The Open Dentistry Journal




ISSN: 1874-2106 ― Volume 14, 2020
RESEARCH ARTICLE

Development and Validation of the Greek version of the Early Childhood Oral Health Impact Scale (ECOHIS)



Konstantina Taoufik1, *, Kimon Divaris2, 3, Katerina Kavvadia4, Haroula Koletsi-Kounari1, Argy Polychronopoulou1
1 Department of Community and Preventive Dentistry, School of Dentistry, National and Kapodistrian University of Athens, Athens, Greece
2 Department of Pediatric Dentistry, School of Dentistry, University of North Carolina-Chapel Hill, Chapel Hill, NC, United States
3 Department of Epidemiology, UNC Gillings School of Global Public Health, University of North Carolina-Chapel Hill, Chapel Hill, NC, United States
4 Department of Pediatric Dentistry, School of Dentistry, University of Louisville, Kentucky, KY, United States

Abstract

Background:

The oral health of preschool-age children can affect their quality of life (QoL) as well their families. The Early Childhood Oral Health Impact Scale (ECOHIS) is a reliable instrument that has been used to assess the impact of oral health problems and their treatment on the QoL of preschool-age children and their families’.

Objective:

To report the development, evaluation and psychometric properties of the Greek version of ECOHIS (Gr-ECOHIS).

Methods:

Participants of this cross-sectional study were 176 mothers and their young (aged 25-71 months) children, patients of a private pediatric dental practice. During a structured interview, they completed a questionnaire, including a translated, Greek language version of the ECOHIS. Data on children’s oral health were obtained via clinical examinations. The psychometric properties of Gr-ECOHIS evaluated were reliability (internal and test-retest) and construct (convergent and discriminant) validity. Test-retest reliability was determined in an independent sample of 20 mother-child dyads, who completed the Gr-ECOHIS twice within a two-week interval.

Results:

The scale showed excellent internal consistency (Cronbach’s alpha=0.85) and test-retest reliability (Intraclass Correlation Coefficient= 0.97). Gr-ECOHIS showed a strong correlation with dental caries (Spearman’s rho=0.62, p<0.0005) and dental treatment needs. Gr-ECOHIS was also positively associated with dental knowledge, health literacy and parental oral health-related QoL.

Conclusion

The Gr-ECOHIS is a psychometrically reliable and valid Greek language QoL instrument, which demonstrated significant associations with clinical and parent-reported measures of early childhood oral health. As such, it can be used to measure oral health-related QoL among preschool-age children in clinical and public health settings.

Keywords: Early Childhood Oral Health Impact Scale, ECOHIS, Validity, Psychometric properties, Oral health, Preschool age children.


Article Information


Identifiers and Pagination:

Year: 2020
Volume: 14
First Page: 88
Last Page: 96
Publisher Id: TODENTJ-14-88
DOI: 10.2174/1874210602014010088

Article History:

Received Date: 01/12/2019
Revision Received Date: 21/01/2020
Acceptance Date: 02/02/2020
Electronic publication date: 20/03/2020
Collection year: 2020

© 2020 Taoufik et al.

open-access license: This is an open access article distributed under the terms of the Creative Commons Attribution 4.0 International Public License (CC-BY 4.0), a copy of which is available at: (https://creativecommons.org/licenses/by/4.0/legalcode). This license permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited.


* Address correspondence to this author at the Department of Community and Preventive Dentistry, School of Dentistry, National and Kapodistrian University of Athens, Thivon 2Str., Goudi, 11527, Athens, Greece.,
Tel: (+30) 210-746-1289, (+30) 694-455-3666; E-mail: ktaoufik@dent.uoa.gr




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