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Quality of Life Research
Published in: Quality of Life Research 2/2021

01-02-2021 | Caries

Evaluation of the ECOHIS and the CARIES-QC among an Australian “Aboriginal” population

Authors: Peter Arrow, David Brennan, Tamara Mackean, Rob McPhee, Sanjeewa Kularatna, Lisa Jamieson

Published in: Quality of Life Research | Issue 2/2021

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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
Literature
1.
Slade, G. D. (Ed.). (1997). Measuring oral health and quality of life. University of North Carolina: Department of Dental Ecology.
2.
Atchison, K. A., & Dolan, T. A. (1990). Development of the geriatric oral health assessment index. Journal of Dental Education, 54(11), 680–687.CrossRef
3.
Gilchrist, F., Rodd, H., Deery, C., & Marshman, Z. (2014). Assessment of the quality of measures of child oral health-related quality of life. BMC Oral Health, 14, 40.CrossRef
4.
Jokovic, A., Locker, D., Stephens, M., Kenny, D., Tompson, B., & Guyatt, G. (2003). Measuring parental perceptions of child oral health-related quality of life. Journal of Public Health Dentistry, 63(2), 67–72.CrossRef
5.
Slade, G. D., & Spencer, A. J. (1994). Development and evaluation of the oral health impact profile. Community Dental Health, 11(1), 3–11.PubMed
6.
Thomson, W. M., & Broder, H. L. (2018). Oral–health–related quality of life in children and adolescents. Pediatric Clinics of North America, 65(5), 1073–1084.CrossRef
7.
Locker, D. (1988). Measuring oral health: A conceptual framework. Community Dental Health, 5(1), 3–18.PubMed
8.
Locker, D. (1997). Concepts of oral health, disease and the quality of life. In G. D. Slade (Ed.), Measuring oral health and quality of life (pp. 11–23). Chapel Hill: University of North Carolina.
9.
Angell, B., Muhunthan, J., Eades, A.-M., Cunningham, J., Garvey, G., Cass, A., et al. (2016). The health-related quality of life of Indigenous populations: A global systematic review. Quality of Life Research, 25, 2161–2178.CrossRef
10.
Butler, T. L., Anderson, K., Garvey, G., Cunningham, J., Ratcliffe, J., Tong, A., et al. (2019). Aboriginal and Torres Strait Islander people's domains of wellbeing: A comprehensive literature review. Social Science and Medicine, 233, 138–157.CrossRef
11.
Pahel, B. T., Rozier, R. G., & Slade, G. D. (2007). Parental perceptions of children's oral health: The Early Childhood Oral Health Impact Scale (ECOHIS). Health and Quality of Life Outcomes, 5, 6.CrossRef
12.
Farsi, N. J., El-Housseeiny, A. A., Farsi, D. J., & Farsi, N. M. (2017). Validation of the Arabic version of the early childhood oral health impact scale (ECOHIS). BMC Oral Health, 17, 60.CrossRef
13.
Lee, G. H. M., McGrath, C., Yiu, C. K. Y., & King, N. M. (2009). Translation and validation of a Chinese language version of the Early Childhood Oral Health Impact Scale (ECOHIS). International Journal of Paediatric Dentistry, 19(6), 399–405.CrossRef
14.
Li, S., Veronneau, J., & Allison, P. J. (2008). Validation of a French language version of the Early Childhood Oral Health Impact Scale (ECOHIS). Health and Quality of Life Outcomes, 6, 9.CrossRef
15.
Scarpelli, A. C., Oliveira, B. H., Tesch, F. C., Leåo, A. T., Pordeus, I. A., & Paiva, S. M. (2011). Psychometric properties of the Brazilian version of the Early Childhood Oral Health impact Scale (B-ECOHIS). BMC Oral Health, 11, 19.CrossRef
16.
Zaror, C., Atala-Acevedo, C., Espinoza-Espoinoza, G., Munoz-Milan, P., Munoz, S., Martinez-Zapata, M. J., et al. (2018). Cross-cultural adaptation and psychometric evaluation of the early childhood oral health impact scale (ECOHIS) in Chilean population. Health and Quality of Life Outcomes, 16, 232.CrossRef
17.
Arrow, P., & Klobas, E. (2015). Evaluation of the Early Childhood Oral Health Impact Scale in an Australian preschool child population. Australian Dental Journal, 60(3), 375–381.CrossRef
18.
Knapp, R., Gilchrist, F., Rodd, H. D., & Marshman, Z. (2017). Change in children’s oral health-related quality of life following dental treatment under general anaesthesia for the management of dental caries: A systematic review. International Journal of Paediatric Dentistry, 27(4), 302–312.CrossRef
19.
Lee, G. H. M., McGrath, C., Yiu, C. K. Y., & King, N. M. (2011). Sensitivity and responsiveness of the Chinese ECOHIS to dental treatment under general anaesthesia. Community Dentistry and Oral Epidemiology, 39(4), 372–377.CrossRef
20.
Arrow, P. (2016). Responsiveness and sensitivity of the Early Childhood Oral Health Impact Scale to primary dental care for early childhood caries. Community Dentistry and Oral Epidemiology, 44(1), 1–10.CrossRef
21.
Foster Page, L., Gilchrist, F., Broder, H. L., Clark, E., & Murray Thomson, W. (2019). A comparison of three child OHRQoL measures. Dentistry Journal, 7, 19.CrossRef
22.
Gilchrist, F., Rodd, H. D., Deery, C., & Marshman, Z. (2018). Development and evaluation of CARIES-QC: A caries-specific measure of quality of life for children. BMC Oral Health, 18, 202.CrossRef
23.
Arrow, P., & Forrest, H. (2020). Atraumatic restorative treatments improve child oral health-related quality of life: A noninferiority randomized controlled trial. Community Dentistry and Oral Epidemiology, 48(4), 349–356. CrossRef
