Skip to main content
Key Specialties
Cardiology Diabetology Endocrinology Gastroenterology Geriatrics and Gerontology Gynecology and Obstetrics Hematology Infectious Disease Internal Medicine Nephrology Neurology Oncology Pediatrics Respiratory Medicine Rheumatology Surgery
Congress Coverage
2024 ACC Congress 2023 ESMO Congress 2023 EASD Congress 2023 ERS Congress 2023 ESC Congress 2023 EHA Congress 2023 ASCO Annual Meeting
Clinical Collections
Advances in Alzheimer’s

Keynote webinar | Spotlight on sleep in brain health

LIVE: Thursday 2nd May 2024, 18:00-19:30 (CEST)

Quality sleep is essential for health. But what happens to our brains when sleep patterns are disturbed? Join our experts to explore the interplay between sleep disruption and neurological diseases, and the questions that you need to be asking your patients to help you prevent the harmful effects of sleep deprivation.
ADVANCED SEARCH
Log in
Top
Health and Quality of Life Outcomes
Published in: Health and Quality of Life Outcomes 1/2012

Open Access 01-12-2012 | Research

The PedsQL™ Oral Health Scale: feasibility, reliability and validity of the Brazilian Portuguese version

Authors: Cristiane B Bendo, Saul M Paiva, Claudia M Viegas, Miriam P Vale, James W Varni

Published in: Health and Quality of Life Outcomes | Issue 1/2012

Login to get access

Abstract

Background

Oral and orofacial problems may cause a profound impact on children’s oral health-related quality of life (OHRQoL) because of symptoms associated with these conditions that may influence the physical, psychological and social aspects of their daily life. The OHRQoL questionnaires found in the literature are very specific and are not able to measure the impact of oral health on general health domains. Consequently, the objective of this study was to evaluate the psychometric properties of the Portuguese version for Brazilian translation of the Pediatric Quality of Life Inventory™ (PedsQL™) Oral Health Scale in combination with the PedsQL™ 4.0 Generic Core Scales.

Methods

The PedsQL™ Oral Health Scale was forward-backward translated and cross-culturally adapted for the Brazilian Portuguese language. In order to assess the feasibility, reliability and validity of the Brazilian version of the instrument, a study was carried out in Belo Horizonte with 208 children and adolescents between 2 and 18 years-of-age and their parents. Clinical evaluation of dental caries, socioeconomic information and the Brazilian versions of the PedsQL™ Oral Health Scale, PedsQL™ 4.0 Generic Core Scales, Child Perceptions Questionnaire (CPQ11-14 and CPQ8-10) and Parental-Caregiver Perception Questionnaire (P-CPQ) were administered. Statistical analysis included feasibility (missing values), confirmatory factor analysis (CFA), internal consistency reliability, and test-retest intraclass correlation coefficients (ICC) of the PedsQL™ Oral Health Scale.

Results

There were no missing data for both child self-report and parent proxy-report on the Brazilian version of the PedsQL™ Oral Health Scale. The CFA showed that the five items of child self-report and parent proxy-report loaded on a single construct. The Cronbach's alpha coefficients for child/adolescent and parent oral health instruments were 0.65 and 0.59, respectively. The test-retest reliability (ICC) for child self-report and parent proxy-report were 0.90 [95% confidence interval (CI) = 0.86-0.93] and 0.86 (95%CI = 0.81-0.90), respectively. The PedsQL™ Oral Health Scale demonstrated acceptable construct validity, convergent validity and discriminant validity.

