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BMC Oral Health
Published in: BMC Oral Health 1/2018

Open Access 01-12-2018 | Research article

Cross-cultural adaptation and validation of the child perceptions questionnaire (CPQ11–14) among children in Lebanon

Authors: Adib Kassis, Nada El Osta, Stéphanie Tubert-Jeannin, Martine Hennequin, Lana El Osta, Joseph Ghoubril

Published in: BMC Oral Health | Issue 1/2018

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Abstract

Background

The aim of this study was to assess the reliability, reproducibility, and convergent and discriminant validity of the Child Perceptions Questionnaire (CPQ)11–14 in a group of 11–14-year-old Lebanese children.

Methods

This was a cross-sectional study. Children aged between 11 and 14 were recruited between March and June 2014 from five schools in Beirut and the surrounding region: a central public school and four private schools. Data were collected from self-administered questionnaires and a clinical intraoral examination was conducted. In addition to the CPQ11–14, the questionnaires included socio-demographic characteristics, questions about each child’s perception of oral and general health status and dental aesthetics, satisfaction with dental conditions and the need for dental treatment. The oral examination included the number of teeth affected by caries (D3 level), fillings, the number of missing teeth and an orthodontic assessment of malocclusion using the Dental Aesthetic Index (DAI).

Results

The final number of children included was 693 and their mean age was 13.14 ± 0.82 years; 54.4% were boys. The mean CPQ score was 15.60 ± 14.55, range 0 to 110. Cronbach’s alpha of the global CPQ score was 0.880 and varied from 0.897 to 0.908. The reproducibility of the overall CPQ score was good, as was the CPQ score for each of the four domain scores (ICC > 0.682; p < 0.001). Higher CPQ scores were found for children with self-perceived poor general health (p < 0.001) or oral health (p < 0.001), unsatisfactory oral health (p < 0.001), need for dental treatment (p < 0.001) and perception of dental aesthetic problems (p < 0.001). Multiple linear regression models showed that the recruitment setting, the DMFT index and the DAI index were significantly associated with the CPQ global score (p = 0.004).

