Validity and reliability of a Turkish pediatric oral health-related quality of life measure

DOI: 10.26650/eor.2018.53923Purpose This study aimed to develop Turkish measures for Pediatric Oral Health-related Quality of Life (POQL) and evaluate their reliability and validity for use in Turkish children aged 8–14 years (Child Self-Report measure; CSR) and their caregivers (Parent Report-on-Child measure; PRC). Materials and methods The English POQL was translated into Turkish, adapted for the Turkish culture, and tested in 149 children and their caregivers attending the Çukurova University Pediatric Dentistry clinics to assess the reliability, internal consistency, and discriminant and convergent validity of the Turkish version. Results The internal consistency of the Turkish POQL evaluated using Cronbach’s alpha was 0.905 for CSR and 0.887 for PRC. To determine the test–retest reliability, the Turkish POQL was administered to a sub-sample (n=16) a second time 2 weeks after the first survey administration. Intraclass correlation coefficient values of the individual items were 0.895 for CSR and 0.992 for PRC. For total scores, there was a significant difference based on clinical caries status and perceived oral health in both CSR and PRC. Conclusion The Turkish POQL is a valid and reliable measure of the perceived impact of oral conditions on children’s lives.

___

  • 1. Yusuf H, Gherunpong S, Sheiham A, Tsakos G. Validation of an English version of the Child-OIDP index, an oral health-related quality of life measure for children. Health Qual Life Outcomes 2006; 4: 38. 2. Gilchrist F, Rodd H, Deery C, Marshman Z. Assessment of the quality of measures of child oral health-related quality of life. BMC Oral Health 2014; 14: 40. 3. Eiser C, Morse R. A review of measures of quality of life for children with chronic illness. Arch Dis Child 2001; 84: 205-11. 4. Eiser C, Morse R. The measurement of quality of life in children: past and future perspectives. J Dev Behav Pediatr 2001; 22: 248-56. 5. Muldoon MF, Barger SD, Flory JD, Manuck SB. What are quality of life measurements measuring? BMJ 1998; 316: 542-5. 6. Gökalp SG, Doğan BG, Tekçiçek MT, Berberoğlu A, Unlüer S. National survey of oral health status of children and adults in Turkey. Community Dent Health 2010; 27: 12-7. 7. Petersen PE. The World Oral Health Report 2003: continuous improvement of oral health in the 21st century--the approach of the WHO Global Oral Health Programme. Community Dent Oral Epidemiol 2003; 31: 3-23. 8. Peker K, Uysal O, 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. 9. Efe E, Sarvan S, Kukulu K. Self-reported knowledge and behaviors related to oral and dental health in Turkish children. Issues Compr Pediatr Nurs 2007; 30: 133-46. 10. Ersin NK, Eronat N, Cogulu D, Uzel A, Aksit S. Association of maternal-child characteristics as a factor in early childhood caries and salivary bacterial counts. J Dent Child (Chic) 2006; 73: 105-11. 11. Barbosa TS, Leme MS, Castelo PM, Gavião MBD. Evaluating oral health-related quality of life measure for children and preadolescents with temporomandibular disorder. Health Qual Life Outcomes. BioMed Central Ltd 2011; 9: 32. 12. Gary Slade editor. Measuring oral health and quality of life. Chapel Hill: University of North Carolina. 1997. 13. Jabarifar SE, Eshghi AR, Shabanian M, Ahmad S. Changes in Children’s Oral Health Related Quality of Life Following Dental Treatment under General Anesthesia. Dent Res J (Isfahan) 2009; 6: 13-6. 14. Broder H, Wilson-Genderson M. Reliability and convergent and discriminant validity of the Child OralHealth Impact Profile (COHIP child’s version). Community Dent Oral Epidemiol 2007; 35: 20-31. 15. Lee GH, McGrath C, Yiu CK, King NM. A comparison of a generic and oral health-specific measure in assessing the impact of early childhood caries on quality of life. Community Dent Oral Epidemiol 2010; 38: 333-9. 16. Jokovic A, Locker D, Guyatt G. Short forms of the Child Perceptions Questionnaire for 11-14-year-old children (CPQ11-14): development and initial evaluation. Health Qual Life Outcomes 2006; 4: 4. 17. Huntington NL, Spetter D, Jones J a., Rich SE, Garcia RI, Spiro III A. Development and validation of a measure of pediatric oral health-related quality of life: the POQL. J Public Health Dent 2011; 71: 185-93. 18. Gökalp S, Doğan G, Tek M, Berbero A, Ünlüer Ş. Beş, On İki ve On Beş Yaş Çocukların Ağız Diş Sağlığı Profili , Türkiye-2004 The Oral Health Profile of 5 , 12 and 15 Year. Oral Health 2007; 3-10. 19. Yazicioglu I, Jones JA, Rich SE, Garcia R. Paper: Hispanic Parent’s Language Preferences and Pediatric Oral Quality of Life (IADR/AADR/CADR 89th General Session and Exhibition (March 16-19, 2011)). [cited 2012 Jul 29]. 20. WHO | Process of translation and adaptation of instruments. World Health Organization; [cited 2012 Dec 30]; Available from: http://www.who.int/substance_abuse/research_tools/translation/en/ 21. Beaton DE, Bombardier C, Guillemin F, Ferraz MB. Guidelines for the process of cross-cultural adaptation of self-report measures. Spine (Phila Pa 1976) 2000; 25: 3186-91. 22. Guillemin F, Bombardier C, Beaton D. Cross-cultural adaptation of health-related quality of life measures: literature review and proposed guidelines. J Clin Epidemiol 1993; 46: 1417-32. 23. ASTDD | Basic Screening Survey Tool [Internet]. [cited 2015 Jun 4]. Available from: http://www.astdd.org/basic-screening-survey-tool/#children 24. Shrout P, Fleis JL. Intraclass correlation: uses in assesing rater reliability. Psychol Bull 1979; 86: 420-8. 25. Streiner DL, Norman GR. Health measurement scales: a practical guide to their development and use. New york: Oxford Press; 1991. 26. Barbosa TS, Tureli MCM, Gavião MBD. Validity and reliability of the Child Perceptions Questionnaires applied in Brazilian children. BMC Oral Health 2009; 9: 13.