Validation of the Child-Oral-Health-Impact-Profile among adolescents in Johannesburg: A cross-sectional study

Background: Oral health-related quality of life (OHRQol) is described as the effect of oral conditions on the overall functioning and well-being of individuals. Aim: This study sought to determine the validity of a modified-child oral health impact profile (M-COHIP) among adolescents living with th...

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Main Authors: Yolanda Malele-Kolisa, Innocent Maposa, Veerasamy Yengopal, Jude Igumbor
Format: Article
Language:English
Published: AOSIS 2023-10-01
Series:African Journal of Primary Health Care & Family Medicine
Subjects:
Online Access:https://phcfm.org/index.php/phcfm/article/view/3993
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author Yolanda Malele-Kolisa
Innocent Maposa
Veerasamy Yengopal
Jude Igumbor
author_facet Yolanda Malele-Kolisa
Innocent Maposa
Veerasamy Yengopal
Jude Igumbor
author_sort Yolanda Malele-Kolisa
collection DOAJ
description Background: Oral health-related quality of life (OHRQol) is described as the effect of oral conditions on the overall functioning and well-being of individuals. Aim: This study sought to determine the validity of a modified-child oral health impact profile (M-COHIP) among adolescents living with the human immunodeficiency virus (HIV) infection (ALHIV) and HIV-undiagnosed adolescents and establish the factors influencing OHRQoL among adolescents in central Johannesburg. Setting: Schools and HIV wellness centre in central Johannesburg. Methods: An interviewer-administered questionnaire was applied, followed by an oral examination. Results: A total of 504 adolescents were included in the study. The overall mean decayed teeth for permanent dentition was 1.6 (standard deviation [s.d.]: 1.99) and caries prevalence was 62.2% (n = 309). The tool’s Cronbach’s alpha was 0.88. The item-rest correlations were from 0.6 to 0.85 for all items. The initial exploratory factor analysis explained 76% of the total variance. The overall M-COHIP score was 59.6 (18.2). The overall modified-COHIP scores for those not in care (schools) were higher [62.88] than those of ALHIV. The poor M-COHIP scores were associated with reporting toothache, having active decay, poor oral health-self-rating, and being selected from the school site (p  0.005). Conclusion: The validation study supports the use of the tool as a reliable and valid measure of OHRQoL. Future research can investigate the extent to which the tool is effective in measuring treatment outcomes and patient satisfaction. Contribution: The validated tool will be beneficial in the African context for programme assessments and overall measure of quality-of-life impacts from oral conditions.
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spelling doaj.art-5d736dc48a704ac6bc7dbd03c914bffb2023-11-02T11:02:45ZengAOSISAfrican Journal of Primary Health Care & Family Medicine2071-29282071-29362023-10-01151e1e810.4102/phcfm.v15i1.39931071Validation of the Child-Oral-Health-Impact-Profile among adolescents in Johannesburg: A cross-sectional studyYolanda Malele-Kolisa0Innocent Maposa1Veerasamy Yengopal2Jude Igumbor3Department of Community Dentistry, Faculty of Health Sciences, University of the Witwatersrand, JohannesburgSchool of Public Health, Faculty of Health Sciences, University of the Witwatersrand, JohannesburgDepartment of Community Dentistry, Faculty of Health Sciences, University of the Witwatersrand, JohannesburgSchool of Public Health, Faculty of Health Sciences, University of the Witwatersrand, JohannesburgBackground: Oral health-related quality of life (OHRQol) is described as the effect of oral conditions on the overall functioning and well-being of individuals. Aim: This study sought to determine the validity of a modified-child oral health impact profile (M-COHIP) among adolescents living with the human immunodeficiency virus (HIV) infection (ALHIV) and HIV-undiagnosed adolescents and establish the factors influencing OHRQoL among adolescents in central Johannesburg. Setting: Schools and HIV wellness centre in central Johannesburg. Methods: An interviewer-administered questionnaire was applied, followed by an oral examination. Results: A total of 504 adolescents were included in the study. The overall mean decayed teeth for permanent dentition was 1.6 (standard deviation [s.d.]: 1.99) and caries prevalence was 62.2% (n = 309). The tool’s Cronbach’s alpha was 0.88. The item-rest correlations were from 0.6 to 0.85 for all items. The initial exploratory factor analysis explained 76% of the total variance. The overall M-COHIP score was 59.6 (18.2). The overall modified-COHIP scores for those not in care (schools) were higher [62.88] than those of ALHIV. The poor M-COHIP scores were associated with reporting toothache, having active decay, poor oral health-self-rating, and being selected from the school site (p  0.005). Conclusion: The validation study supports the use of the tool as a reliable and valid measure of OHRQoL. Future research can investigate the extent to which the tool is effective in measuring treatment outcomes and patient satisfaction. Contribution: The validated tool will be beneficial in the African context for programme assessments and overall measure of quality-of-life impacts from oral conditions.https://phcfm.org/index.php/phcfm/article/view/3993oral health-related quality of lifeadolescentshivself-rated-oral-healthuntreated cariespatient-reported-outcomes.
spellingShingle Yolanda Malele-Kolisa
Innocent Maposa
Veerasamy Yengopal
Jude Igumbor
Validation of the Child-Oral-Health-Impact-Profile among adolescents in Johannesburg: A cross-sectional study
African Journal of Primary Health Care & Family Medicine
oral health-related quality of life
adolescents
hiv
self-rated-oral-health
untreated caries
patient-reported-outcomes.
title Validation of the Child-Oral-Health-Impact-Profile among adolescents in Johannesburg: A cross-sectional study
title_full Validation of the Child-Oral-Health-Impact-Profile among adolescents in Johannesburg: A cross-sectional study
title_fullStr Validation of the Child-Oral-Health-Impact-Profile among adolescents in Johannesburg: A cross-sectional study
title_full_unstemmed Validation of the Child-Oral-Health-Impact-Profile among adolescents in Johannesburg: A cross-sectional study
title_short Validation of the Child-Oral-Health-Impact-Profile among adolescents in Johannesburg: A cross-sectional study
title_sort validation of the child oral health impact profile among adolescents in johannesburg a cross sectional study
topic oral health-related quality of life
adolescents
hiv
self-rated-oral-health
untreated caries
patient-reported-outcomes.
url https://phcfm.org/index.php/phcfm/article/view/3993
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AT innocentmaposa validationofthechildoralhealthimpactprofileamongadolescentsinjohannesburgacrosssectionalstudy
AT veerasamyyengopal validationofthechildoralhealthimpactprofileamongadolescentsinjohannesburgacrosssectionalstudy
AT judeigumbor validationofthechildoralhealthimpactprofileamongadolescentsinjohannesburgacrosssectionalstudy