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Open AccessArticle

A Comparison of Three Child OHRQoL Measures

Faculty of Dentistry, Otago University, Dunedin 9016, New Zealand
School of Clinical Dentistry, The University of Sheffield, Sheffield S10 2TA, UK
Cariology and Comprehensive Care, NYU College of Dentistry, 137 East 25th Street, 5th floor, New York, NY 10010, USA
Oral Health Service Northland District Health Board Ward 5, Whangarei Hospital Private Bag 9742, Whangarei 0148, New Zealand
Author to whom correspondence should be addressed.
Dent. J. 2019, 7(1), 19;
Received: 30 December 2018 / Revised: 28 January 2019 / Accepted: 29 January 2019 / Published: 12 February 2019
(This article belongs to the Special Issue Psychosocial Impacts of Dental Conditions in Childhood)
Comparing oral health-related quality of life (OHRQoL) measures can facilitate selecting the most appropriate one for a particular research question/setting. Three child OHRQoL measures Child Perceptions Questionnaire (CPQ11–14), the Child Oral Health Impact Profile (COHIP) and the Caries Impacts and Experiences Questionnaire for Children (CARIES-QC) were used with 335 10- to 13-year-old participants in a supervised tooth-brushing programme in New Zealand. The use of global questions enabled their validity to be examined. Assessments were conducted at baseline and after 12 months. All three measures had acceptable internal consistency reliability. There were moderate, positive correlations among their scores, and all showed differences in the impact of dental caries on OHRQoL, with children with the highest caries experience having the highest scale scores. Effect sizes were used to assess meaningful change. The CPQ11–14 and the CARIES-QC showed meaningful change. The COHIP-SF score showed no meaningful change. Among children reporting improved OHRQoL, baseline and follow-up scores differed significantly for the CPQ11–14 and CARIES-QC measures, although not for the COHIP-SF. The three scales were broadly similar in their conceptual basis, reliability and validity, but responsiveness of the COHIP-SF was questionable, and the need to compute two different scores for the CARIES-QC meant that its administrative burden was considerably greater than for the other two measures. Replication and use of alternative approaches to measuring meaningful change are suggested. View Full-Text
Keywords: quality of life; children; oral health; measurement quality of life; children; oral health; measurement
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Foster Page, L.; Gilchrist, F.; Broder, H.L.; Clark, E.; Thomson, W.M. A Comparison of Three Child OHRQoL Measures. Dent. J. 2019, 7, 19.

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