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      Korean Version of Child Perceptions Questionnaire and Dental Caries among Korean Children

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          Abstract

          Although dental caries has been a major oral health problem for children, the association between dental caries and oral health related quality of life has been still controversial. This study aims to evaluate the association between the Korean version of the Child Perceptions Questionnaire (K-CPQ) and dental caries among Korean children. Eight hundred one school children aged 8 to 14 years participated in this study. After the K-CPQ was validated we performed an association study. The K-CPQ was self-reported. Dental caries were evaluated by dentists using the World Health Organization Index. Correlation analyses (intraclass correlation coefficient, Cronbach’s alpha and Pearson’s correlation coefficient [r]) and linear regression models (partial r) including age, gender and type of school were applied. Untreated deciduous dental caries was associated with the K-CPQ 8-10 overall score (partial r = 0.15, P <0.05). The link was highlighted in the domains of functional limitation and emotional well-being. Filled teeth due to caries (FT) was associated with the K-CPQ 11-14 overall domain (partial r = 0.14, P = 0.002) as well as with the oral symptoms domain (partial r = 0.16, P = 0.001). This association was highlighted among public school children. Our data indicate that K-CPQ was independently associated with dental caries. The K-CPQ could be a practical tool to evaluate the subjective oral health among Korean children aged 8 to 14.

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          Most cited references34

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          Development and evaluation of the Oral Health Impact Profile.

          The capacity of dental clinicians and researchers to assess oral health and to advocate for dental care has been hampered by limitations in measurements of the levels of dysfunction, discomfort and disability associated with oral disorders. The purpose of this research was to develop and test the Oral Health Impact Profile (OHIP), a scaled index of the social impact of oral disorders which draws on a theoretical hierarchy of oral health outcomes. Forty nine unique statements describing the consequences of oral disorders were initially derived from 535 statements obtained in interviews with 64 dental patients. The relative importance of statements within each of seven conceptual subscales was assessed by 328 persons using Thurstone's method of paired comparisons. The consistency of their judgements was confirmed (Kendall's mu, P < 0.05). The reliability of the instrument was evaluated in a cohort of 122 persons aged 60 years and over. Internal reliability of six subscales was high (Cronbach's alpha, 0.70-0.83) and test-retest reliability (intraclass correlation coefficient, 0.42-0.77) demonstrated stability. Validity was examined using longitudinal data from the 60 years and over cohort where the OHIP's capacity to detect previously observed associations with perceived need for a dental visit (ANOVA, p < 0.05 in five subscales) provided evidence of its construct validity. The Oral Health Impact Profile offers a reliable and valid instrument for detailed measurement of the social impact of oral disorders and has potential benefits for clinical decision-making and research.
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            Validity and reliability of a questionnaire for measuring child oral-health-related quality of life.

            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.
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              Developing and evaluating an oral health-related quality of life index for children; the CHILD-OIDP.

              To develop an oral health-related quality of life index in Thai children and evaluate its psychometric properties. Cross-sectional study of children aged 11-12 years, attending the final year of primary school (grade-six). Development and evaluation process was conducted on non-random sample in U-thong District, Suphan-buri province, Thailand. Re-evaluation of the index included all target group children in a municipal area of Suphan-buri province, Thailand. The psychometric properites evaluated in this study refer to face, content and concurrent validity and internal and test-retest reliability. 513 children in the development process. 1,100 children in the re-evaluation. Throughout the development process, the OIDP index was modified and its psychometric properties evaluated. The final test revealed excellent validity and reliability. Weighted kappa was 0.93. There was no negative correlation between any item, corrected item-total correlation coefficients were between 0.4-0.7, Standardised Cronbach's alpha coefficient was 0.82. The index showed very significant associations with perceived oral treatment need (p < 0.001) and perceived oral health problems (p < 0.001). The validity and reliability of the index was confirmed by similar results in the re-evaluation study. This study has demonstated that the CHILD-OIDP index is a valid, reliable and practical measure of oral health-related quality of life in 12 year old Thai children.
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                Author and article information

                Contributors
                Role: Academic Editor
                Journal
                PLoS One
                PLoS ONE
                plos
                plosone
                PLoS ONE
                Public Library of Science (San Francisco, CA USA )
                1932-6203
                12 February 2015
                2015
                : 10
                : 2
                : e0116011
                Affiliations
                [1 ]Department of Preventive and Social Dentistry, School of Dentistry, Seoul National University, Seoul, Korea
                [2 ]Dental Research Institute, School of Dentistry, Seoul National University, Seoul, Korea
                TNO, NETHERLANDS
                Author notes

                Competing Interests: The authors have declared that no competing interests exist.

                Conceived and designed the experiments: HDK. Performed the experiments: HDK DHH HSS MSK. Analyzed the data: HDK HSS. Contributed reagents/materials/analysis tools: HDK DHH. Wrote the paper: HDK DHH HSS MSS HJL MSK.

                Article
                PONE-D-14-19529
                10.1371/journal.pone.0116011
                4326134
                25675410
                69a52bc3-7d38-4a60-9b6a-2d15f2940aea
                Copyright @ 2015

                This is an open access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited

                History
                : 1 May 2014
                : 3 December 2014
                Page count
                Figures: 0, Tables: 6, Pages: 13
                Funding
                This work was supported by the grant from Basic Science Research Program through the National Research Foundation of Korea (NRF) funded by the Ministry of Education, Science and Technology (No. 2013-062881) and the NRF Grant, through the Oromaxillofacial Dysfunction Research Center for the Elderly (No. 2013-070465) at Seoul National University in Korea. Ms. Shin was supported by grants from Brain Korea 21 at Seoul National University School of Dentistry in Korea. The funders had no role in study design, data collection and analysis, decision to publish, or preparation of the manuscript.
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