Conclusions

These results supported the feasibility, reliability and validity of the Brazilian version of the PedsQL™ Oral Health Scale for child self-report for ages 5–18 years-old and parent proxy-report for ages 2–18 years-old children.
Appendix
Available only for authorised users
Literature
1.
Organization WH: Constitution of the World Health Organization: Basic Document. World Health Organization, Geneva; 1948.
2.
Food and Drug Administration: Guidance for Industry: Patient-reported outcome measures: Use in medical product development to support labeling claims. Food and Drug Administration, U.S. Department of Health and Human Services, Rockville; 2009.
3.
Patrick DL, Deyo RA: Generic and disease-specific measures in assessing health status and quality of life. Med Care 1989, 27: S217-S232. 10.1097/00005650-198903001-00018CrossRefPubMed
4.
Varni JW, Seid M, Kurtin PS: PedsQL 4.0: reliability and validity of the Pediatric Quality of Life Inventory version 4.0 generic core scales in healthy and patient populations. Med Care 2001, 39: 800–812. 10.1097/00005650-200108000-00006CrossRefPubMed
5.
Cunningham SJ, Hunt NP: Quality of life and its importance in orthodontics. J Orthod 2001, 28: 152–158. 10.1093/ortho/28.2.152CrossRefPubMed
6.
7.
Barbosa TS, Gaviao MB: Oral health-related quality of life in children: part II. Effects of clinical oral health status. A systematic review. Int J Dent Hyg 2008, 6: 100–107. 10.1111/j.1601-5037.2008.00293.xCrossRefPubMed
8.
Locker D, Jokovic A, Stephens M, Kenny D, Tompson B, Guyatt G: Family impact of child oral and oro-facial conditions. Community Dent Oral Epidemiol 2002, 30: 438–448. 10.1034/j.1600-0528.2002.00015.xCrossRefPubMed
9.
McGrath C, Broder H, Wilson-Genderson M: Assessing the impact of oral health on the life quality of children: implications for research and practice. Community Dent Oral Epidemiol 2004, 32: 81–85. 10.1111/j.1600-0528.2004.00149.xCrossRefPubMed
10.
Goursand D, Paiva SM, Zarzar PM, Ramos-Jorge ML, Cornacchia GM, Pordeus IA, Allison PJ: Cross-cultural adaptation of the Child Perceptions Questionnaire 11–14 (CPQ11–14) for the Brazilian Portuguese language. Health Qual Life Outcomes 2008, 6: 2. 10.1186/1477-7525-6-2PubMedCentralCrossRefPubMed
11.
Scarpelli AC, Oliveira BH, Tesch FC, Leao AT, Pordeus IA, Paiva SM: Psychometric properties of the Brazilian version of the Early Childhood Oral Health Impact Scale (B-ECOHIS). BMC Oral Health 2011, 11: 19. 10.1186/1472-6831-11-19PubMedCentralCrossRefPubMed
12.
Abanto J, Carvalho TS, Mendes FM, Wanderley MT, Bonecker M, Raggio DP: Impact of oral diseases and disorders on oral health-related quality of life of preschool children. Community Dent Oral Epidemiol 2011, 39: 105–114. 10.1111/j.1600-0528.2010.00580.xCrossRefPubMed
13.
Peres KG, Latorre Mdo R, Peres MA, Traebert J, Panizzi M: Impact of dental caries and dental fluorosis on 12-year-old schoolchildren's self-perception of appearance and chewing. Cad Saude Publica 2003, 19: 323–330. 10.1590/S0102-311X2003000100037CrossRefPubMed
14.
Gradella CM, Bernabe E, Bonecker M, Oliveira LB: Caries prevalence and severity, and quality of life in Brazilian 2- to 4-year-old children. Community Dent Oral Epidemiol 2011, 39: 498–504. 10.1111/j.1600-0528.2011.00625.xCrossRefPubMed
15.
Pakpour AH, Yekaninejad MS, Zarei F, Hashemi F, Steele MM, Varni JW: The PedsQL Oral Health Scale in Iranian children: reliability and validity. Int J Paediatr Dent 2011, 21: 342–352. 10.1111/j.1365-263X.2011.01130.xCrossRefPubMed
16.
Steele MM, Steele RG, Varni JW: Reliability and validity of the PedsQLTM Oral Health Scale: measuring the relationship between child oral health and health-related quality of life. Child Health Care 2009, 38: 228–244. 10.1080/02739610903038818CrossRef
