VALIDITY AND RELIABILITY OF A TURKISH PEDIATRIC ORAL HEALTH-RELATED QUALITY OF LIFE (POQL) MEASURE

İffet Yazıcıoğlu, Judith Jones, Cem Doğan, Sharon Rich, Raul I. Garcia
185

Abstract


Purpose: The aim of this study is to develop Turkish measures of Pediatric Oral Health-related Quality of Life (POQL) and to evaluate their reliability and validity for use on Turkish children aged 8 to 14 years (Child Self-Report measure; CSR) and their caregivers (Parent Report-on-Child measure; PRC).

Subjects and Methods: The English POQL was translated into Turkish, adapted to Turkish culture, and tested among 149 children and their caregivers attending Çukurova University Pediatric Dentistry clinics to assess the reliability, internal consistency, discriminant and convergent validity of the Turkish version.

Results: Internal consistency of the Turkish POQL evaluated by Cronbach’s alpha was 0.905 for the CSR and 0.887 for the PRC. To determine test-retest reliability, a sub-sample (n=16) completed the instrument a second time two weeks after the first survey administration. Intraclass correlation coefficient (ICC) values of the individual items were 0.895 for the CSR and 0.992 for the PRC. For total scores, there was a significant difference by clinical caries status and by perceived oral health in both the CSR and PRC.

Conclusion: Turkish version of the POQL is a valid and reliable measure of the perceived impact of oral conditions on children’s lives.


Keywords


Quality of life; oral health; children; validity and reliability; pediatric



DOI: http://dx.doi.org/10.17096/jiufd.53923

References


Yusuf H, Gherunpong S, Sheiham A, Tsakos G. Validation of an English version of the Child-OIDP index, an oral health-related quality of life measure for children. Health Qual Life Outcomes [Internet] 2006 Jan [cited 2014 Jun 11];4:38. Available from: http://www.pubmedcentral.nih.gov/articlerender.fcgi?artid=1533817&tool=pmcentrez&rendertype=abstract

Gilchrist F, Rodd H, Deery C, Marshman Z. Assessment of the quality of measures of child oral health-related quality of life. BMC Oral Health [Internet]. 2014;14(1):40. Available from: http://www.ncbi.nlm.nih.gov/pubmed/24758535

Eiser C, Morse R. A review of measures of quality of life for children with chronic illness. Arch Dis Child. 2001;84(3):205–11.

Eiser C, Morse R. The measurement of quality of life in children: past and future perspectives. J Dev Behav Pediatr. 2001;22(4):248–56.

Muldoon MF, Barger SD, Flory JD, Manuck SB. What are quality of life measurements measuring? BMJ [Internet]. 1998 Feb 14;316(7130):542–5. Available from: http://www.pubmedcentral.nih.gov/articlerender.fcgi?artid=2665651&tool=pmcentrez&rendertype=abstract

Gökalp SG, Doğan BG, Tekçiçek MT, Berberoğlu A, Unlüer S. National survey of oral health status of children and adults in Turkey. Community Dent Health [Internet]. 2010 Mar [cited 2012 Feb 5];27(1):12–7. Available from: http://www.ncbi.nlm.nih.gov/pubmed/20426255

Petersen PE. The World Oral Health Report 2003: continuous improvement of oral health in the 21st century--the approach of the WHO Global Oral Health Programme. Community Dent Oral Epidemiol [Internet]. 2003 Dec;31 Suppl 1:3–23. Available from: http://www.ncbi.nlm.nih.gov/pubmed/15015736

Peker K, Uysal O, Bermek G. Cross - cultural adaptation and preliminary validation of the Turkish version of the Early Childhood Oral Health Impact Scale among 5-6-year-old children. Health Qual Life Outcomes [Internet]. 2011 Dec 22 [cited 2012 Feb 12];9(1):118. Available from: http://www.ncbi.nlm.nih.gov/pubmed/22192577

Efe E, Sarvan S, Kukulu K. Self-reported knowledge and behaviors related to oral and dental health in Turkish children. Issues Compr Pediatr Nurs [Internet]. 2007 [cited 2012 Jan 31];30(4):133–46. Available from: http://www.ncbi.nlm.nih.gov/pubmed/18041629

Ersin NK, Eronat N, Cogulu D, Uzel A, Aksit S. Association of maternal-child characteristics as a factor in early childhood caries and salivary bacterial counts. J Dent Child (Chic) [Internet]. Jan [cited 2013 Mar 27];73(2):105–11. Available from: http://www.ncbi.nlm.nih.gov/pubmed/16948372

