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      Cross-cultural adaptation and psychometric properties of the Mexican version of the Early Childhood Oral Health Impact Scale (ECOHIS)

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          Abstract

          Background

          Instruments adapted for the Mexican population to assess oral health-related quality of life (OHRQoL) in preschoolers remain lacking. This study aimed to cross-culturally adapt and evaluate the psychometric properties of the Mexican version of the Early Childhood Oral Health Impact Scale (M-ECOHIS).

          Methods

          This cross-sectional study was conducted with preschool children from southern Mexico. The investigation was divided into a transcultural adaptation phase and a validation phase. The M-ECOHIS was completed by the children’s guardians, and clinical data were also evaluated. Reliability was evaluated using tests of internal consistency and test–retest measures, while construct validity was assessed through Spearman’s correlation coefficient between M-ECOHIS scores and self-reported oral health, and through confirmatory factor analysis (CFA). Construct validity was also evaluated through discriminant validity of the M-ECOHIS, which was determined according to questionnaire scores on oral health measures (e.g., dental caries).

          Results

          A total of 303 preschool children participated in this study. Regarding internal consistency, Cronbach’s alpha was > 0.78 for the child section, family section, and general M-ECOHIS. The general intraclass correlation coefficient (ICC) for test–retest reliability was 0.95. The correlation between the scores obtained on the child and family impact sections was significant with the self-reported oral health status rating. In relation to CFA, all items of the M-ECOHIS confirmed the latent variables. Further, M-ECOHIS scores were associated with the presence of untreated dental caries, indicating that the questionnaire has good discriminant validity.

          Conclusion

          Our findings suggest that the M-ECOHIS is a valid and reliable instrument for assessing the impact of oral health on quality of life in Mexican preschool children.

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          Most cited references27

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          Coefficient alpha and the internal structure of tests

          Psychometrika, 16(3), 297-334
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            Derivation and validation of a short-form oral health impact profile.

            Growing recognition that quality of life is an important outcome of dental care has created a need for a range of instruments to measure oral health-related quality of life. This study aimed to derive a subset of items from the Oral Health Impact Profile (OHIP-49)-a 49-item questionnaire that measures people's perceptions of the impact of oral conditions on their well-being. Secondary analysis was conducted using data from an epidemiologic study of 1217 people aged 60+ years in South Australia. Internal reliability analysis, factor analysis and regression analysis were undertaken to derive a subset (OHIP-14) questionnaire and its validity was evaluated by assessing associations with sociodemographic and clinical oral status variables. Internal reliability of the OHIP-14 was evaluated using Cronbach's coefficient alpha. Regression analysis yielded an optimal set of 14 questions. The OHIP-14 accounted for 94% of variance in the OHIP-49; had high reliability (alpha = 0.88); contained questions from each of the seven conceptual dimensions of the OHIP-49; and had a good distribution of prevalence for individual questions. OHIP-14 scores and OHIP-49 scores displayed the same pattern of variation among sociodemographic groups of older adults. In a multivariate analysis of dentate people, eight oral status and sociodemographic variables were associated (P < 0.05) with both the OHIP-49 and the OHIP-14. While it will be important to replicate these findings in other populations, the findings suggest that the OHIP-14 has good reliability, validity and precision.
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              The intraclass correlation coefficient as a measure of reliability.

              J J Bartko (1966)
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                Author and article information

                Contributors
                thiardenghi@hotmail.com
                Journal
                Health Qual Life Outcomes
                Health Qual Life Outcomes
                Health and Quality of Life Outcomes
                BioMed Central (London )
                1477-7525
                21 March 2021
                21 March 2021
                2021
                : 19
                : 102
                Affiliations
                [1 ]Los Altos University Center, Tepatitlán de Morelos, Jalisco México
                [2 ]GRID grid.411239.c, ISNI 0000 0001 2284 6531, Department of Stomatology, Faculty of Dentistry, School of Dentistry, , Universidade Federal de Santa Maria, ; Av. Roraima, 1000, Cidade Universitária - 26F, Santa Maria, RS 97015-372 Brazil
                Author information
                http://orcid.org/0000-0002-5109-740X
                Article
                1747
                10.1186/s12955-021-01747-3
                7981842
                39dd6452-8aba-45f6-b9ab-21d7f747b705
                © The Author(s) 2021

                Open AccessThis article is licensed under a Creative Commons Attribution 4.0 International License, which permits use, sharing, adaptation, distribution and reproduction in any medium or format, as long as you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons licence, and indicate if changes were made. The images or other third party material in this article are included in the article's Creative Commons licence, unless indicated otherwise in a credit line to the material. If material is not included in the article's Creative Commons licence and your intended use is not permitted by statutory regulation or exceeds the permitted use, you will need to obtain permission directly from the copyright holder. To view a copy of this licence, visit http://creativecommons.org/licenses/by/4.0/. The Creative Commons Public Domain Dedication waiver ( http://creativecommons.org/publicdomain/zero/1.0/) applies to the data made available in this article, unless otherwise stated in a credit line to the data.

                History
                : 12 September 2020
                : 12 March 2021
                Categories
                Research
                Custom metadata
                © The Author(s) 2021

                Health & Social care
                child,oral health,psychometrics,quality of life,questionnaire
                Health & Social care
                child, oral health, psychometrics, quality of life, questionnaire

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