Abstract
BackgroundThis study was performed to develop and validate a Japanese version of Child Oral Health Impact Profile-Short Form (COHIP-SF) 19 and to assess its psychometric properties in Japanese school-age children.MethodsThe original English COHIP-SF 19 was translated into Japanese (COHIP-SF 19 JP) using a standard forward and backward translation procedure. The psychometric properties of the COHIP-SF 19 JP were assessed in 379 public school students between 7 and 18 years of age in Fukuoka, Japan. Internal consistency (Cronbach’s alpha) and test-retest reliability (intraclass correlation coefficient, ICC) were the metrics used for evaluation of this questionnaire. The discriminant validly was examined using the Wilcoxon rank sum test to identify significant differences in COHIP-SF 19 JP scores according to the results of dental examinations. The convergent validity was examined using the Spearman correlations to determine the relationships between COHIP-SF 19 JP scores and the self-perceived oral health ratings. Confirmatory factor analyses (CFA) were performed to verify the factor structure of the questionnaire.ResultsThe COHIP-SF 19 JP revealed good internal consistency (Cronbach’s alpha, 0.77) and test-retest reliability (ICC, 0.81). Discriminant validity indicated that children with dental caries or malocclusion had significantly lower COHIP-SF 19 JP scores (P < 0.05); convergent validity indicated that the self-perceived oral health rating was significantly correlated with the COHIP-SF 19 JP total score and subscores (rs = 0.352–0.567, P < 0.0001), indicating that the questionnaire had a sufficient construct validity. CFA suggested that the modified four-factor model had better model fit indices than the original three-factor model.ConclusionThe collected data showed that the COHIP-SF 19 JP possesses sufficient psychometric properties for use in Japanese school-age children.
Highlights
This study was performed to develop and validate a Japanese version of Child Oral Health Impact Profile-Short Form (COHIP-SF) 19 and to assess its psychometric properties in Japanese school-age children
As children and adolescents have different QoLrelated issues compared to adults [10], various instruments for measurement of oral health-related quality of life (OHRQoL) in pediatric populations have been developed over the past several decades, despite the difficulties associated with the development and validation of such instruments [11]
The Shapiro–Wilk test showed that the distributions of overall COHIP-SF 19 JP scores and subscale scores were significantly different from a normal distribution (P < 0.001)
Summary
This study was performed to develop and validate a Japanese version of Child Oral Health Impact Profile-Short Form (COHIP-SF) 19 and to assess its psychometric properties in Japanese school-age children. As children and adolescents have different QoLrelated issues compared to adults [10], various instruments for measurement of OHRQoL in pediatric populations have been developed over the past several decades, despite the difficulties associated with the development and validation of such instruments [11]. These include the Scale of Oral Health Outcomes for 5year-old children [12], the Pediatric Oral Health-Related Quality of Life Measure [13] and the Child Oral Impacts on Daily Performances Index [14]. The most frequently used self-completed QoL scales for children are the Child Perceptions Questionnaire (CPQ) [15] and Child Oral Health Impact Profile (COHIP) [16]
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