Abstract
ObjectivesThe aims of this study were to develop a German version of the Child Perceptions Questionnaire for children aged 8 to 10 years (CPQ-G8–10), a measure of oral health-related quality of life, and to assess the instrument’s reliability and validity.MethodsThe original English version of the CPQ8–10 questionnaire was translated into German (CPQ-G8–10) by a forward-backward translation method. A total of 409 8- to 10-year-old children who were recruited at the Department of Paediatric Dentistry in Vienna, Austria, participated in this study. The children self-completed the CPQ-G8–10 and were clinically examined for the presence of dental caries and plaque accumulation. Reliability of CPQ-G8–10 was investigated in a subsample of 58 children after 3 weeks.ResultsQuestionnaire summary score test-retest reliability was 0.85 (intraclass correlation coefficient, 95% confidence interval (CI) ranging from 0.75 to 0.91) and internal consistency was 0.88 (Cronbach’s alpha, lower limit of the 95% CI: 0.87). Validity of the CPQ-G8–10 questionnaire was supported by correlation coefficients with global ratings of oral health of − 0.40 (95% CI − 0.49 to − 0.31) and overall well-being of − 0.26 (95% CI − 0.33 to − 0.13) which met the expectations. Mean CPQ-G8–10 scores were statistically significantly higher in children with caries (dmft+DMFT > 0) compared with caries-free children (p = 0.02).ConclusionsThe German version of the CPQ8–10 was found to be reliable and valid in children aged 8 to 10 years.Clinical relevanceThese findings enable assessments of oral health-related quality of life in German speaking 8- to 10-year-old children.
Highlights
There is a growing move in pediatric dentistry towards the use of patient-focused assessments as clinicalElectronic supplementary material The online version of this article contains supplementary material, which is available to authorized users.Section for Outcomes Research, Medical University of Vienna, Spitalgasse 23, 1090 Vienna, Austria indicators alone do not reveal the full impact of oral conditions on the psychosocial well-being of a patient [1, 2]
The CPQ8–10 contains a total of 25 items subdivided into four domains: five items on oral symptoms, five questions on functional limitations, five questions on emotional well-being, and ten questions on social wellbeing
Higher scores refer to a worse oral health-related quality of life (OHRQoL) status
Summary
The concept of oral health-related quality of life (OHRQoL) has become an important measure to assess oral health status in children. Specific issues could arise when measuring OHRQoL in younger patients due to their phase of physical cognitive, emotional, social, and language development, as oral health and health cognition are considered agedependent [3, 4]. The most often used ones include the Early Childhood Oral Health Impact Scale (ECOHIS) for pre-school children [5], the Child Perceptions Questionnaire [6, 7], the Child Oral Health Impact Profile (COHIP) [8], and the Child Oral Impacts on Daily Performances (C-OIDP) [9]. For children aged 8 to 10 years, the Child Perceptions Questionnaire (CPQ8–10) is frequently used.
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