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. 2024 Mar;58(1):39-51.
doi: 10.15644/asc58/1/4.

Early Childhood Oral Health Impact Scale: Psychometric Evaluation in Portuguese Preschoolers

Carolina Correia  1 , Sandra Ribeiro Graça  2 , Sónia Mendes  3
Affiliations

Early Childhood Oral Health Impact Scale: Psychometric Evaluation in Portuguese Preschoolers

Carolina Correia et al. Acta Stomatol Croat. 2024 Mar.

Abstract

Objective: to contribute to the validation of the Early Childhood Oral Impact Scale (ECOHIS) by studying its psychometric properties when applied to a Portuguese preschool population.

Methods: Cross-sectional study conducted with children aged between three and five-years-old. The non-probabilistic sample included two preschools in the municipality of Lisbon. Children who agreed to participate and whose guardians signed the informed consent were included. Data collection included a questionnaire, administered to the parents, and an intraoral examination of the children. The questionnaire included the Portuguese version of ECOHIS. The intraoral examination included the caries diagnosis according to the World Health Organization criteria. Discriminant validity compared the ECOHIS score between children with and without caries experience (Mann-Whitney U-test). Cohen's d was calculated to estimate the magnitude of the difference. Reliability analysis included Cronbach's α and test-retest. Construct validity was analyzed by the correlation between the ECOHIS score and dmft (Spearman's correlation). A significance level of 5% was used.

Results: The sample included 104 children (mean age 4.1 years). ECOHIS values were significantly different between children with and without caries (p=0.004). The Cohen's d was 0.84. The Cronbach's was 0.78, with no significant increase in value when eliminating any of the items. The test-retest showed significant correlation (r=0.76; p=0.01). There was a significant correlation between the ECOHIS score and caries experience (r=0.28; p=0.004).

Conclusion: The Portuguese version of the ECOHIS showed good psychometric properties, indicating that it is a reliable and valid tool to measure the impact of oral health in preschool children.

Keywords: Children; Dental Caries; MeSH Terms: Surveys and Questionnaires; Oral Health; Preschool Child; Quality of life; Reliability and Validity; Reproducibility of Results.

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Conflict of interest statement

Conflict of interest Authors declare no conflicts of interest.

References

    1. Greenshields S. Oral health care in children [published correction appears in Br J Nurs. 2019 Sep 26;28(17):1157. - PubMed
    1. World Health Organization. Global oral health status report: towards universal health coverage for oral health by 2030. Geneva 2022.
    1. Pakkhesal M, Riyahi E, Naghavi Alhosseini A, Amdjadi P, Behnampour N. Impact of dental caries on oral health related quality of life among preschool children: perceptions of parents. BMC Oral Health. 2021;21(1):68. 10.1186/s12903-021-01396-4 - DOI - PMC - PubMed
    1. World Health Organization. Ending childhood dental caries: WHO implementation manual. Geneva, 2019.
    1. Calado R, Ferreira CS, Nogueira P, Melo P. Caries prevalence and treatment needs in young people in Portugal: the third national study. Community Dent Health. 2017;34(2):107–11. - PubMed

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