scholarly journals Association between Early Childhood Caries and Quality of Life: Early Childhood Oral Health Impact Scale and Pufa Index

2019 ◽  
Vol 7 (4) ◽  
pp. 95 ◽  
Author(s):  
Ningthoujam Sharna ◽  
Mahesh Ramakrishnan ◽  
Victor Samuel ◽  
Dhanalakshmi Ravikumar ◽  
Khangembam Cheenglembi ◽  
...  
Keyword(s):  
Quality Of Life ◽  
Early Childhood ◽  
Oral Health ◽  
Early Childhood Caries ◽  
Negative Impact ◽  
Health Impact ◽  
Pufa Index ◽  
Impact Scale ◽  
Childhood Caries

Early Childhood Caries (ECC) are one of the major oral diseases affecting children. ECC adversely affects the children’s as well as their parent/caregivers quality of life. The present study aims to assess the quality of life in children with Early Childhood Caries aged 6–72 months using the Early Childhood Oral Health Impact Scale. It also aims to compare the quality of life between children with pufa scores of > 0 and a pufa score = 0. A total of 238 children aged 6 months to 72 months with ECC and their parent/caregiver were included in the present study. Oral examinations of the children were performed by the principal examiner using the defs and pufa index, which was followed by a personal interview of the 13 items in the Early Childhood Oral Health Impact scale among the 238 parents/caregivers. The results showed that, overall, Early Childhood Caries have a negative impact on children’s quality of life, as assessed by the parent/caregiver. The overall Early Childhood Oral Health Impact scale score ranged from 0–32 (mean ± SD, 14.12 ± 6.72). Children with a pufa score > 0 (mean ± SD, 16.14 ± 6.27, p < 0.001) have significantly lower quality of life than children with pufa score = 0 (mean ± SD, 9.07 ± 4.94, p < 0.001). Early Childhood Caries had a negative impact on the quality of life of children aged 6–72 months. Children with a pufa score of “0” had better oral health-related quality of life than children with a pufa score > 0.

scholarly journals Validation of the Thai Version of Early Childhood Oral Health Impact Scale (Th-ECOHIS)

2020 ◽  
Author(s):  
Pattarawadee Leelataweewud ◽  
Varangkanar Jirarattanasopha ◽  
Chantana Ungchusak ◽  
Warangkana Vejvithee
Keyword(s):  
Quality Of Life ◽  
Early Childhood ◽  
Oral Health ◽  
Dental Caries ◽  
Early Childhood Caries ◽  
Health Impact ◽  
Impact Scale ◽  
Test Retest Reliability ◽  
Children’S Oral Health

Abstract Background: Early childhood caries (ECC) has been prevalent in Thailand. There has never been an appropriate tool to measure its impact on children. Early childhood oral health impact scale (ECOHIS) is a proxy-reported questionnaire developed in the United States for measuring the oral health related quality of life of preschool children and their families and widely adopted into many countries. This study translated it into Thai (Th-ECOHIS) and investigated its psychometric properties in Thai caregivers and their children. Methods: Forward–backward translation by expert was used for the scale development. A face and content validation test were conducted among a group of caregivers to revise and attain the final Th-ECOHIS. Psychometric testing was done on caregivers of 3-year-olds in Bangkok with the interviewer-administered mode. Children’s oral health was indicated by caries experience (decayed, missing and filled primary teeth, dmft). The caregivers answered the Th-ECOHIS and global questions regarding perception of their children’s oral health. Reliability was assessed by measuring internal consistency and reproducibility using Cronbach’s alpha coefficient. Test-retest reliability was managed at 2-week interval in 10% of samples using the intraclass correlation coefficient calculated by two-way analysis of variance. The discriminant validity was tested by the relationship between the severity of dental caries and Th-ECOHIS scores using Kruskal- Wallis test.Results: A total of 214 child-parent pairs participated. Of the 214 children, 22% had ECC (dmft 1-3) and 17.3% had severe ECC (dmft 4 or higher). The mean (SD) dmft score was 1.63 (2.92). All items in the original ECOHIS were retained in the Thai version. The test-retest reliability of Th-ECOHIS was 0.87; internal consistency was 0.85; the total of Th-ECOHIS scores were significantly correlated with the global rating of oral health questions (r = 0.604). The child impact section, family impact section and total Th-ECOHIS scores were significantly associated with the severity of dental caries (p < 0.001).Conclusions: Psychometric evaluation of the Th-ECOHIS demonstrated good reliability and validity and could be used to assess impacts of early childhood caries on quality of life of Thai pre-school children through caregivers and be compared with studies in other languages.

scholarly journals Percepção materna sobre qualidade de vida de crianças portadoras de cárie na primeira infância: um estudo piloto

