Validation of the French version of COHIP-SF-19 among 12-years children in New Caledonia

Cross-cultural adaptation and psychometric evaluation of the child oral health impact profile-short form 19 (COHIP-SF 19) for Ethiopian schoolchildren

BACKGROUND

Poor oral health can cause pain, discomfort, and reduced oral health-related quality of life (OHRQoL) affecting children's social interactions, self-esteem, and school participation. Understanding OHRQoL and its impact is essential for designing effective oral health strategies. The Child Oral Health Impact Profile (COHIP-SF19) assesses OHRQoL in children but lacks validation in diverse cultural contexts, including Ethiopia. This study aimed to adapt the COHIP-SF 19 to Amharic and evaluate its psychometric properties among schoolchildren in the Amhara region.

METHODS

The original English COHIP-SF 19 was translated into Amharic (COHIP-SF 19) using a standard forward and backward translation procedure, followed by cultural adaptation to ensure the tool's relevance and accuracy in the Ethiopian context. 400 schoolchildren who were grades 6 to 8th included Internal consistency reliability, test-retest reliability, discriminant validity, convergent validity, and floor and ceiling effects computed to evaluate the Amharic version of COHIP-SF 19. A Mann-Whitney U test was used to compare mean scores of COHIP-SF 19 based on participants' caries status and self-reported oral health rating.

RESULTS

Mean age of the schoolchildren was 13.3 ± 0.97 years and 51.5% of them were female. The mean scores for the socio-emotional, oral health, and functional subscales were 29.35 (± 7.765), 13.21 (± 3.99), and 9.99 (± 3.29), respectively. Both the internal consistency (Cronbach's alpha = 0.90) and test-retest reliability (intra-class correlation coefficient (ICC) of (0.89) were found within an acceptable range. Discriminant validity was confirmed via the Mann-Whitney U test, showing that children without dental caries had significantly higher COHIP-SF19 scores (Z = -13.81, p < 0.001). Overall, the Amharic version COHIP-SF19 showed an acceptable level of equivalence to the original version.

CONCLUSION

In this study, the COHIP-SF19 Amharic version demonstrated adequate cultural validity and reliability for assessing Oral Health-Related Quality of Life in Ethiopian schoolchildren. It is suitable for use in clinical practice, service evaluation, and research to measure OHRQoL among Ethiopian schoolchildren.

The Development and Psychometric Properties of Malay Language Child Oral Health Impact Profile-Short Form 19 (ML COHIP-SF 19)

Background/Objectives: The Child Oral Health Impact Profile-Short Form 19 (COHIP-SF 19) is widely used to measure the oral health-related quality of life (OHRQoL) of children and adolescents. The current study aimed to validate the Malay language version of the COHIP-SF19 (ML COHIP-SF 19) and to assess its psychometric properties among Malaysian children/adolescents. Methods: Children aged from 9 to 16 years attending the Faculty of Dentistry, Universiti Teknologi MARA (UiTM) participated in this study. The original English version of the COHIP-SF 19 was translated using forward- and back-translation. The psychometric properties of the final version were tested for reliability and validity using Cronbach's alpha, a non-parametric Spearman's correlation test, and confirmatory factor analysis (CFA). Results: A total of 252 children aged from 9 to 16 years (mean age = 11.33 ± 1.87 years) self-completed the ML-COHIP-SF 19. The total scores of the ML COHIP-SF 19 ranged from 20 to 75 (mean = 55.67 ± 10.45) with an internal consistency (α) of 0.81. Convergent validity showed a fair correlation between self-perceived oral health rating and total ML COHIP-SF 19 scores, as well as the socio-emotional well-being subscale scores (rs = 0.38-0.42, p < 0.01). Conclusions: The ML COHIP-SF 19 demonstrated reliable psychometric properties and acceptable four-factor model fits, indicating that it is a valid tool to measure the OHRQoL of Malaysian children aged from 9 to 16 years.