Conclusion

The Lebanese version of the CPQ11–14 showed excellent psychometric properties and was able to distinguish children with different oral conditions. Additional longitudinal studies should be performed to test the properties of this questionnaire in clinical samples.
Literature
1.
Choi S-H, Kim B-I, Cha J-Y, Hwang C-J. Impact of malocclusion and common oral diseases on oral health-related quality of life in young adults. Am J Orthod Dentofac Orthop. 2015;147:587–95.CrossRef
2.
Bastos RS, Carvalho ES, Xavier A, Caldana ML, Bastos JRM, Lauris JRP. Dental caries related to quality of life in two Brazilian adolescent groups: a cross-sectional randomised study. Int Dent J. 2012;62:137–43.CrossRefPubMed
3.
Onyeaso CO, Sanu OO. Perception of personal dental appearance in Nigerian adolescents. Am J Orthod Dentofac Orthop. 2005;127(6):700.CrossRef
4.
Baker SR, Mat A, Robinson PG. What psychosocial factors influence adolescents’ oral health? J Dent Res. 2010;89:1230–5.CrossRefPubMed
5.
Liu Z, McGrath C, Hägg U. Associations between orthodontic treatment need and oral health-related quality of life among young adults: does it depend on how you assess them? Community Dent Oral Epidemiol. 2011;39:137–44.CrossRefPubMed
6.
Moura C, Cavalcanti AL, Gusmão ES, Soares R de SC, Moura FTC, Santillo PMH. Negative self-perception of smile associated with malocclusions among Brazilian adolescents. Eur J Orthod. 2013;35:483–90.CrossRefPubMed
7.
O’Brien C, Benson PE, Marshman Z. Evaluation of a quality of life measure for children with malocclusion. J Orthod. 2007;34:185–93. discussion 176CrossRefPubMed
8.
Locker D, Slade G. Association between clinical and subjective indicators of oral health status in an older adult population. Gerodontology. 1994;11:108–14.CrossRefPubMed
9.
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;81:459–63.CrossRefPubMed
10.
Jokovic A, Locker D, Tompson B, Questionnaire GG. For measuring oral health-related quality of life in eight- to ten-year-old children. Pediatr Dent. 2004;26:512–8.PubMed
11.
Foster Page LA, Thomson WM, Jokovic A, Locker D. Validation of the child perceptions questionnaire (CPQ 11-14). J Dent Res. 2005;84:649–52.CrossRefPubMed
12.
Goursand D, Paiva SM, Zarzar PM, Ramos-Jorge ML, Cornacchia GM, Pordeus IA, et al. Cross-cultural adaptation of the child perceptions questionnaire 11-14 (CPQ11-14) for the Brazilian Portuguese language. Health Qual Life Outcomes. 2008;6:2.CrossRefPubMedPubMedCentral
13.
O’Brien K, Wright JL, Conboy F, Macfarlane T, Mandall N. The child perception questionnaire is valid for malocclusions in the United Kingdom. Am J Orthod Dentofac Orthop. 2006;129:536–40.CrossRef
14.
Barbosa TS, Tureli MCM, Gavião MBD. Validity and reliability of the child perceptions questionnaires applied in Brazilian children. BMC Oral Health. 2009;9:13.CrossRefPubMedPubMedCentral
15.
Wogelius P, Gjørup H, Haubek D, Lopez R, Poulsen S. Development of Danish version of child oral-health-related quality of life questionnaires (CPQ8-10 and CPQ11-14). BMC Oral Health. 2009;9:11.CrossRefPubMedPubMedCentral
16.
McGrath C, Pang HN, Lo ECM, King NM, Hägg U, Samman N. Translation and evaluation of a Chinese version of the child oral health-related quality of life measure. Int J Paediatr Dent. 2008;18:267–74.CrossRefPubMed
17.
Brown A, Al-Khayal Z. Validity and reliability of the Arabic translation of the child oral-health-related quality of life questionnaire (CPQ11-14) in Saudi Arabia. Int J Paediatr Dent. 2006;16:405–11.CrossRefPubMed
18.
McGrath C, Alkhatib MN, Al-Munif M, Bedi R, Translation ZAS. Validation of an Arabic version of the UK oral health related quality of life measure (OHQoL-UK) in Syria, Egypt and Saudi Arabia. Community Dent Health. 2003;20:241–5.PubMed
19.
Beaton DE, Bombardier C, Guillemin F, Ferraz MB. Guidelines for the process of cross-cultural adaptation of self-report measures. Spine. 2000;25:3186–91.CrossRefPubMed
20.
Doumit M, Doughan B. Oral health in school children in Lebanon. Sante. 2002;12:223–8.PubMed
21.
Samovar L, Porter R, McDaniel E.Communication Between cultures. 7th edition. Belmond CA: Wadsworth, Cengage Learning; 2010.
