September 2017

Volume 34, Issue 3

Development and validation of the Child Oral Health Impact Profile – Preschool version

Authors: Ryan Richard Ruff Lacey Sischo Courtney H. Chinn Hillary L. Broder
doi: 10.1922/CDH_4110Ruff07


Objective: The Child Oral Health Impact Profile (COHIP) is a validated instrument created to measure the oral health-related quality of life of school-aged children. The purpose of this study was to develop and validate a preschool version of the COHIP (COHIP-PS) for children aged 2-5. Basic research design: The COHIP-PS was developed and validated using a multi-stage process consisting of item selection, face validity testing, item impact testing, reliability and validity testing, and factor analysis. Participants: A cross-sectional convenience sample of caregivers having children 2-5 years old from four groups completed item clarity and impact forms. Groups were recruited from pediatric health clinics or preschools/daycare centers, speech clinics, dental clinics, or cleft/craniofacial centers. Participants had a variety of oral health-related conditions, including caries, congenital orofacial anomalies, and speech/language deficiencies such as articulation and language disorders. Main outcome measure: COHIP-PS. Results: The COHIP-PS was found to have acceptable internal validity (a = 0.71) and high test-retest reliability (0.87), though internal validity was below the accepted threshold for the community sample. While discriminant validity results indicated significant differences across study groups, the overall magnitude of differences was modest. Results from confirmatory factor analyses support the use of a four-factor model consisting of 11 items across oral health, functional well-being, social-emotional well-being, and self-image domains. Conclusions: Quality of life is an integral factor in understanding and assessing children’s well-being. The COHIP-PS is a validated oral health-related quality of life measure for preschool children with cleft or other oral conditions. Keywords: cleft palate; cleft lip; child, preschool; quality of life; oral health; psychometric


Other articles in this issue

Article Pages Access
BDEF Writers page 130-130 Download
A scoping review of the uses of the care index in children 131-136 Download
Using Normalisation Process Theory to investigate the implementation of school-based oral health promotion 137-142 Download
The oral health condition and treatment needs of nursing home residents in Flanders (Belgium). 143-151 Download
Prevalence, severity and extent of chronic periodontitis among Sri Lankan adults 152-156 Download
The caries experience of 5 year-old children in Scotland in 2013-2014, and in England and Wales in 2014-2015. Reports of cross-sectional dental surveys using BASCD criteria 157-162 Download
Preferences for dental decisional control and associations with quality of life among third molar patients attending public dental services 163-168 Download
Type 2 diabetes as a risk indicator for dental caries in Korean adults: the 2011-2012 Korea national health and nutrition examination survey 169-175 Download
Development and validation of the Child Oral Health Impact Profile – Preschool version 176-182 Download
Association between excessive Internet use and oral health behaviors of Korean adolescents: A 2015 national survey 183-189 Download


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