Personality traits and their relationship with oral health related quality of life among adolescents in Saudi Arabia

BACKGROUND

Personality traits are linked with different oral health outcomes. However, personality traits and their associations among children are not fully understood. Therefore, this study aimed to investigate the relationship between personality traits and oral health-related quality of life (OHRQoL) among adolescents in Saudi Arabia.

METHODS

This cross-sectional study included male and female students aged 12-18 years from different schools in the Eastern Province of Saudi Arabia. The participants responded to a self-administered questionnaire after providing informed consent. The questionnaire included demographic information and Arabic versions of the Big Five Personality Inventory and the Child Oral Health Impact Profile-Short Form to evaluate personality traits and OHRQoL, respectively. Bivariate and multivariable analyses were performed.

RESULTS

This study included 231 (59.7%) males and 156 (40.3%) females. Regarding personality traits, conscientiousness had the highest mean score (15.31 ± 3.65), followed by agreeableness (14.94 ± 3.96) and openness (14.08 ± 3.98), whereas neuroticism had the lowest mean score (8.86 ± 3.34). Males had significantly higher mean scores for extraversion (14.28 ± 3.30) and conscientiousness (15.69 ± 3.62) compared to females, who had mean scores of 13.02 ± 3.35 and 14.75 ± 3.63, respectively (P < 0.05). Females, on the other hand, scored significantly higher in neuroticism (9.51 ± 3.71) and agreeableness (15.60 ± 3.75) compared to males, who had mean scores of 8.09 ± 2.94 and 14.49 ± 4.04, respectively (P < 0.05). Bivariate analyses showed that neuroticism was negatively correlated with OHRQoL (r = -0.455, P < 0.001), whereas extraversion (r = 0.182, P < 0.001) and conscientiousness (r = 0.110, P = 0.047) were positively correlated with OHRQoL. In multiple linear regression analyses, extraversion (B = 0.696, P = 0.012) and neuroticism (B=-2.229, P < 0.001) were statistically significant predictors of OHRQoL.

CONCLUSION

This study found that neuroticism was significantly and negatively correlated with OHRQoL, whereas extraversion was significantly and positively correlated with OHRQoL. In addition, there were statistically significant differences in personality traits between the male and female adolescents.

Oral Health-Related Quality of Life in a Paediatric Population in the Dominican Republic

Introduction: During the summer of 2019 and within the framework of a social dentistry program carried out in the low-income town of San Francisco de Macorís (Dominican Republic), a descriptive study was carried out on oral health-related quality of life (OHRQoL), aiming to find out the oral health status of a population of children in the aforementioned Dominican city. Objective: The aim of this study was to describe the oral health status of a child population and its relationship with the quality of life perceived by these children in the aforementioned population of San Francisco de Macorís in order to develop an specific oral health program taking into account not only the existing oral health status but also the perceptions and feelings of the child population in this regard. Method: A descriptive cross-sectional study was carried out on a representative sample of children who were examined on their oral health status, following WHO guidelines, by professionals from the University of Seville (Spain) together with professionals from private practice (USA) and students from the Universidad Católica Nordestana (UCNE, Dominican Republic). Likewise, the children's parents voluntarily completed the Oral Quality of Life questionnaire COHIP-19 in its culturally adapted Spanish version. Results: For this purpose, 94 children with a mean age of 10.34 (SD 3.38) were observed in our study following WHO recommendations for oral health studies and evaluating OHQoL using the specific questionnaire validated in Spanish COHIP-19 in its short format (SF). The results show a state of oral health with a significant prevalence of caries (80.9%) and a DMFT of 1.70 (SD 1.90). The OHQoL perceived by these children shows that pain, bad breath or feeling sad because of the condition of their teeth were the factors with the worst evaluation score. Conclusions: The conclusion that mainly emerges from this study is that caries continues to be the main problem to be solved (more than other variables studied, such as malocclusion or fluorosis), and this ailment also causes pain, dysfunction, and bad breath and is therefore perceived as a problem to be solved in the children of this Dominican city.