2020 ◽  
Vol 9 (4) ◽  
Author(s):  
Vlamir Oliveira da Silva ◽  
Marcelle Danelon ◽  
Marília Andrade Figueiredo de Oliveira ◽  
Nathalia Cristina Tavella e Silva ◽  
Eliana Mendes de Souza Teixeira Roque
Keyword(s):  
Quality Of Life ◽  
Early Childhood ◽  
Preschool Children ◽  
Oral Health ◽  
Early Childhood Caries ◽  
Health Related Quality ◽  
Related Quality ◽  
Health Related ◽  
Childhood Caries

Objetivo: O objetivo deste estudo foi compreender a percepção materna sobre a qualidade de vida de crianças, portadoras de cárie na primeira infância (CPI). Material e Método: O objeto de estudo foram seis mães de crianças em tratamento na Clínica de Odontologia da Universidade de Ribeirão Preto. Realizou-se entrevista semi-estruturada gravada. Os dados foram analisados segundo a técnica de Análise de Conteúdo proposta por Bardin e utilizando-se os conceitos teóricos oriundos de Bronfembrenner para avaliar aspectos da CPI que interferem no pleno desenvolvimento da pessoa desde a infância. Depreendeu-se dos dados, 03 categorias empíricas: 1ª - “o dente natural é tudo”; 2ª - “ Procura o dentista quando tem dor” e 3ª - “A mãe tem responsabilidade no aparecimento da cárie porque não limpa a boca da criança”. Resultados: Os resultados demonstraram que a influência dos aspectos sócio-econômicos e educacionais das mães tornam as crianças mais vulneráveis à CPI. As mães compreendem a importância dos dentes na saúde bucal, porém, não atribuem a presença da CPI a predispor as crianças ao desenvolvimento de problemas sistêmicos e afetar o desenvolvimento biopsicossocial. As mães apontaram falhas no atendimento das crianças e de acesso ao serviço público, assim como, o despreparo dos profissionais do serviço público e privado. Conclusão: Conclui-se que que existe necessidade de ampliação de medidas socioeducativas tanto para mães quanto crianças, assim como estratégias que visem formar e ampliar o conhecimento coletivo em saúde bucal e melhoria da Política Nacional da Saúde Bucal.Descritores: Comportamento Materno; Qualidade de Vida, Cárie Dentária; Saúde da Criança.ReferênciasCalcagnile F, Pietrunti D, Pranno N, Di Giorgio G, Ottolenghi L, Vozza I. Oral health knowledge in pre-school children: A survey among parents in central Italy. J Clin Exp Dent. 2019:11:e327-33.Chase I, Berkowitz RJ, Proskin HM, Weinstein P BR. Clinical outcomes for Early Childhood Caries (ECC): the influence of health locus of control. Eur J Paediatr Dent. 2004;2:76-80.Brasil Ministério da Saúde. Projeto SB Brasil 2003 Condições de saúde bucal da população brasileira2002-2003.http://cfo.org.br/wp-content/uploads /2009/10/04_0347_M.pdf. Published 2004. Accessed October 4, 2009.Brasil Ministério da Saúde. SB Brasil 2010: Pesquisa Nacional de Saúde Bucal. http://bvsms.saude.gov.br/bvs/publicacoes/pesquisa_nacional_saude_bucal.pdf. Published 2012. Accessed October 4, 2009.Guedes-Pinto AC. Odontopediatria. 9th ed. (Santos, ed.); 2016.Macedo LZ, Ammari MM. Cárie da primeira infância: conhecer para prevenir. Rev Rede Cuid em Saúde.2014;8:1-14.Minayo MC de S. O Desafio Do Conhecimento: Pesquisa Qualitativa Em Saúde. 1st ed. (Hucitec, ed.); 2012.Bardin L. Análise de Conteúdo. 70th ed. (France PU de, ed.). Lisboa; 1977.Alves PB. A ecologia do desenvolvimento humano: experimentos naturais e planejados. Psicol Reflexão e Crítica. 1997;10:369-73.Bronfenbrenner, U., Morris PA. The ecology of developmental processes. In: Inc. JW S, ed. Handbook of Child Psychology: Theoretical Models of Human Development. v. 1. New York; 1998:993-1028.Jiang M, Wong MCM, Chu CH, Dai L, Lo ECM. Effects of restoring SDF-treated and untreated dentine caries lesions on parental satisfaction and oral health related quality of life of preschool children. J Dent. 2019;88:103171.Vollú AL, da Costa M da EPR, Maia LC, Fonseca-Gonçalves A. Evaluation of Oral Health-Related Quality of Life to Assess Dental Treatment in Preschool Children with Early Childhood Caries: A Preliminary Study. J Clin Pediatr Dent.2018;42:37-44.Lai SHF, Wong MLW, Wong HM, McGrath CPJ, Yiu CKY. Factors influencing the oral health‐related quality of life among children with severe early childhood caries in Hong Kong.Int J Dent Hyg.2019;17:350-58.Abanto J, Carvalho TS, Mendes FM, Wanderley MT, Bönecker M, Raggio DP. Impact of oral diseases and disorders on oral health-related quality of life of preschool children. Community Dent Oral Epidemiol. 2011;39:105-14.American Academy of Pediatric Dentistry. Guidelines for Policy on Social Determinants of Children’s Oral Health and Health Disparities. Am Acad Pediatr Dent. 40:23-26.BaniHani A, Deery C, Toumba J, Munyombwe T, Duggal M. The impact of dental caries and its treatment by conventional or biological approaches on the oral health-related quality of life of children and carers. Int J Paediatr Dent. 2018;28:266-76.Knorst JK, Menegazzo GR, Emmanuelli B, Mendes FM, Ardenghi TM. Effect of neighborhood and individual social capital in early childhood on oral health-related quality of life: a 7-year cohort study. Qual Life Res.2019;28:1773-82.Marshman Z, Knapp R. Child oral health-related quality of life following treatment under dental general anaesthetic (DGA). Evid Based Dent. 2019;20:46-7.Phantumvanit P, Makino Y, Ogawa H, et al. WHO Global Consultation on Public Health Intervention against Early Childhood Caries. Community Dent Oral Epidemiol.2018;46:280-87.Zaror C, Atala-Acevedo C, Espinoza-Espinoza G, et al. Cross-cultural adaptation and psychometric evaluation of the early childhood oral health impact scale (ECOHIS) in chilean population. Health Qual Life Outcomes. 2018;16:232.Kidd E, Fejerskov O. Changing concepts in cariology: forty years on. Dent Update. 2013;40:277-86.Ferreira JMS, Silva FS, Aragão AKR, Duarte RC, Menezes VA. Conhecimento de pais sobre saúde bucal na primeira infância. Pediatr Mod.2010;46:224-30.Novaes TF, Pontes LRA, Freitas JG, et al. Responsiveness of the Early Childhood Oral Health Impact Scale (ECOHIS) is related to dental treatment complexity. Health Qual Life Outcomes.2017;15:182.Mansoori S, Mehta A, Ansari MI. Factors associated with Oral Health Related Quality of Life of children with severe -Early Childhood Caries. J Oral Biol Craniofacial Res.2019;9:222-225.Batliner T, Fehringer KA, Tiwari T, et al. Motivational interviewing with American Indian mothers to prevent early childhood caries: study design and methodology of a randomized control trial. Trials. 2014;15:125.

