评价澳大利亚“原住民”人群中的 ECOHIS 和 CARIES-QC。

Evaluation of the ECOHIS and the CARIES-QC among an Australian "Aboriginal" population.

机构信息

Western Australia Dental Health Services, Research and Evaluation, Health Department of Western Australia, Perth, Australia.

Australian Research Centre for Population Oral Health, University of Adelaide, Adelaide, Australia.

出版信息

Qual Life Res. 2021 Feb;30(2):531-542. doi: 10.1007/s11136-020-02646-8. Epub 2020 Sep 24.

DOI:10.1007/s11136-020-02646-8

PMID:32974881

Abstract

PURPOSE

An evaluation of the reliability and validity of two child oral health-related quality of life (COHRQoL) measures among Australian Aboriginal children who participated in a randomised trial was undertaken.

METHODS

Study participants completed the Early Childhood Oral Health Impact Scale (ECOHIS) and the Caries Impacts and Experiences Questionnaire for Children (CARIES-QC). The questionnaires were completed a second time to test the scales' test-retest reliability. Internal consistency, convergent and discriminant validity were evaluated through Cronbach's alpha, correlation of the scale scores with the global oral health evaluation, and comparison of scale scores among children with varying levels of caries experience, respectively.

RESULTS

Worse COHRQoL was reported by parents who rated their child's oral health as poor and by children who rated their teeth as being a lot of problem. Cronbach's alpha for the child impact section (CIS), family impact section (FIS), total ECOHIS score and the total CARIES-QC scale were 0.88, 0.81, 0.91 and 0.84, respectively. Spearman's correlations between scale scores and global oral health ratings of the CIS, FIS, total ECOHIS and the CARIES-QC were 0.42, 0.34, 0.45 and 0.70, respectively, p < 0.001. The Kruskal-Wallis test of scale scores with grouped caries experience was statistically significant, p < 0.005. Test-retest reliabilities for the ECOHIS were CIS ICC = 0.91, FIS ICC = 0.89, total ECOHIS ICC = 0.93 and for the CARIES-QC, ICC = 0.61.

CONCLUSIONS

Both the ECOHIS and the CARIES-QC were reliable and valid scales for use among an Australian Aboriginal population for assessing COHRQoL of preschool children.

TRIAL REGISTRATION

ACTRN12616001537448, date of registration-08 November 2016.

摘要

目的

对参加随机试验的澳大利亚原住民儿童使用的两种儿童口腔健康相关生活质量（COHRQoL）测量工具的可靠性和有效性进行评估。

方法

研究参与者完成了早期儿童口腔健康影响量表（ECOHIS）和儿童龋齿影响和体验问卷（CARIES-QC）。为了测试这些量表的重测信度，这些问卷被第二次完成。通过 Cronbach 的 alpha 评估了内部一致性、量表得分与整体口腔健康评估的相关性以及不同龋齿经验儿童的量表得分之间的差异，从而评估了量表的收敛和判别效度。

结果

父母对孩子的口腔健康评价较差和孩子对牙齿问题评价较多的儿童报告的 COHRQoL 更差。儿童影响部分（CIS）、家庭影响部分（FIS）、ECOHIS 总分和 CARIES-QC 总分的 Cronbach 的 alpha 值分别为 0.88、0.81、0.91 和 0.84。CIS、FIS、ECOHIS 总分和 CARIES-QC 量表得分与整体口腔健康评分之间的 Spearman 相关系数分别为 0.42、0.34、0.45 和 0.70，p 值均小于 0.001。按分组龋齿经验进行的 Kruskal-Wallis 检验显示，量表得分具有统计学意义，p 值小于 0.005。ECOHIS 的重测信度为 CIS ICC=0.91、FIS ICC=0.89、ECOHIS 总分 ICC=0.93，而 CARIES-QC 的 ICC=0.61。