Department of Community Oral Health and Clinical Prevention, Faculty of Dentistry, University of Malaya, Kuala Lumpur, Malaysia.
Community Oral Health Research Group, Faculty of Dentistry, University of Malaya, Kuala Lumpur, Malaysia.
Community Dent Oral Epidemiol. 2019 Feb;47(1):24-31. doi: 10.1111/cdoe.12417. Epub 2018 Sep 6.
To evaluate the sensitivity and responsiveness of the Malay version of Early Childhood Oral Health Impact Scale (Malay-ECOHIS) to dental treatment of early childhood caries (ECC) under general anaesthesia (GA) and determine the minimally important difference (MID) for the Malay-ECOHIS.
A sample of 158 preschool children with ECC awaiting dental treatment under GA was recruited over an 8-month period. Parents self-completed the Malay-ECOHIS before and 4 weeks after their child's dental treatment. At 4 weeks follow-up, parents also responded to a global health transition judgement item. Data were analysed using independent and paired samples t tests, ANOVA and Pearson correlation coefficients.
The response rate was 87.3%. The final sample comprised 76 male (55.1%) and 62 female (44.9%) preschool children with mean age of 4.5 (SD = 1.0) years. Following treatment, there were significant reductions in mean scores for total Malay-ECOHIS, child impact section (CIS), family impact section (FIS) and all domains, respectively (P < 0.001). The effect size (ES) for the Malay-ECOHIS was +1.0; across the domains, it ranged from +0.4 to +1.9. There was a weak, positive correlation for Malay-ECOHIS change scores (r = 0.165) and CIS change scores (r = 0.175) with the number of decayed teeth (dt), respectively. Similar correlation was also observed between Malay-ECOHIS change scores and the number of extracted teeth (r = 0.129). Based on the global health transition judgement, 62.3% of parents reported their child's oral condition to be "a little improved" while 37.7% reported it to be "much improved" following treatment, with Malay-ECOHIS mean change scores of 6.7 (ES = +1.1) and 9.6 (ES = +1.2), respectively. There was an observed gradient in the Malay-ECOHIS change scores and ES in relation to parents' perception of their child's oral health improvement after treatment, supporting the responsiveness of the measure. The Malay-ECOHIS MID was found to be 7 scale points.
The Malay-ECOHIS is empirically shown to be sensitive and responsiveness to dental treatment of ECC under GA.
评估马来文版幼儿口腔健康影响量表（Malay-ECOHIS）对全麻下幼儿龋病（ECC）治疗的敏感性和反应性，并确定马来文版 ECOHIS 的最小临床重要差异（MID）。
在 8 个月的时间里，招募了 158 名患有 ECC 并等待全麻下牙科治疗的学龄前儿童作为样本。父母在孩子接受牙科治疗前和治疗后 4 周内自行完成马来文版 ECOHIS。在 4 周的随访中，父母还对整体健康转变判断项目进行了回应。使用独立样本和配对样本 t 检验、方差分析和 Pearson 相关系数分析数据。
应答率为 87.3%。最终样本包括 76 名男性（55.1%）和 62 名女性（44.9%）学龄前儿童，平均年龄为 4.5（SD=1.0）岁。治疗后，马来文版 ECOHIS 总分、儿童影响部分（CIS）、家庭影响部分（FIS）和所有领域的平均分均显著降低（P<0.001）。马来文版 ECOHIS 的效应量（ES）为+1.0；在各个领域，ES 范围为+0.4 至+1.9。马来文版 ECOHIS 变化评分与 CIS 变化评分与龋齿数量（dt）分别呈弱正相关（r=0.165）和（r=0.175）。马来文版 ECOHIS 变化评分与拔牙数量（r=0.129）也存在类似的相关性。根据整体健康转变判断，62.3%的父母报告他们孩子的口腔状况“略有改善”，37.7%的父母报告“明显改善”，治疗后马来文版 ECOHIS 的平均变化评分分别为 6.7（ES=+1.1）和 9.6（ES=+1.2）。在父母对孩子口腔健康改善的感知方面，观察到马来文版 ECOHIS 变化评分和 ES 存在梯度，这支持了该测量方法的反应性。马来文版 ECOHIS 的 MID 被发现为 7 个量表分。
马来文版 ECOHIS 经实证研究，对全麻下 ECC 治疗具有敏感性和反应性。