scholarly journals Psychometric evaluation of the Thai version of Early Childhood Oral Health Impact Scale (Th-ECOHIS): a cross sectional validation study

2020 ◽  
Author(s):  
Pattarawadee Leelataweewud ◽  
Varangkanar Jirarattanasopha ◽  
Chantana Ungchusak ◽  
Warangkana Vejvithee
Keyword(s):  
Quality Of Life ◽  
Early Childhood ◽  
Oral Health ◽  
Internal Consistency ◽  
Health Impact ◽  
Treatment Need ◽  
Impact Scale ◽  
Test Retest Reliability ◽  
Children’S Oral Health

Abstract Background: Early childhood caries (ECC) is prevalent in Thailand. There has never been an appropriate tool to measure its impact on children. This study translated Early childhood oral health impact scale (ECOHIS), a widely used proxy-reported questionnaire developed in the United States for measuring the oral health related quality of life of preschool children and their families and adopted into many countries, into Thai (Th-ECOHIS). Its psychometric properties were investigated in Thai caregivers and their children. Methods: Cultural adaptation for the scale development within Thai context was processed using forward–backward translation by experts. A face and content validation test were conducted among a group of 20 caregivers to attain the final Th-ECOHIS. Psychometric testing was done on 3-year-old-child-caregiver pairs in Bangkok with the interviewer-administered mode. Children’s oral health was indicated by caries experience (decayed, missing and filled primary teeth, dmft) and treatment need. The caregivers answered the Th-ECOHIS and global questions regarding perception of their children’s oral health. Reliability was assessed by measuring internal consistency and reproducibility using Cronbach’s alpha coefficient. Test-retest reliability was managed at 2-week interval in 10% of samples using the intraclass correlation coefficient calculated by two-way analysis of variance. The discriminant validity was tested by the relationship between the severity of dental caries, treatment need and Th-ECOHIS scores using Kruskal-Wallis test.Results: A total of 214 child-parent pairs participated. Twenty-two percent had ECC (dmft 1-3) and 17.3% had severe ECC (dmft 4 or higher) with mean (SD) dmft 1.63 (2.92). All items in the original ECOHIS were retained in the Thai version. The test-retest reliability of Th-ECOHIS was 0.87; internal consistency was 0.85; the total of Th-ECOHIS scores were significantly correlated with the global rating of oral health question (r = 0.604). Th-ECOHIS scores in both child and family impact sections and total were significantly associated with the severity of caries (p < 0.001) and treatment need (p < 0.001).Conclusions: Th-ECOHIS demonstrated good reliability and validity. It could be used to assess the impacts of ECC on quality of life of Thai pre-school children through caregiver and compare to other countries.