Barbosa TS, Leme MS, Castelo PM, Gavião MBD. Evaluating oral health-related quality of life measure for children and preadolescents with temporomandibular disorder. Health Qual Life Outcomes [Internet]. BioMed Central Ltd; 2011 Jan [cited 2012 Mar 24];9(1):32. Available from: http://www.pubmedcentral.nih.gov/articlerender.fcgi?artid=3115836&tool=pmcentrez&rendertype=abstract

Gary Slade editor. Measuring oral health and quality of life. Chapel Hill: University of North Carolina. 1997

Jabarifar SE, Eshghi AR, Shabanian M, Ahmad S. Changes in Children’s Oral Health Related Quality of Life Following Dental Treatment under General Anesthesia. Dent Res J (Isfahan) [Internet]. 2009 Jan [cited 2012 Apr 26];6(1):13–6. Available from: http://www.pubmedcentral.nih.gov/articlerender.fcgi?artid=3075446&tool=pmcentrez&rendertype=abstract

Broder H, Wilson-Genderson M. Reliability and convergent and discriminant validity of the Child OralHealth Impact Profile (COHIP child’s version). CommunityDentOral Epidemiol. 2007;35, suppl :20–31.

Lee GHM, McGrath C, Yiu CKY, King NM. A comparison of a generic and oral health-specific measure in assessing the impact of early childhood caries on quality of life. Community Dent Oral Epidemiol [Internet]. 2010 Aug [cited 2012 Apr 9];38(4):333–9. Available from: http://www.ncbi.nlm.nih.gov/pubmed/20406271

Jokovic A, Locker D, Guyatt G. Short forms of the Child Perceptions Questionnaire for 11-14-year-old children (CPQ11-14): development and initial evaluation. Health Qual Life Outcomes [Internet]. 2006 Jan [cited 2012 Apr 9];4:4. Available from: http://www.pubmedcentral.nih.gov/articlerender.fcgi?artid=1368964&tool=pmcentrez&rendertype=abstract

Huntington NL, Spetter D, Jones J a., Rich SE, Garcia RI, Spiro III A. Development and validation of a measure of pediatric oral health-related quality of life: the POQL. J Public Health Dent [Internet]. 2011 Jun 11 [cited 2011 Oct 11];71(3):no – no. Available from: http://doi.wiley.com/10.1111/j.1752-7325.2011.00247.x

Gökalp S, Doğan G, Tek M, Berbero A, Ünlüer Ş. Beş , On İki ve On Beş Yaş Çocukların Ağız Diş Sağlığı Profili , Türkiye-2004 The Oral Health Profile of 5 , 12 and 15 Year. Oral Health. 2007;3–10.

Yazicioglu I, Jones JA, Rich SE, Garcia R. Paper: Hispanic Parent’s Language Preferences and Pediatric Oral Quality of Life (IADR/AADR/CADR 89th General Session and Exhibition (March 16-19, 2011)) [Internet]. [cited 2012 Jul 29]. Available from: http://iadr.confex.com/iadr/2011sandiego/webprogramcd/Paper147420.html

WHO | Process of translation and adaptation of instruments. World Health Organization; [cited 2012 Dec 30]; Available from: http://www.who.int/substance_abuse/research_tools/translation/en/

Beaton DE, Bombardier C, Guillemin F, Ferraz MB. Guidelines for the process of cross-cultural adaptation of self-report measures. Spine (Phila Pa 1976) [Internet]. 2000 Dec 15;25(24):3186–91. Available from: http://www.ncbi.nlm.nih.gov/pubmed/11124735

Guillemin F, Bombardier C, Beaton D. Cross-cultural adaptation of health-related quality of life measures: literature review and proposed guidelines. J Clin Epidemiol [Internet]. 1993 Dec [cited 2013 Apr 2];46(12):1417–32. Available from: http://www.ncbi.nlm.nih.gov/pubmed/8263569

ASTDD | Basic Screening Survey Tool [Internet]. [cited 2015 Jun 4]. Available from: http://www.astdd.org/basic-screening-survey-tool/#children

Shrout P, Fleis JL. Intraclass correlation: uses in assesing rater reliability. Psychol Bull. 1979;86:420–8.

Streiner DL, Norman GR. Health measurement scales: a practical guide to their development and use. New york: Oxford Press; 1991.

Barbosa TS, Tureli MCM, Gavião MBD. Validity and reliability of the Child Perceptions Questionnaires applied in Brazilian children. BMC Oral Health [Internet]. 2009 Jan [cited 2012 Apr 9];9:13. Available from: http://www.pubmedcentral.nih.gov/articlerender.fcgi?artid=2696414&tool=pmcentrez&rendertype=abstract




Creative Commons License
This work is licensed under a Creative Commons Attribution-NonCommercial-NoDerivatives 4.0 International License.