IOSTM/University of Mahajanga, Mahajanga, Madagascar.
EDNES/University of Mahajanga, Mahajanga, Madagascar.
Health Qual Life Outcomes. 2020 Feb 24;18(1):39. doi: 10.1186/s12955-020-01296-1.
The Early Childhood Oral Health Impact Scale (ECOHIS) was developed to assess the impact of oral health conditions on the quality of life of preschool children and theirs families. The ECOHIS was originally developed in English language, translated and validated in several countries but no validated transcultural version of this questionnaire is currently available in Madagascar. The objectives of this cross-cultural study were to translate, validate and analyse the psychometric properties of the Malagasy version of ECOHIS.
The translation followed the forward-backward translation process. The Malagasy version obtained was pre-tested on ten mothers. Then, the questionnaire was administered by interview to 150 parents/guardians of children aged 3 to 5 years old frequenting two nursery schools in the town of Mahajanga to evaluate the reliability and validity of its psychometric characteristics. Reliability was assessed by the test-retest procedure with an interval of 15 days by using the intra-class correlation (ICC). Internal consistency was tested by Cronbach's alpha coefficient. The validity of construct, discriminant and criterion were evaluated. Construct validity was evaluated by Spearman rank correlation and tested using exploratory factor analysis and partial confirmatory factor analysis. Discriminant validity was tested between groups of children presenting consequences of untreated decayed teeth. Clinical examination was performed using the decayed, missing, filled teeth (dmft) and the pulpal involvement, ulceration, fistula, abscess (pufa) indices for assessing dental caries and consequences of untreated decayed teeth.
The cultural adaptation showed that the respondents understood the questions. The intraclass correlation coefficient for test retest was 0.91. The internal consistency demonstrated a good reliability of the Malagasy-ECOHIS version with a Cronbach's alpha coefficient of 0.88. The convergent validity evaluated by Pearson correlation coefficients provided positive and significant correlation values between all the items ranging from 0.26 to 0.72. Significant associations between the ECOHIS scores and the global rating of oral health supported the validity of the construct. Convergent and discriminant validity were obtained by testing the association of ECOHIS scores on the child and family sections with poor parental ratings of their child's oral health, high caries experience and untreated decayed teeth consequences which were to be statistically significant.
The results showed that this Malagasy version of ECOHIS questionnaire has shown good psychometric properties and could be used on Malagasy parents of preschool children to measure the impact of oral health status on the child and family quality of life.
翻译、验证和分析 ECOHIS 马提尼克语版本的心理测量特性。
翻译采用前后翻译法。获得的马提尼克语版本先由十位母亲进行预测试。然后，通过访谈对马哈乔纳镇的两所幼儿园的 150 名 3 至 5 岁儿童的父母/监护人进行问卷调查，以评估其心理测量特征的可靠性和有效性。通过使用组内相关系数（ICC）的 15 天测试-重测程序评估可靠性。使用 Cronbach 的 alpha 系数评估内部一致性。评估了结构效度、判别效度和标准效度。结构效度通过 Spearman 等级相关进行评估，并通过探索性因子分析和部分验证性因子分析进行测试。使用未治疗龋齿的儿童组之间的差异来检验判别效度。使用 dmft 和 pufa 指数进行临床检查，以评估龋齿和未治疗龋齿的后果。
文化适应表明，受访者理解问题。测试重测的组内相关系数为 0.91。马提尼克语 ECOHIS 版本的内部一致性显示出良好的可靠性，Cronbach 的 alpha 系数为 0.88。通过 Pearson 相关系数评估的收敛有效性提供了所有项目之间的正相关和显著相关值，范围从 0.26 到 0.72。ECOHIS 评分与口腔健康总体评分之间的显著相关性支持了结构的有效性。通过测试儿童和家庭部分的 ECOHIS 评分与父母对孩子口腔健康的低评价、高龋齿经历和未治疗龋齿后果之间的关联，获得了收敛和判别效度，这些关联具有统计学意义。
结果表明，这种马提尼克语 ECOHIS 问卷具有良好的心理测量特性，可用于马提尼克语学龄前儿童的父母，以衡量口腔健康状况对儿童和家庭生活质量的影响。