24.
Ha, D. H., Roberts-Thomson, K. F., Arrow, P., Peres, K. G., & Do, L. G. (2016). Children's oral health status in Australia, 2012–14. In L. G. Do & A. J. Spencer (Eds.), Oral health of Australian children: The National Child Oral Health Study 2012–14 (pp. 86–152). Adelaide: University of Adelaide Press.
25.
Roberts-Thomson, K. F., Kapellas, K., Ha, D. H., Jamieson, L. M., Arrow, P., & Do, L. G. (2016). Oral health status and behaviours of Indigenous Australian children. In L. G. Do & A. J. Spencer (Eds.), Oral health of Australian children: The National Child Oral Health Study 2012–14 (pp. 264–287). Adelaide: University of Adelaide Press.
26.
Butten, K., Johnson, N. W., Hall, K. K., Toombs, M., King, N., & O’Grady, K.-A. F. (2019). Impact of oral health on Australian urban Aboriginal and Torres Strait Islander families: A qualitative study. International Journal for Equity in Health, 18(1), 34.CrossRef
27.
Tynan, A., Walker, D., Tucker, T., Fisher, B., & Fisher, T. (2020). Factors influencing the perceived importance of oral health within a rural Aboriginal and Torres Strait Islander community in Australia. BMC Oral Health, 20, 514.CrossRef
28.
Gwynne, K., McCowen, D., Cripps, S., Lincoln, M., Irving, M., & Blinkhorn, A. (2017). A comparison of two models of dental care for Aboriginal communities in New South Wales. Australian Dental Journal, 62(2), 208–214.CrossRef
29.
Patel, J., Durey, A., Kearn, L., & Slack-Smith, L. M. (2017). Oral health interventions in Australian Aboriginal communities: A review of the literature. Australian Dental Journal, 62(3), 283–294.CrossRef
30.
He, S., & Wang, J. (2020). Validation of the Chinese version of the Caries Impacts and Experiences Questionnaire for Children (CARIES-QC). International Journal of Paediatric Dentistry, 30(1), 50–56.CrossRef
31.
Arrow, P., McPhee, R., Atkinson, D., Mackean, T., Kularatna, S., Tonmukayakul, U., et al. (2018). Minimally invasive dentistry based on atraumatic restorative treatment to manage early childhood caries in rural and remote Aboriginal Communities: Protocol for a randomized controlled trial. Journal of Medical Internet Research Research Protocol, 7(7), e10322.
32.
Drury, T. F., Horowitz, A. M., Ismail, A. I., Maertens, M. P., Rozier, R. G., & Selwitz, R. H. (1999). Diagnosing and reporting early childhood caries for research purposes. Journal of Public Health Dentistry, 59(3), 192–197.CrossRef
33.
Australian Research Centre for Population Oral Health. (2017). Oral Health of children in Western Australia: Western Australian component of the National Child Oral Health Survey 2012–14. University of Adelaide.
34.
McGrath, P. (2006). ‘The biggest worry…’: research findings on pain management for Aboriginal peoples in Northern Territory, Australia. Rural and Remote Health, 6, 549.PubMed
35.
Arthur, L., & Rolan, P. (2019). A systematic review of western medicine’s understanding of pain experience, expression, assessment, and management for Australian Aboriginal and Torres Strait Islander Peoples. Pain Reports, 4, e764.CrossRef
36.
Butten, K., Johnson, N. W., Hall, K. K., Toombs, M., King, N., & O’Grady, K.-A. F. (2020). Yarning about oral health: Perceptions of urban Australian Aboriginal and Torres Strait Islander women. BMC Oral Health, 20, 35.CrossRef
37.
Durey, A., McAullay, D., Gibson, B., & Slack-Smith, L. M. (2017). Oral health in young Australian Aboriginal children: Qualitative research on parents’ perspectives. Journal of Dental Research Clinical and Translational Research, 2(1), 38–47.CrossRef
38.
Kite, E., & Davy, C. (2015). Using Indigenist and Indigenous methodologies to connect to deeper understandings of Aboriginal and Torres Strait Islander peoples’ quality of life. Health Promotion Journal of Australia, 26(3), 191–194.CrossRef
39.
Arrow, P., & Klobas, E. (2016). Child oral health-related quality of life and early childhood caries: A non-inferiority randomised control trial. Australian Dental Journal, 61(2), 227–235.CrossRef
40.
Li, S., Malkinson, S., Veronneau, J., & Allison, P. J. (2008). Testing responsiveness to change for the early childhood oral health impact scale (ECOHIS). Community Dentistry and Oral Epidemiology, 36(6), 542–548.CrossRef
41.
Braun, P. A., Lind, K. E., Henderson, W. G., Brega, A. G., Quissell, D. O., & Albino, J. (2015). Validation of a pediatric oral health-related quality of life scale in Navajo children. Quality of Life Research, 24, 231–239.CrossRef
42.
Traebert, J., Foster Page, L. A., Thomson, W. M., & Locker, D. (2010). Differential item functioning related to ethnicity in an oral health-related quality of life measure. International Journal of Paediatric Dentistry, 20(6), 435–441.CrossRef
Metadata
Title
Evaluation of the ECOHIS and the CARIES-QC among an Australian “Aboriginal” population
Authors
Peter Arrow
David Brennan
Tamara Mackean
Rob McPhee
Sanjeewa Kularatna
Lisa Jamieson
Publication date
01-02-2021
Publisher
Springer International Publishing
Keyword
Caries
Published in
Quality of Life Research / Issue 2/2021
Print ISSN: 0962-9343
Electronic ISSN: 1573-2649
DOI
https://doi.org/10.1007/s11136-020-02646-8

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