scholarly journals Assesment of the Impact of Severe Early Childhood Caries on the Quality of Life of Preschool Children and their Parents

2020 ◽  
pp. 20-25
Author(s):  
Maria MTALSI
Keyword(s):  
Quality Of Life ◽  
Early Childhood ◽  
Oral Health ◽  
Early Childhood Caries ◽  
Life Quality ◽  
Public Health Problem ◽  
Preventive Program ◽  
The Impact ◽  
Childhood Caries

Objective: The aim of the present study was to assess the prevalence of the early childhood caries (S-ECC) and its impact on preschool children’s life (aged 4-6), as well as on their parents, in one of the most popular prefectures in Casablanca, Morocco. Materials and Methods: Parents of 546 children attending 11 randomly selected preschools (7 private and 4 public institutions) were invited to complete 13 items of an oral health questionnaire and had their children undergo a dental examination. The quality of life was evaluated using the Early Childhood Oral Health Impact Scale (ECOHIS). Statistical analysis: The data collected were analyzed using the SPSS (Statistical Package for the Social Sciences). To find the comparison between groups, Chi-square test was used. Results: The prevalence of the ECC and the S-ECC were 74.2% and 47.3% respectively. The negative effect of S-ECC on children’s quality of life has many aspects: 59.3% of them have experienced tooth pain, 41.5% have reported eating difficulties, and 41.3% have had drinking difficulties. Moreover, 40% of parents expressed feelings of guilt and 10.6% had to take time off work due to their children’s oral health status. On another note, the financial impact of the S-ECC was also significant. Conclusion: The S-ECC negatively impacts the life quality of children aged between 4 and 6 years old in addition to their parents’. This suggests a need for further strategic planning and preventive program adapted to such a public health problem.

scholarly journals Psychometric evaluation of the Thai version of the Early Childhood Oral Health Impact Scale (Th-ECOHIS): a cross sectional validation study

2021 ◽  
Vol 21 (1) ◽  
Author(s):  
Pattarawadee Leelataweewud ◽  
Varangkanar Jirarattanasopha ◽  
Chantana Ungchusak ◽  
Warangkana Vejvithee
Keyword(s):  
Quality Of Life ◽  
Early Childhood ◽  
Oral Health ◽  
Health Impact ◽  
Treatment Need ◽  
Impact Scale ◽  
Test Retest Reliability ◽  
Children’S Oral Health ◽  
Child Caregiver

Abstract Background Early childhood caries (ECC) is prevalent in Thailand, but no appropriate tool has been available to measure its impact on children’s quality of life. This study translated the Early Childhood Oral Health Impact Scale (ECOHIS), a widely used proxy-reported questionnaire developed in the United States for measuring the oral health-related quality of life of preschool children and their families, into Thai (Th-ECOHIS). The scale’s psychometric properties were investigated in Thai caregivers and their children. Methods Cultural adaptation for the scale development within the Thai context was processed using forward–backward translation by experts. A face and content validation was conducted among 20 Thai caregivers to attain the final Th-ECOHIS. Psychometric testing was done on 3-year-old child-caregiver pairs in Bangkok using the interviewer-administered mode. Children’s oral health was determined by caries experience (decayed, missing and filled primary teeth, dmft) and treatment need. The caregivers answered the Th-ECOHIS and global questions regarding their perception of the children’s oral health. Across-items reliability was assessed by internal consistency using the Cronbach’s alpha coefficient. Test-retest reliability was managed at a 2-week interval in 10% of the sample using the intraclass correlation coefficient calculated by two-way analysis of variance. The discriminant validity was tested by the relationship between the severity of dental caries, treatment need and Th-ECOHIS scores, using the Kruskal-Wallis test. Results A total of 214 child-caregiver pairs participated. Twenty-two percent had ECC (dmft 1–3) and 17.3% had severe ECC (dmft 4 or higher) with mean (SD) dmft 1.63 (2.92). All items in the original ECOHIS were retained in the Thai version. The test-retest reliability of Th-ECOHIS was 0.87; internal consistency was 0.85; the total Th-ECOHIS scores were significantly correlated with the global rating of oral health question (r = 0.604). Th-ECOHIS scores in both child and family impact sections and the total were significantly associated with the severity of caries (p <  0.001) and treatment need (p <  0.001). Conclusions Th-ECOHIS demonstrated good reliability and validity. It could be used on caregivers to assess the impacts of ECC on quality of life of Thai pre-school children and compared to other countries.

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