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

Open Access 01-12-2012 | Research

Developing a new self-reported scale of oral health outcomes for 5-year-old children (SOHO-5)

Authors: Georgios Tsakos, Yvonne I Blair, Huda Yusuf, William Wright, Richard G Watt, Lorna M D Macpherson

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

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Abstract

Background

Information on the impact of oral health on quality of life of children younger than 8 years is mostly based on parental reports, as methodological and conceptual challenges have hindered the development of relevant validated self-reported measures. This study aimed to develop and assess the reliability and validity of a new self-reported oral health related quality of life measure, the Scale of Oral Health Outcomes for 5-year-old children (SOHO-5), in the UK.

Methods

A cross-sectional study of two phases. First, consultation focus groups (CFGs) with parents of 5-year-olds and review by experts informed the development of the SOHO-5 questionnaire. The second phase assessed its reliability and validity on a sample of grade 1 (5-year-old) primary schoolchildren in the Greater Glasgow and Clyde area, Scotland. Data were linked to available clinical oral health information and analysis involved associations of SOHO-5 with subjective and clinical outcomes.

Results

CFGs identified eating, drinking, appearance, sleeping, smiling, and socialising as the key oral impacts at this age. 332 children participated in the main study and for 296 (55% girls, mean d3mft: 1.3) clinical data were available. Overall, 49.0% reported at least one oral impact on their daily life. The most prevalent impacts were difficulty eating (28.7%), difficulty sleeping (18.5%), avoiding smiling due to toothache (14.9%) and avoiding smiling due to appearance (12.5%). The questionnaire was quick to administer, with very good comprehension levels. Cronbach’s alpha was 0.74 and item-total correlation coefficients ranged between 0.30 and 0.60, demonstrating the internal consistency of the new measure. For validity, SOHO-5 scores were significantly associated with different subjective oral health outcomes (current toothache, toothache lifetime experience, satisfaction with teeth, presence of oral cavities) and an aggregate measure of clinical and subjective oral health outcomes. The new measure also discriminated between different clinical groups in relation to active caries, pulp involvement, and dental sepsis.

