-558. doi: 10.1111/papr.12125.
Open DOI Search in Google Scholar Back to article
Cadenas de Llano-Pérula M, Ricse E, Fieuws S, Willems G, Orellana-Valvekens MF. Malocclusion, dental caries and oral health-related quality of life: A comparison between adolescent school children in urban and rural regions in Peru. Int J Environ Res Public Health. 2020;17(6). doi: 10.3390/ijerph17062038.
Open DOI Search in Google Scholar Back to article
Paula JS, Leite IC, Almeida AB, Ambrosano GM, Pereira AC, Mialhe FL. The influence of oral health conditions, socioeconomic status and home environment factors on schoolchildren’s self-perception of quality of life. Health Qual Life Outcomes. 2012;10:6. doi: 10.1186/1477-7525-10-6.
Open DOI Search in Google Scholar Back to article
Sekulić S, John MT, Davey C, Rener-Sitar K. Association between oral health-related and health-related quality of life. Zdr Varst. 2020;59(2):65-74. doi: 10.2478/sjph-2020-0009.
Open DOI Search in Google Scholar Back to article
Slade GD, Spencer AJ. Development and evaluation of the Oral Health Impact Profile. Community Dent Health. 1994;11(1):3-11.
Search in Google Scholar Back to article
Slade GD. Derivation and validation of a short-form oral health impact profile. Community Dent Oral Epidemiol. 1997;25(4):284-290. doi: 10.1111/j.1600-0528.1997.tb00941.x.
Open DOI Search in Google Scholar Back to article
Rener-Sitar K, Petricević N, Celebić A, Marion L. Psychometric properties of Croatian and Slovenian short form of oral health impact profile questionnaires. Croat Med J. 2008;49(4):536-544. doi: 10.3325/cmj.2008.4.536.
Open DOI Search in Google Scholar Back to article
Pahel BT, Rozier RG, Slade GD. Parental perceptions of children’s oral health: The Early Childhood Oral Health Impact Scale (ECOHIS). Health Qual Life Outcomes. 2007;5:6. doi: 10.1186/1477-7525-5-6.
Open DOI Search in Google Scholar Back to article
Farsi NJ, El-Housseiny AA, Farsi DJ, Farsi NM. Validation of the Arabic version of the Early Childhood Oral Health Impact Scale (ECOHIS). BMC Oral Health. 2017;17(1):60. doi: 10.1186/s12903-017-0353-x.
Open DOI Search in Google Scholar Back to article
Jankauskienė B, Narbutaitė J, Kubilius R, Gleiznys A. Adaptation and validation of the early childhood oral health impact scale in Lithuania. Stomatologija. 2012;14(4):108-113.
Search in Google Scholar Back to article
Hashim AN, Yusof ZY, Esa R. The Malay version of the Early Childhood Oral Health Impact Scale (Malay-ECOHIS)--assessing validity and reliability. Health Qual Life Outcomes. 2015;13:190. doi: 10.1186/s12955-015-0386-2.
Open DOI Search in Google Scholar Back to article
Li S, Veronneau J, Allison PJ. Validation of a French language version of the Early Childhood Oral Health Impact Scale (ECOHIS). Health Qual Life Outcomes. 2008;6:9. doi: 10.1186/1477-7525-6-9.
Open DOI Search in Google Scholar Back to article
Peker K, Uysal Ö, Bermek G. Cross - cultural adaptation and preliminary validation of the Turkish version of the Early Childhood Oral Health Impact Scale among 5-6-year-old children. Health Qual Life Outcomes. 2011;9:118. doi: 10.1186/1477-7525-9-118.
Open DOI Search in Google Scholar Back to article
Martins-Júnior PA, Ramos-Jorge J, Paiva SM, Marques LS, Ramos-Jorge ML. Validations of the Brazilian version of the Early Childhood Oral Health Impact Scale (ECOHIS). Cad Saude Publica. 2012;28(2):367-374. doi: 10.1590/s0102-311x2012000200015.
Open DOI Search in Google Scholar Back to article
Jabarifar SE, Golkari A, Ijadi MH, Jafarzadeh M, Khadem P. Validation of a Farsi version of the Early Childhood Oral Health Impact Scale (F-ECOHIS). BMC Oral Health. 2010;10:4. doi: 10.1186/1472-6831-10-4.
Open DOI Search in Google Scholar Back to article
Bekes K, Omara M, Safar S, Stamm T. The German version of Early Childhood Oral Health Impact Scale (ECOHIS-G): Translation, reliability, and validity. Clin Oral Investig. 2019;23(12):4449-4454. doi: 10.1007/s00784-019-02893-1.
Open DOI Search in Google Scholar Back to article
Petersen PE, Baez RJ, World Health Organization. Oral health surveys: Basic methods. 5th ed. Geneva: World Health Organization; 2013.
Search in Google Scholar Back to article
Butler BL, Morejon O, LOW SB. An accurate, time-efficient method to assess plaque accumulation. J Am Dent Assoc. 1996;127(12):1763-1766. doi: 10.14219/jada.archive.1996.0137.
Open DOI Search in Google Scholar Back to article
Cronbach LJ. Coefficient alpha and the internal structure of tests. Psychometrika. 1951;16(3): 297-334. doi: 10.1007/BF02310555.
Open DOI Search in Google Scholar Back to article
Shrout PE, Fleiss JL. Intraclass correlations: Uses in assessing rater reliability. Psychol Bull. 1979;86(2):420-428. doi: 10.1037//0033-2909.86.2.420.
Open DOI Search in Google Scholar Back to article
Cohen J. A power primer. Psychol Bull. 1992;112(1):155-159. doi: 10.1037//0033-2909.112.1.155.
Open DOI Search in Google Scholar Back to article
Bland JM, Altman DG. Cronbach’s alpha. Br Med J. 1997;314(7080):572. doi: 10.1136/bmj.314.7080.572.
Open DOI Search in Google Scholar Back to article
Lee GH, McGrath C, Yiu CK, King NM. Translation and validation of a Chinese language version of the Early Childhood Oral Health Impact Scale (ECOHIS). Int J Paediatr Dent. 2009;19(6):399-405. doi: 10.1111/j.1365-263X.2009.01000.x.
Open DOI Search in Google Scholar Back to article
Anthoine E, Moret L, Regnault A, Sébille V, Hardouin JB. Sample size used to validate a scale: A review of publications on newly-developed patient reported outcomes measures. Health Qual Life Outcomes. 2014;12:176. doi: 10.1186/s12955-014-0176-2.
Open DOI Search in Google Scholar Back to article
Clark LA, Watson D. Constructing validity: New developments in creating objective measuring instruments. Psychol Assess. 2019;31(12):1412-1427. doi: 10.1037/pas0000626.
Open DOI Search in Google Scholar Back to article
Koo TK, Li MY. A guideline of selecting and reporting intraclass correlation coefficients for reliability research. J Chiropr Med. 2016;15(2):155-163. doi: 10.1016/j.jcm.2016.02.012.
Open DOI Search in Google Scholar Back to article
Moore CG, Carter RE, Nietert PJ, Stewart PW. Recommendations for planning pilot studies in clinical and translational research. Clin Transl Sci. 2011;4(5):332-337. doi: 10.1111/j.1752-8062.2011.00347.x
Open DOI Search in Google Scholar Back to article
Genderson MW, Sischo L, Markowitz K, Fine D, Broder HL. An overview of children’s oral health-related quality of life assessment: from scale development to measuring outcomes. Caries Res. 2013;47 Suppl 1:13-21. doi: 10.1159/000351693.
Open DOI Search in Google Scholar Back to article