Ruff R R, Sischo L, Chinn C H, Broder H L
Department of Epidemiology &Health Promotion, New York University College of Dentistry, New York, NY, USA.
College of Global Public Health, New York University, New York, NY, USA.
Community Dent Health. 2017 Sep;34(3):176-182. doi: 10.1922/CDH_4110Ruff07.
The Child Oral Health Impact Profile (COHIP) is a validated instrument created to measure the oral health-related quality of life of school-aged children. The purpose of this study was to develop and validate a preschool version of the COHIP (COHIP-PS) for children aged 2-5.
The COHIP-PS was developed and validated using a multi-stage process consisting of item selection, face validity testing, item impact testing, reliability and validity testing, and factor analysis.
A cross-sectional convenience sample of caregivers having children 2-5 years old from four groups completed item clarity and impact forms. Groups were recruited from pediatric health clinics or preschools/daycare centers, speech clinics, dental clinics, or cleft/craniofacial centers. Participants had a variety of oral health-related conditions, including caries, congenital orofacial anomalies, and speech/language deficiencies such as articulation and language disorders.
COHIP-PS.
The COHIP-PS was found to have acceptable internal validity (a = 0.71) and high test-retest reliability (0.87), though internal validity was below the accepted threshold for the community sample. While discriminant validity results indicated significant differences across study groups, the overall magnitude of differences was modest. Results from confirmatory factor analyses support the use of a four-factor model consisting of 11 items across oral health, functional well-being, social-emotional well-being, and self-image domains.
Quality of life is an integral factor in understanding and assessing children's well-being. The COHIP-PS is a validated oral health-related quality of life measure for preschool children with cleft or other oral conditions.
儿童口腔健康影响量表（COHIP）是一种经过验证的工具，用于测量学龄儿童与口腔健康相关的生活质量。本研究的目的是开发并验证适用于2至5岁儿童的COHIP学前版（COHIP-PS）。
COHIP-PS的开发和验证采用了多阶段流程，包括项目选择、表面效度测试、项目影响测试、信效度测试和因子分析。
从四组中选取有2至5岁孩子的照顾者组成横断面便利样本，完成项目清晰度和影响表格。这些组是从儿科健康诊所、学前班/日托中心、言语诊所、牙科诊所或唇腭裂/颅面中心招募的。参与者有各种与口腔健康相关的状况，包括龋齿、先天性口腔颌面畸形以及言语/语言缺陷，如发音和语言障碍。
COHIP-PS。
发现COHIP-PS具有可接受的内部效度（α = 0.71）和较高的重测信度（0.87），不过社区样本的内部效度低于公认阈值。虽然区分效度结果表明各研究组之间存在显著差异，但差异的总体幅度较小。验证性因子分析结果支持使用由口腔健康、功能幸福感、社会情感幸福感和自我形象领域的11个项目组成的四因子模型。
生活质量是理解和评估儿童幸福感的一个不可或缺的因素。COHIP-PS是一种经过验证的、用于患有唇腭裂或其他口腔疾病的学龄前儿童与口腔健康相关的生活质量测量工具。
