International University, Phnom Penh, Cambodia.
Capital and Coast DHB, Wellington, New Zealand.
Int J Paediatr Dent. 2018 May;28(3):326-334. doi: 10.1111/ipd.12360. Epub 2018 Mar 5.
Oral Health-Related Quality-of-Life (OHRQoL) measures have been developed and cross-culturally validated for use in many populations in recent years. Their use in children with cleft lip and/or palate (CLP), however, is not as well established.
This study aimed to validate two OHRQoL instruments for use with Cambodian children and to describe the OHRQoL of a sample of Cambodian children with CLP, compared with other children in the same cohort.
A convenience sample of 133 children aged 2-8 years and their families was recruited from two NGO health services in urban and rural areas of Cambodia. Children were assigned into clinical groups of cleft, malocclusion, severe caries (PUFA ≥ 1), and dentine caries. OHRQoL was measured using the Parental-Caregivers Perception Questionnaire (P-CPQ-16) and Family Impact Scale (FIS-8).
The validity of the instruments was acceptable with an expected gradient in both scale scores being evident across self-reported oral health ratings. Children with CLP and their families experienced significantly greater impacts on OHRQoL, and the pattern of these impacts differed among the clinical groups.
This study has confirmed the validity of the P-CPQ-16 and FIS-8 for use with young Cambodian children. The results impart advocacy for needed improvements in the care of children with CLP and provide a foundation for future epidemiological research of oral health in Cambodia.
近年来，口腔健康相关生活质量（OHRQoL）测量工具已在许多人群中得到开发和跨文化验证。然而，这些工具在唇腭裂（CLP）儿童中的应用尚未得到充分确立。
本研究旨在验证两种适用于柬埔寨儿童的 OHRQoL 工具，并描述一组柬埔寨 CLP 儿童与同队列中其他儿童相比的 OHRQoL。
从柬埔寨城乡两个非政府组织健康服务机构招募了 133 名 2-8 岁的儿童及其家庭进行了便利抽样。根据唇腭裂、错颌、严重龋齿（PUFA≥1）和牙本质龋齿等临床分组。使用父母感知问卷（P-CPQ-16）和家庭影响量表（FIS-8）测量 OHRQoL。
这些工具的有效性是可以接受的，自我报告的口腔健康评分明显存在预期的梯度。唇腭裂儿童及其家庭的 OHRQoL 受到显著更大的影响，且这些影响在不同的临床分组之间存在差异。
本研究证实了 P-CPQ-16 和 FIS-8 适用于柬埔寨年幼儿童。结果表明，需要改善唇腭裂儿童的护理，并为柬埔寨口腔健康的未来流行病学研究提供了基础。