Reflection on patients' experience with orthodontic appliances wear and its impact on oral health related quality of life: observational comparative study

BACKGROUND

The objective of this study was to explore and compare patient's experience with the use of a removable functional appliance or fixed orthodontic appliance and its influence on oral health-related quality of life.

MATERIAL AND METHODS

This clinical trial included 81 participants having Class II Division 1 and age ranging between 10 and 16 years. The participants were included in any of a three equal groups according to the set inclusion and exclusion criteria; Group 1: patients treated with a Twin-Block functional appliance; Group 2: patients treated with a fixed orthodontic appliance only; and Group 3 (control group): patients not in orthodontic treatment yet. The COHIP SF-19 was used. Patients were given the questionnaire as follows: Group 1: (1) after at least 8 months from starting treatment; (2) after completing phase 1 by 2-3 months without wearing the appliance; Group 2: (1) just before debonding; (2) after finishing the treatment by 2-3 months without any appliances; and Group 3: (1) at the patient's first visit to the orthodontic clinic; (2) after 2-3 months from the first visit to the orthodontic clinic and before starting any treatment.

RESULTS

The 81 participants were 31 males and 50 females with median age of 13 years. The total COHIP SF-19 scores at baseline were 57 (49-64), 67 (63-72), and 47 (42-53) for the Twin-Block, the fixed appliance, and the malocclusion groups, respectively. Two-month mean scores adjusted to the baseline scores were 64.82 ± 1.15, 65.65 ± 1.47, and 54.45 ± 1.44 for the Twin-Block, the fixed appliance, and the malocclusion groups, respectively.

CONCLUSIONS

Both at baseline and two-months (adjusted to the baseline scores), participants in the malocclusion group showed compromised socio-emotional quality of life and reported the poorest total OHRQoL. At the baseline, better socio-emotional and total OHRQoL was reported by the fixed appliance group compared to the Twin-Block group but, after two months both groups gave similar sores. Therefore; patients' perceptions about their experience with the orthodontic appliance might change.

Changes in oral health-related quality of life before and after dental treatment in 8-12-year-old Costa Rican schoolchildren

Aims

The aims of this study were to (1) evaluate oral health-related quality of life (OHRQoL) in 8-12-year-old Costa Rican schoolchildren before and after dental treatment and (2) collect clinical and sociodemographic characteristics.

Methods

Schoolchildren completed the Child Oral Health Impact Profile-Short Form (COHIP-SF-19) questionnaire before and after dental treatment. One of the parents was asked to complete a sociodemographic survey. Patients were treated for caries, hypomineralizations, and dental malocclusions. The prevalence of these conditions was assessed from the patient's electronic dental record.

Results

Eighty participants (39 male and 41 female, average age: 9.4 ± 1.0 years) were recruited. The prevalence of dental caries was 56.1% with a mean deft and DMFT score of 3.15 ± 0.96 and 2.22 ± 0.77, respectively. The prevalence of hypomineralization and dental malocclusions was 53.7% and 82.9%, respectively. The Simplified Oral Hygiene Index before treatment was 1.45 ± 0.45 and after was 1.42 ± 0.43. The mean COHIP-SF-19 total score decreased from 53.7 ± 7.8 before dental treatment to 31.4 ± 4.2 after treatment. Improvements in all subdomains were also observed. Regarding sociodemographic characteristics, 65% of the patients lived in San José, Costa Rica's capital city, and 56.3% of the studied population belonged to a low-income family. Most parents did not complete high school. Regarding the number of family members living in the same house as the patient, an average of four people was reported. In relation to family structure, 58.8% of the children's parents lived together, either married or free union. As for household ownership, 53.8% of parents reported owning their house, 36.3% lived in a rented house, and 10% lived in a borrowed home.

Conclusion

The prevalence of caries, hypomineralizations, and dental malocclusions were high before dental treatment. Reported sociodemographic characteristics unlikely changed after dental treatment, suggesting dental care played a pivotal role in improving self-perceptions of oral health and quality of life in our clinical setting.