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Type: Journal article
Title: Parental perceptions of children's oral health: The Early Childhood Oral Health Impact Scale (ECOHIS)
Author: Talekar, B.
Rozier, R.
Slade, G.
Citation: Health and Quality of Life Outcomes, 2007; 5(6):WWW 1-WWW 10
Publisher: BioMed Central Ltd.
Issue Date: 2007
ISSN: 1477-7525
Statement of
Bhavna Talekar Pahel, R Gary Rozier and Gary D Slade
Abstract: Background: Dental disease and treatment experience can negatively affect the oral health related quality of life (OHRQL) of preschool aged children and their caregivers. Currently no valid and reliable instrument is available to measure these negative influences in very young children. The objective of this research was to develop the Early Childhood Oral Health Impact Scale (ECOHIS) to measure the OHRQL of preschool children and their families. Methods: Twenty-two health professionals evaluated a pool of 45 items that assess the impact of oral health problems on 6-14-year-old children and their families. The health professionals identified 36 items as relevant to preschool children. Thirty parents rated the importance of these 36 items to preschool children; 13 (9 child and 4 family) items were considered important. The 13-item ECOHIS was administered to 295 parents of 5-year-old children to assess construct validity and internal consistency reliability (using Cronbach's alpha). Test-retest reliability was evaluated among another sample of parents (N = 46) using the intraclass correlation coefficient (ICC). Results: ECOHIS scores on the child and parent sections indicating worse quality of life were significantly associated with fair or poor parental ratings of their child's general and oral health, and the presence of dental disease in the child. Cronbach's alphas for the child and family sections were 0.91 and 0.95 respectively, and the ICC for test-retest reliability was 0.84. Conclusion: The ECOHIS performed well in assessing OHRQL among children and their families. Studies in other populations are needed to further establish the instrument's technical properties.
Keywords: Humans
Tooth Diseases
Dental Care for Children
Attitude to Health
Child Behavior
Self Concept
Quality of Life
Socioeconomic Factors
Child, Preschool
Oral Health
Academic Medical Centers
North Carolina
Surveys and Questionnaires
Rights: Copyright © 2007 Pahel et al; licensee BioMed Central Ltd. This is an Open Access article distributed under the terms of the Creative Commons Attribution License (, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.
DOI: 10.1186/1477-7525-5-6
Appears in Collections:Aurora harvest 6
Dentistry publications

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