17.
Fairclough DL: Design and analysis of quality of life studies in clinical trials: Interdisciplinary statistics. Chapman & Hall/CRC, New York; 2002.
18.
Klatchoian DA, Len CA, Terreri MT, Silva M, Itamoto C, Ciconelli RM, Varni JW, Hilario MO: Quality of life of children and adolescents from Sao Paulo: reliability and validity of the Brazilian version of the Pediatric Quality of Life Inventory version 4.0 Generic Core Scales. J Pediatr (Rio J) 2008, 84: 308–315.CrossRef
19.
Martins MT, Ferreira FM, Oliveira AC, Paiva SM, Vale MP, Allison PJ, Pordeus IA: Preliminary validation of the Brazilian version of the Child Perceptions Questionnaire 8–10. Eur J Paediatr Dent 2009, 10: 135–140.PubMed
20.
Goursand D, Paiva SM, Zarzar PM, Pordeus IA, Grochowski R, Allison PJ: Measuring parental-caregiver perceptions of child oral health-related quality of life: psychometric properties of the Brazilian version of the P-CPQ. Braz Dent J 2009, 20: 169–174. 10.1590/S0103-64402009000200014CrossRefPubMed
21.
Organization WH: Oral health surveys. Basic methods. 4th edition. World Health Organization, Geneva; 1997.
22.
Herdman M, Fox-Rushby J, Badia X: 'Equivalence' and the translation and adaptation of health-related quality of life questionnaires. Qual Life Res 1997, 6: 237–247.CrossRefPubMed
23.
Herdman M, Fox-Rushby J, Badia X: A model of equivalence in the cultural adaptation of HRQoL instruments: the universalist approach. Qual Life Res 1998, 7: 323–335. 10.1023/A:1008846618880CrossRefPubMed
24.
Scarpelli AC, Paiva SM, Pordeus IA, Varni JW, Viegas CM, Allison PJ: The pediatric quality of life inventory (PedsQL) family impact module: reliability and validity of the Brazilian version. Health Qual Life Outcomes 2008, 6: 35. 10.1186/1477-7525-6-35PubMedCentralCrossRefPubMed
25.
Terwee CB, Bot SD, de Boer MR, van der Windt DA, Knol DL, Dekker J, Bouter LM, de Vet HC: Quality criteria were proposed for measurement properties of health status questionnaires. J Clin Epidemiol 2007, 60: 34–42. 10.1016/j.jclinepi.2006.03.012CrossRefPubMed
26.
Cheung GW: Evaluating goodness-of-fit indexes for testing measurement invariance. Struct Eq Modeling 2002, 9: 233–255. 10.1207/S15328007SEM0902_5CrossRef
27.
Maydeu-Olivares A, D’ Zurilla TJ: A factor-analytic study of the social problem-solving inventory: an integration of theory and data. Cognit Ther Res 1996, 20: 115–133. 10.1007/BF02228030CrossRef
28.
Mulaik SA, James LR, Van Alstine J, Bennett N, Lind S, Stilwell CD: Evaluation of goodness-of-fit indices for structural equation models. Psychol Bull 1989, 105: 430–445.CrossRef
29.
30.
Kline RB: Principles and practice of structural equation modeling. 3rd edition. Guilford Press, New York; 2011.
31.
Cronbach LJ: Coefficient alpha and the internal structure of tests. Psychometrika 1951, 16: 297–334. 10.1007/BF02310555CrossRef
32.
Nunnally JC, Bernstein IR: Psychometric theory. 3rd edition. McGraw-Hill, New York; 1994.
33.
Bartko JJ: The intraclass correlation coefficient as a measure of reliability. Psychol Rep 1966, 19: 3–11. 10.2466/pr0.1966.19.1.3CrossRefPubMed
34.
Scarpelli AC, Paiva SM, Pordeus IA, Ramos-Jorge ML, Varni JW, Allison PJ: Measurement properties of the Brazilian version of the Pediatric Quality of Life Inventory (PedsQL) cancer module scale. Health Qual Life Outcomes 2008, 6: 7. 10.1186/1477-7525-6-7PubMedCentralCrossRefPubMed
35.
Tsuji N, Kakee N, Ishida Y, Asami K, Tabuchi K, Nakadate H, Iwai T, Maeda M, Okamura J, Kazama T, et al.: Validation of the Japanese version of the Pediatric Quality of Life Inventory (PedsQL) Cancer Module. Health Qual Life Outcomes 2011, 9: 22. 10.1186/1477-7525-9-22PubMedCentralCrossRefPubMed
