Department of Community Dentistry, Faculty of Dentistry, Chulalongkorn University, Bangkok, Thailand.
Restorative Dental Sciences, Faculty of Dentistry, The University of Hong Kong (HKU), Hong Kong, China.
PLoS One. 2023 Mar 22;18(3):e0282880. doi: 10.1371/journal.pone.0282880. eCollection 2023.
The aim of this study was to cross-culturally adapt the child's self-report and parental report of the scale of oral health outcomes for 5-year-old children (SOHO-5) for use in Myanmar (Burmese-speaking) population and to assess the reliability and validity of the Myanmar version.
The forward-backward translation method was used to develop the Myanmar SOHO-5 version and the final questionnaires were tested on 173 five years old children and their parents for reliability and validity. A single dentist examined the caries experience of the children (Kappa:0.90). The structural validity was assessed through confirmatory factor analysis. The internal consistency and test-retest reliability (1-2 weeks) were evaluated using Cronbach's alpha and intraclass correlation coefficient (ICC), respectively. The association between SOHO-5 scores and additional global rating questions for child oral health status (convergent validity) and the differences between the total SOHO-5 score of children with caries and children without caries (discriminant validity) were investigated.
A confirmatory factor analysis indicated a good fit for the one-factor structure of the SOHO-5. Cronbach's alpha coefficient values for internal consistency were 0.82 for the children's report and 0.79 for the parental report. The ICCs were 0.90 and 0.89 for the total scores of the children and parental versions in the test-retest reliability analysis. The total SOHO-5 scores for both reports were significantly associated with the global rating questions except for the 'impact on children's general health' question in the parental report. Furthermore, the Myanmar version discriminated between the children with and without caries experiences (p < 0.001).
This study provided evidence that both children and parental reports of the Myanmar SOHO-5 version have good reliability and validity to assess the OHRQoL of 5-year-old children in a Burmese-speaking population.
本研究旨在对用于缅甸(缅甸语)人群的儿童口腔健康结局量表(SOHO-5)的儿童自我报告和家长报告进行跨文化适应性改编,并评估缅甸语版本的信度和效度。
采用前后翻译法制定缅甸 SOHO-5 版本,对 173 名 5 岁儿童及其家长进行最终问卷测试,以评估其信度和效度。一名牙医检查了儿童的龋齿经历(kappa:0.90)。结构效度通过验证性因子分析进行评估。内部一致性和测试-重测信度(1-2 周)分别采用 Cronbach's alpha 和组内相关系数(ICC)进行评估。SOHO-5 评分与儿童口腔健康状况的其他总体评分问题(convergent validity)之间的关系以及有龋齿和无龋齿儿童的总 SOHO-5 评分之间的差异(discriminant validity)进行了调查。
验证性因子分析表明 SOHO-5 的单因素结构具有良好的拟合度。儿童报告的内部一致性 Cronbach's alpha 系数为 0.82,家长报告的 Cronbach's alpha 系数为 0.79。测试-重测信度分析中,儿童和家长版本的总分 ICC 分别为 0.90 和 0.89。除了家长报告中的“对儿童一般健康的影响”问题外,两份报告的总 SOHO-5 评分与总体评分问题均呈显著相关。此外,缅甸语版本可以区分有龋齿和无龋齿经历的儿童(p<0.001)。
本研究提供了证据表明,缅甸语版的儿童和家长报告的 SOHO-5 版本具有良好的信度和效度,可以评估缅甸语儿童的口腔健康相关生活质量。