Abstract

This study aimed to assess the effect of caries increment on Oral Health-related Quality of Life (OHRQoL) of Brazilian adolescents and to evaluate the responsiveness of the Child Perceptions Questionnaire (CPQ11-14) in this group. A population-based sample of 515 Brazilian 12-year-olds from a large city located in the southeast of Brazil was evaluated according to a random multistage sampling design at baseline and 291 at three years follow-up, using the DMFT index and the CPQ11-14 instrument. To evaluate the responsiveness to change, the measures of effect size and longitudinal construct validity were used. It was verified that OHRQoL among adolescents with DMFT increment across the three years worsened significantly (p<0.05) in relation to their counterparts. The effect size varied from small to moderate. The longitudinal construct validity of CPQ11-14 was satisfactory. Caries increment impacted on OHRQoL of adolescents in Brazil. The CPQ11-14 instrument demonstrated acceptable responsiveness properties.

Highlights

  • During the last few decades, several studies have focused on subjective perceptions of oral health for clinical trials, epidemiologic research and evaluation of health care programs.[1]

  • Researchers have emphasized the need for studies investigating Oral Health-related Quality of Life (OHRQoL) in longitudinal studies in order to evaluate how it is impacted by different variables, including dental caries.[1,2,7]

  • The objective of the present study was to assess the effect of caries increment on Oral Health-related Quality of Life (OHRQoL), measured by the CPQ instrument, of Brazilian adolescents over a 3 year period and to evaluate the responsiveness of the Child Perceptions Questionnaire (CPQ11-14) in this group

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Summary

Introduction

During the last few decades, several studies have focused on subjective perceptions of oral health for clinical trials, epidemiologic research and evaluation of health care programs.[1]. Special attention has been dedicated to the evaluation of the impact of oral disorders on OHRQoL of children and adolescents using specific instruments.[5,6] Researchers have emphasized the need for studies investigating OHRQoL in longitudinal studies in order to evaluate how it is impacted by different variables, including dental caries.[1,2,7] Observational studies are an important category of epidemiological study designs to demonstrate the changes in OHRQoL that occur naturally over time in

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