Conclusions

This is the first study to develop and validate a self-reported oral health related quality of life measure for 5-year-old children. Initial reliability and validity findings were very satisfactory. SOHO-5 can be a useful tool in clinical studies and public health programs.
Literature
1.
Petersen PE: The World Oral Health Report: continuous improvement of oral health in the 21st century—the approach of the WHO Global Oral Health Programme. Community Dent Oral Epidemiol 2003, 2003: 3–24.CrossRef
2.
Bagramian RA, Garcia-Godoy F, Volpe AR: The global increase in dental caries. A pending public health crisis. Am J Dent 2009, 22: 3–8.PubMed
3.
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
4.
Szilagyi PG: Oral health in children: a pediatric health priority. Acad Pediatr 2009, 9: 372–373. 10.1016/j.acap.2009.09.021CrossRefPubMed
5.
Acs G, Lodolini G, Kaminsky S, Cisneros GJ: Effect of nursing caries on body weight in a pediatric population. Pediatr Dent 1992, 14: 302–305.PubMed
6.
Ayhan H, Suskan E, Yildirim S: The effect of nursing or rampant caries on height, body weight and head circumference. J Clin Pediatr Dent 1996, 20: 209–212.PubMed
7.
Acs G, Shulman R, Ng MW, Chussid S: The effect of dental rehabilitation on the body weight of children with early childhood caries. Pediatr Dent 1999, 21: 109–113.PubMed
8.
Sheiham A: Dental caries affects body weight, growth and quality of life in pre-school children. Br Dent J 2006, 201: 625–626. 10.1038/sj.bdj.4814259CrossRefPubMed
9.
Benzian H, Monse B, Heinrich-Weltzien R, Hobdell M, Mulder J, van Palenstein HW: Untreated severe dental decay: a neglected determinant of low body mass index in 12-year-old Filipino children. BMC Publ Health 2011, 11: 558. 10.1186/1471-2458-11-558CrossRef
10.
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
11.
Low W, Tan S, Schwartz S: The effect of severe caries on the quality of life in young children. Pediatr Dent 1999, 21: 325–326.PubMed
12.
Pahel BT, Rozier RG, Slade GD: Parental perceptions of children’s oral health: the Early Childhood Oral Health Impact Scale (ECOHIS). Health Qual Life Outcomes 2007, 5: 6. 10.1186/1477-7525-5-6PubMedCentralCrossRefPubMed
13.
Patel RR, Tootla R, Inglehart MR: Does oral health affect self perceptions, parental ratings and video-based assessments of children’s smiles? Community Dent Oral Epidemiol 2007, 35: 44–52. 10.1111/j.1600-0528.2007.00327.xCrossRefPubMed
14.
Slade G: Measuring Oral Health and Quality Of Life. University of North Carolina, USA, Dental Ecology, Chapel Hill; 1997.
15.
Simon AE, Chan KS, Forrest CB: Assessment of children’s health-related quality of life in the United States with a multidimensional index. Pediatrics 2008, 121: e118-e126. 10.1542/peds.2007-0480CrossRefPubMed
16.
Matza LS, Swensen AR, Flood EM, Secnik K, Leidy NK: Assessment of health-related quality of life in children: a review of conceptual, methodological, and regulatory issues. Value Health 2004, 7: 79–92. 10.1111/j.1524-4733.2004.71273.xCrossRefPubMed
17.
Solans M, Pane S, Estrada MD, Serra-Sutton V, Berra S, Herdman M, et al.: Health-related quality of life measurement in children and adolescents: a systematic review of generic and disease-specific instruments. Value Health 2008, 11: 742–764. 10.1111/j.1524-4733.2007.00293.xCrossRefPubMed
18.
Varni JW, Burwinkle TM, Lane MM: Health-related quality of life measurement in pediatric clinical practice: an appraisal and precept for future research and application. Health Qual Life Outcomes 2005, 3: 1–19. 10.1186/1477-7525-3-1CrossRef
19.
Broder HL, Wilson-Genderson M: Reliability and convergent and discriminant validity of the Child Oral Health Impact Profile (COHIP child’s version). Community Dent Oral Epidemiol 2007, 35(Suppl 1):20–31.CrossRefPubMed
20.
Gherunpong S, Tsakos G, Sheiham A: Developing and evaluating an oral health-related quality of life index for children; the CHILD-OIDP. Community Dent Health 2004, 21: 161–169.PubMed
21.
Jokovic A, Locker D, Stephens M, Kenny D, Tompson B, Guyatt G: Validity and reliability of a questionnaire for measuring child oral-health-related quality of life. J Dent Res 2002, 81: 459–463. 10.1177/154405910208100705CrossRefPubMed
22.
Jokovic A, Locker D, Tompson B, Guyatt G: Questionnaire for measuring oral health-related quality of life in eight- to ten-year-old children. Pediatr Dent 2004, 26: 512–518.PubMed
23.
Filstrup SL, Briskie D, da Fonseca M, Lawrence L, Wandera A, Inglehart MR: Early childhood caries and quality of life: child and parent perspectives. Pediatr Dent 2003, 25: 431–440.PubMed
24.
