Fijardo Elaine Valansa, Barretto Elaine Savia, Swamy Dinesh Francis, Borkar Richa, de Ataide Ida de Noronha
Department of Pediatric and Preventive Dentistry, Goa Dental College and Hospital, Bambolim, Goa, India.
J Indian Soc Pedod Prev Dent. 2024 Oct 1;42(4):301-308. doi: 10.4103/jisppd.jisppd_395_24. Epub 2025 Jan 11.
The oral health-related early childhood quality of life (OH-ECQoL) tool, designed to evaluate how dental issues affect preschoolers' and their family's quality of life (QoL), has been translated and validated in many languages. However, it has not yet been adapted into the Konkani language.
Cross-cultural adaptation of OH-ECQoL tool for use in the Konkani-speaking population in the state of Goa among primary caregivers of children aged 24-71 months.
This cross-sectional was conducted at Goa Dental College and Hospital.
The study was divided into a forward-backward translation phase and a psychometric-testing phase of the Konkani version of OH-ECQoL (K-OH-ECQoL) scale. Two hundred and forty children aged 24-71 months were recruited and clinically examined for dental caries and their caregivers completed the K-OH-ECQoL questionnaire. Reliability was assessed in a subsample of 24 participants after a 2-week interval.
Construct, discriminant, and criterion validity were evaluated. Reliability and internal consistency were measured using the intraclass correlation (ICC) and Cronbach's alpha coefficient, respectively. Furthermore, confirmatory factor analysis (CFA) and cross-cultural validity were evaluated.
Concurrent validity showed a strong significant correlation between the global rating of oral health and total K-OH-ECQoL score. Convergent validity demonstrated a moderate positive significant correlation between the items. K-OH-ECQoL scores were significantly associated with the caries severity, indicating a good discriminant validity. Test-retest reliability was 0.86 and internal consistency was 0.873. CFA indicated an acceptable fit. Cross-cultural validity showed very good item discrimination. A moderate correlation was found between CAMBRA-123 scores and overall K-OH-ECQoL score and between CAMBRA-123 scores and child impact section.
The study confirmed that the K-OH-ECQoL is a valid and reliable tool with good psychometric properties for evaluating the impact of early childhood caries on the QoL of preschool children aged 24-71 months and their families.
口腔健康相关的幼儿生活质量（OH-ECQoL）工具旨在评估牙齿问题如何影响学龄前儿童及其家庭的生活质量（QoL），已被翻译成多种语言并进行了验证。然而，它尚未被改编成孔卡尼语。
对OH-ECQoL工具进行跨文化改编，以用于果阿邦24至71个月大儿童的主要照料者中说孔卡尼语的人群。
这项横断面研究在果阿牙科学院和医院进行。
该研究分为OH-ECQoL（K-OH-ECQoL）量表孔卡尼语版本的前后翻译阶段和心理测量测试阶段。招募了240名24至71个月大的儿童，对其进行龋齿临床检查，其照料者完成K-OH-ECQoL问卷。在2周间隔后，对24名参与者的子样本进行可靠性评估。
评估了结构效度、区分效度和效标效度。分别使用组内相关系数（ICC）和克朗巴赫α系数测量可靠性和内部一致性。此外，还评估了验证性因素分析（CFA）和跨文化效度。
同时效度显示口腔健康总体评分与K-OH-ECQoL总分之间存在强显著相关性。收敛效度表明各项目之间存在中度正显著相关性。K-OH-ECQoL评分与龋齿严重程度显著相关，表明具有良好的区分效度。重测信度为0.86，内部一致性为0.873。CFA表明拟合度可接受。跨文化效度显示项目区分度非常好。在CAMBRA-123评分与K-OH-ECQoL总分以及CAMBRA-123评分与儿童影响部分之间发现了中度相关性。
该研究证实，K-OH-ECQoL是一种有效且可靠的工具，具有良好的心理测量特性，可用于评估幼儿龋齿对24至71个月大的学龄前儿童及其家庭生活质量的影响。
