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Quality of Life Research

Gepubliceerd in:

01-01-2015

Validation of a pediatric oral health-related quality of life scale in Navajo children

Auteurs: Patricia A. Braun, Kimberly E. Lind, William G. Henderson, Angela G. Brega, David O. Quissell, Judith Albino

Gepubliceerd in: Quality of Life Research | Uitgave 1/2015

Abstract

Background

American Indian (AI) children experience the highest rates of early childhood caries (ECC) in the USA, yet no tool has been validated to measure the impact of ECC on their oral health-related quality of life (OHRQoL).

Objective

To validate a pediatric OHRQoL scale in a preschool, rural, reservation-based AI population.

Methods

In 2011 and 2012, we measured the OHRQoL of AI children attending Head Start in Navajo Nation with the 12-item preschool version of the pediatric oral health-related quality of life (POQL) scale administered to their parents/caregivers. Parents/caregivers also reported their children’s subjective oral health status (OHS) and oral health behavior adherence. Concurrently, calibrated dental examiners measured the children’s decayed, missing, and filled tooth surfaces (dmfs). Validation was assessed with internal reliability and convergent and divergent validity testing and exploratory factor analyses.

Results

We measured the outcomes in 928 caregiver-child dyads. All children were AI and in preschool [mean (SD) child age was 4.1 (0.5) years]. The majority of children had experienced decay [dmfs: 89 %, mean (SD): 21.5 (19.9)] and active decay [any ds: 70 %, mean (SD): 6.0 (8.3)]. The mean (SD) overall POQL score was 4.0 (9.0). The POQL scale demonstrated high internal consistency reliability (Cronbach alpha = 0.87). Convergent validity of the POQL scale was established with highly significant associations between POQL and caries experience, OHS, and adherence to oral health behaviors (all ps < 0.0001).

Conclusions

The POQL scale is a reliable and valid measure of OHRQoL in preschoolers from the Navajo Nation.

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Titel: Validation of a pediatric oral health-related quality of life scale in Navajo children
Auteurs: Patricia A. Braun
Kimberly E. Lind
William G. Henderson
Angela G. Brega
David O. Quissell
Judith Albino
Publicatiedatum: 01-01-2015
Uitgeverij: Springer International Publishing
Gepubliceerd in: Quality of Life Research / Uitgave 1/2015
Print ISSN: 0962-9343
Elektronisch ISSN: 1573-2649
DOI: https://doi.org/10.1007/s11136-014-0751-3

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Abstract

Background

Objective

Methods

Results

Conclusions

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