Huntington NL, Spetter D, Jones JA, Rich SE, Garcia RI, Spiro A: Development and validation of a measure of pediatric oral health-related quality of life: the POQL. J Public Health Dent 2011, 71: 185–193.PubMedCentralPubMed
25.
Cox MJ, Paley B: Families as systems. Annu Rev Psychol 1997, 48: 243–267. 10.1146/annurev.psych.48.1.243CrossRefPubMed
26.
Eiser C, Mohay H, Morse R: The measurement of quality of life in young children. Child Care Health Dev 2000, 26: 401–413. 10.1046/j.1365-2214.2000.00154.xCrossRefPubMed
27.
Forrest CB, Simpson L, Clancy C: Child health services research—challenges and opportunities. Jama-J Am Med Assoc 1997, 277: 1787–1793. 10.1001/jama.1997.03540460051032CrossRef
28.
Hetherington EM, Parke RD, Locke VO: Child Psychology: A Contemporary Viewpoint. The McGraw-Hill Companies, New York; 1999.
29.
Bee H: Lifespan Development. NY Addison Wesley Longman, New York; 1998.
30.
Connolly MA, Johnson JA: Measuring quality of life in paediatric patients. PharmacoEconomics 1999, 16: 605–625. 10.2165/00019053-199916060-00002CrossRefPubMed
31.
Allen PF, McMillan AS, Walshaw D, Locker D: A comparison of the validity of generic- and disease-specific measures in the assessment of oral health-related quality of life. Community Dent Oral Epidemiol 1999, 27: 344–352. 10.1111/j.1600-0528.1999.tb02031.xCrossRefPubMed
32.
Brennan DS, Spencer AJ: Dimensions of oral health related quality of life measured by EQ-5D + and OHIP-14. Health Qual Life Outcomes 2004, 2: 35. 10.1186/1477-7525-2-35PubMedCentralCrossRefPubMed
33.
Macpherson LM, Ball GE, Brewster L, Duane B, Hodges CL, Wright W, et al.: Childsmile: the national child oral health improvement programme in Scotland. Part 1: establishment and development. Br Dent J 2010, 209: 73–78. 10.1038/sj.bdj.2010.628CrossRefPubMed
34.
Carstairs V, Morris R: Deprivation and Health in Scotland. Aberdeen University Press, Aberdeen; 1991.
35.
Stewart AL, Hays RD, Ware JEJ: Methods of constructing health measures. In Measuring Functioning and Well-being. The Medical Outcomes Study Approach. Edited by: Stewart AL, Ware JEJ. Duke University Press, Durham and London; 1992:67–85.
36.
Ritchie J, Lewis J: Qualitative Research Practice: A Guide for Social Science Students and Researchers. Sage Publications, London; 2003.
37.
Cunnion DT, Spiro A, Jones JA, Rich SE, Papageorgiou CP, Tate A, et al.: Pediatric oral health-related quality of life improvement after treatment of early childhood caries: a prospective multisite study. J Dent Child (Chic) 2010, 77: 4–11.
38.
Theunissen NCM, Vogels TGC, Koopman HM, Verrips GHW, Zwinderman KAH, Verloove-Vanhorick SP, et al.: The proxy problem: child report versus parent report in health-related quality of life research. Qual Life Res 1998, 7: 387–397.CrossRefPubMed
39.
40.
Rebok G, Riley A, Forrest C, Starfield B, Green B, Robertson J, et al.: Elementary school-aged children’s reports of their health: a cognitive interviewing study. Qual Life Res 2001, 10: 59–70. 10.1023/A:1016693417166CrossRefPubMed
41.
Hicks CL, von Baeyer CL, Spafford PA, van Korlaar I, Goodenough B: The faces pain scale-revised: toward a common metric in pediatric pain measurement. Pain 2001, 93: 173–183. 10.1016/S0304-3959(01)00314-1CrossRefPubMed
42.
Friedman W: The development of children’s memory for the time of past events. Child Dev 1991, 62: 139–155. 10.2307/1130710CrossRef
43.
44.
Piaget J: The Child’s Conception of Time. Routledge and Kegan Paul, London; 1946.
45.
Fischer KW, Bidell TR, et al.: Dynamic development of action, thought, and emotion. In Theoretical Models of Human Development: Handbook of Child Psychology. 6th edition. Edited by: Damon W, Lerner RM. Wiley, New York; 2006.
46.
Streiner DL, Norman GR: Measurement Scales. A Practical Guide to their Development and Use. 3rd edition. Oxford University Press, New York; 2003.
47.
Kline P: A Handbook of Psychological Testing. Routledge, London; 1993.
48.
Nunnally JC: Psychometric Theory. McGraw-Hill, New York; 1978.
49.
Forrest CB, Shipman SA, Dougherty D, Miller MR: Outcomes research in pediatric settings: recent trends and future directions. Pediatrics 2003, 111: 171–178. 10.1542/peds.111.1.171CrossRefPubMed
50.
Watt RG, Harnett R, Daly B, Fuller SS, Kay E, Morgan A, et al.: Evaluating oral health promotion: need for quality outcome measures. Community Dent Oral Epidemiol 2006, 34: 11–17. 10.1111/j.1600-0528.2006.00257.xCrossRefPubMed
Metadata
Title
Developing a new self-reported scale of oral health outcomes for 5-year-old children (SOHO-5)
Authors
Georgios Tsakos
Yvonne I Blair
Huda Yusuf
William Wright
Richard G Watt
Lorna M D Macpherson
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/10.1186/1477-7525-10-62

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