22.
El Bcheraoui C, Tuffaha M, Daoud F, Kravitz H, AlMazroa MA, Al Saeedi M, et al. Use of dental clinics and oral hygiene practices in the Kingdom of Saudi Arabia, 2013. Int Dent J. 2016;66:99–104.CrossRefPubMedPubMedCentral
23.
24.
Do LG, Spencer AJ. Evaluation of oral health-related quality of life questionnaires in a general child population. Community Dent Health. 2008;25:205–10.PubMed
25.
Olivieri A, Ferro R, Benacchio L, Besostri A, Stellini E. Validity of Italian version of the child perceptions questionnaire (CPQ11-14). BMC Oral Health. 2013;13:55.CrossRefPubMedPubMedCentral
26.
27.
Ekstrand KR, Kuzmina I, Bjørndal L, Thylstrup A. Relationship between external and histologic features of progressive stages of caries in the occlusal fossa. Caries Res. 1995;29:243–50.CrossRefPubMed
28.
Cons N, Jenny J, Kohout F. DAI--the dental aesthetic index. Iowa City, Iowa: College of Dentistry, University of Iowa; 1986.
29.
Nunnally JC, Bernstein IH. Psychometric theory. 3rd ed. New York: McGraw-Hill; 1994.
30.
Institute of Medicine (US) Council on Health Care Technology. Quality of Life and Technology Assessment: Monograph of the Council on Health Care Technology [Internet]. Mosteller F, Falotico-Taylor J, editors. Washington (DC): National Academies Press (US); 1989. http://​www.​ncbi.​nlm.​nih.​gov/​books/​NBK235124/​. Accessed 06 Jun 2017.
31.
Terwee CB, Bot SDM, de Boer MR, van der Windt DAWM, Knol DL, Dekker J, et al. Quality criteria were proposed for measurement properties of health status questionnaires. J Clin Epidemiol. 2007;60:34–42.CrossRefPubMed
32.
Simões RC, Goettems ML, Schuch HS, Torriani DD, Demarco FF. Impact of malocclusion on oral health-related quality of life of 8-12 years old schoolchildren in southern Brazil. Braz Dent J. 2017;28:105–12.CrossRefPubMed
33.
Chavers LS, Gilbert GH, Shelton BJ. Racial and socioeconomic disparities in oral disadvantage, a measure of oral health-related quality of life: 24-month incidence. J Public Health Dent. 2002;62:140–7.CrossRefPubMed
34.
McGrath C, Bedi R. Measuring the impact of oral health on life quality in two national surveys - functionalist versus hermeneutic approaches. Community Dent Oral Epidemiol. 2002;30:254–9.CrossRefPubMed
35.
Bernabé E, de Oliveira CM, Sheiham A. Comparison of the discriminative ability of a generic and a condition-specific OHRQoL measure in adolescents with and without normative need for orthodontic treatment. Health Qual Life Outcomes. 2008;6:64.CrossRefPubMedPubMedCentral
36.
Locker D, Jokovic A, Tompson B, Prakash P. Is the child perceptions questionnaire for 11-14 year olds sensitive to clinical and self-perceived variations in orthodontic status? Community Dent Oral Epidemiol. 2007;35:179–85.CrossRefPubMed
37.
Paula JS, Leite IC, Almeida AB, Ambrosano GM, Pereira AC, Mialhe FL. The influence of oral health conditions, socioeconomic status and home environment factors on schoolchildren’s self-perception of quality of life. Health Qual Life Outcomes. 2012;10:6.CrossRefPubMedPubMedCentral
38.
Hoffmann RHS, Cypriano S, da LR De SM, Wada RS. Dental caries experience in children at public and private schools from a city with fluoridated water. Cad Saude Publica. 2004;20:522–8.CrossRefPubMed
39.
Moreira PVL, Rosenblatt A, Passos IA. Prevalence of cavities among adolescents in public and private schools in João Pessoa, Paraíba state, Brazil. Cien Saude Colet. 2007;12:1229–36.CrossRefPubMed
40.
Marshman Z, Rodd H, Stern M, Mitchell C, Locker D, Jokovic A, et al. An evaluation of the child perceptions questionnaire in the UK. Community Dent Health. 2005;22:151–5.PubMed
Metadata
Title
Cross-cultural adaptation and validation of the child perceptions questionnaire (CPQ11–14) among children in Lebanon
Authors
Adib Kassis
Nada El Osta
Stéphanie Tubert-Jeannin
Martine Hennequin
Lana El Osta
Joseph Ghoubril
Publication date
01-12-2018
Publisher
BioMed Central
Published in
BMC Oral Health / Issue 1/2018
Electronic ISSN: 1472-6831
DOI
https://doi.org/10.1186/s12903-018-0482-x

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