36.
Jafari P, Forouzandeh E, Bagheri Z, Karamizadeh Z, Shalileh K: Health related quality of life of Iranian children with type 1 diabetes: reliability and validity of the Persian version of the PedsQL Generic Core Scales and Diabetes Module. Health Qual Life Outcomes 2011, 9: 104. 10.1186/1477-7525-9-104PubMedCentralCrossRefPubMed
37.
Pedhazur EJ, Schmelkin LP: Measurement, design, and analysis : an integrated approach. Lawrence Erlbaum Associates, Hillsdale, N.J.; 1991.
38.
Fayers PM, Hand DJ: Factor analysis, causal indicators and quality of life. Qual Life Res 1997, 6: 139–150.PubMed
39.
Cohen J: Statistical power analysis for the behavioral sciences. 2nd edition. L. Erlbaum Associates, Hillsdale, N.J.; 1988.
40.
Bonecker M, Ardenghi TM, Oliveira LB, Sheiham A, Marcenes W: Trends in dental caries in 1- to 4-year-old children in a Brazilian city between 1997 and 2008. Int J Paediatr Dent 2010, 20: 125–131. 10.1111/j.1365-263X.2009.01030.xCrossRefPubMed
41.
Piovesan C, Mendes FM, Antunes JL, Ardenghi TM: Inequalities in the distribution of dental caries among 12-year-old Brazilian schoolchildren. Braz Oral Res 2011, 25: 69–75. 10.1590/S1806-83242011000100012CrossRefPubMed
42.
Roncalli AG: National oral health survey in 2010 shows a major decrease in dental caries in Brazil. Cad Saude Publica 2011, 27: 4–5. 10.1590/S0102-311X2011000100001CrossRefPubMed
43.
Lalla RV, Sonis ST, Peterson DE: Management of oral mucositis in patients who have cancer. Dent Clin North Am 2008, 52: 61–77. viii 10.1016/j.cden.2007.10.002PubMedCentralCrossRefPubMed
44.
Gennaro S, Naidoo S, Berthold P: Oral health & HIV/AIDS. MCN Am J Matern Child Nurs 2008, 33: 50–57. 10.1097/01.NMC.0000305658.32237.7dCrossRefPubMed
45.
Cavasin Filho JC, Giovani EM: Xerostomy, dental caries and periodontal disease in HIV + patients. Braz J Infect Dis 2009, 13: 13–17. 10.1590/S1413-86702009000100005CrossRefPubMed
46.
Massarente DB, Domaneschi C, Marques HH, Andrade SB, Goursand D, Antunes JL: Oral health-related quality of life of paediatric patients with AIDS. BMC Oral Health 2011, 11: 2. 10.1186/1472-6831-11-2PubMedCentralCrossRefPubMed
47.
Humphrey LL, Fu R, Buckley DI, Freeman M, Helfand M: Periodontal disease and coronary heart disease incidence: a systematic review and meta-analysis. J Gen Intern Med 2008, 23: 2079–2086. 10.1007/s11606-008-0787-6PubMedCentralCrossRefPubMed
Metadata
Title
The PedsQL™ Oral Health Scale: feasibility, reliability and validity of the Brazilian Portuguese version
Authors
Cristiane B Bendo
Saul M Paiva
Claudia M Viegas
Miriam P Vale
James W Varni
Publication date
01-12-2012
Publisher
BioMed Central
Published in
Health and Quality of Life Outcomes / Issue 1/2012
Electronic ISSN: 1477-7525
DOI
https://doi.org/10.1186/1477-7525-10-42

Other articles of this Issue 1/2012

Health and Quality of Life Outcomes 1/2012 Go to the issue

Review

Health economics research into supporting carers of people with dementia: A systematic review of outcome measures

Research

Short form of the Changes in Outlook Questionnaire: Translation and validation of the Chinese version

Research

Prevalence and impacts of poor sleep on quality of life and associated factors of good sleepers in a sample of older Chinese adults

Research

Mental health, quality of life and social relations in young adults born with low birth weight

Short report

Measurement equivalence of the SF-36 in the canadian multicentre osteoporosis study

Research

Psychometric properties of the disease-specific health-related quality of life instrument VascuQoL in a Swedish setting