Validation of the French version of COHIP-SF-19 among 12-years children in New Caledonia

Abstract Background Assessment of oral health-related quality of life is now associated to clinical indicators in epidemiological studies. This study aimed at validating the French Short Form of the Child Oral Health Impact Profile (COHIP-SF-19) and assessing the impacts of oral diseases among schoo...

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Main Authors: Amal Skandrani, Nada El Osta, Hélène Pichot, Caroline Eschevins, Bruno Pereira, Stéphanie Tubert-Jeannin
Format: Article
Language:English
Published: BMC 2022-08-01
Series:BMC Oral Health
Subjects:
Online Access:https://doi.org/10.1186/s12903-022-02370-4
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author Amal Skandrani
Nada El Osta
Hélène Pichot
Caroline Eschevins
Bruno Pereira
Stéphanie Tubert-Jeannin
author_facet Amal Skandrani
Nada El Osta
Hélène Pichot
Caroline Eschevins
Bruno Pereira
Stéphanie Tubert-Jeannin
author_sort Amal Skandrani
collection DOAJ
description Abstract Background Assessment of oral health-related quality of life is now associated to clinical indicators in epidemiological studies. This study aimed at validating the French Short Form of the Child Oral Health Impact Profile (COHIP-SF-19) and assessing the impacts of oral diseases among schoolchildren in New Caledonia (NC). Methods A sample of 12-years-old children (n = 971) was selected in 2019 in NC using a random, stratified, and clustered sampling technique. Children filled the French COHIP-SF-19 questionnaire. Information on sociodemographic characteristics, oral hygiene habits, perception of oral health problems were also collected through self-administered questionnaires or from the schools’ database. Dental status (dental caries, gingival status, and dental functional units) was clinically recorded at school by four calibrated examiners. Cronbach’s alpha and intraclass correlation coefficients (ICC) were calculated. Kruskal–Wallis tests and spearman correlations were used along with multilevel mixed models taking into account the cluster and examiner effects. A confirmatory factor analysis was conducted and sensitivity analyses were performed. Results Among the 693 children examined, 557 children were included. Oral diseases were frequent in the study population 40% had dental caries and 55% presented gingivitis. The COHIP scores ranged from 7 to 76 (57.9 ± 9.96) with 96.4% of the children having experienced oral health problems, 81.7% reporting functional impacts and 90.5% socio-emotional impacts. Overall, the French COHIP-SF-19 showed satisfactory psychometric characteristics. Internal consistency was high (Cronbach’s alpha = 0.80) and reproducibility excellent (ICC = 0.9). Discriminant and concurrent validity were adequate. Indeed, children with less optimal social situation, impaired dental status, declaring severe dental problems or difficulties in accessing oral health care showed lower COHIP-SF-19 scores. Factor analyses suggested a four-component structure with identification of a new domain (self -image) and changes in the repartition of the items within the original domains. Sensitivity analyses showed similar results for children with partial or complete answers in the COHIP questionnaire. Conclusions The French COHIP-SF-19 showed satisfactory psychometric characteristics and allowed to identify the high impacts of oral diseases in New Caledonian children, namely for socially deprived children.
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spelling doaj.art-c17feffd1acd43d89bbbf749508774612022-12-22T04:01:26ZengBMCBMC Oral Health1472-68312022-08-0122111710.1186/s12903-022-02370-4Validation of the French version of COHIP-SF-19 among 12-years children in New CaledoniaAmal Skandrani0Nada El Osta1Hélène Pichot2Caroline Eschevins3Bruno Pereira4Stéphanie Tubert-Jeannin5Centre de Recherche en Odontologie Clinique (CROC), Faculté de chirurgie dentaire, Université Clermont AuvergneCentre de Recherche en Odontologie Clinique (CROC), Faculté de chirurgie dentaire, Université Clermont AuvergneHealth and Social Agency of New Caledonia (ASS-NC)Centre de Recherche en Odontologie Clinique (CROC), Faculté de chirurgie dentaire, Université Clermont AuvergneCHU of Clermont-Ferrand, Clinical Research and Innovation Direction (DRCI)Centre de Recherche en Odontologie Clinique (CROC), Faculté de chirurgie dentaire, Université Clermont AuvergneAbstract Background Assessment of oral health-related quality of life is now associated to clinical indicators in epidemiological studies. This study aimed at validating the French Short Form of the Child Oral Health Impact Profile (COHIP-SF-19) and assessing the impacts of oral diseases among schoolchildren in New Caledonia (NC). Methods A sample of 12-years-old children (n = 971) was selected in 2019 in NC using a random, stratified, and clustered sampling technique. Children filled the French COHIP-SF-19 questionnaire. Information on sociodemographic characteristics, oral hygiene habits, perception of oral health problems were also collected through self-administered questionnaires or from the schools’ database. Dental status (dental caries, gingival status, and dental functional units) was clinically recorded at school by four calibrated examiners. Cronbach’s alpha and intraclass correlation coefficients (ICC) were calculated. Kruskal–Wallis tests and spearman correlations were used along with multilevel mixed models taking into account the cluster and examiner effects. A confirmatory factor analysis was conducted and sensitivity analyses were performed. Results Among the 693 children examined, 557 children were included. Oral diseases were frequent in the study population 40% had dental caries and 55% presented gingivitis. The COHIP scores ranged from 7 to 76 (57.9 ± 9.96) with 96.4% of the children having experienced oral health problems, 81.7% reporting functional impacts and 90.5% socio-emotional impacts. Overall, the French COHIP-SF-19 showed satisfactory psychometric characteristics. Internal consistency was high (Cronbach’s alpha = 0.80) and reproducibility excellent (ICC = 0.9). Discriminant and concurrent validity were adequate. Indeed, children with less optimal social situation, impaired dental status, declaring severe dental problems or difficulties in accessing oral health care showed lower COHIP-SF-19 scores. Factor analyses suggested a four-component structure with identification of a new domain (self -image) and changes in the repartition of the items within the original domains. Sensitivity analyses showed similar results for children with partial or complete answers in the COHIP questionnaire. Conclusions The French COHIP-SF-19 showed satisfactory psychometric characteristics and allowed to identify the high impacts of oral diseases in New Caledonian children, namely for socially deprived children.https://doi.org/10.1186/s12903-022-02370-4Oral healthQuality of lifeChildValidation studyDental cariesSocio-economic factors
spellingShingle Amal Skandrani
Nada El Osta
Hélène Pichot
Caroline Eschevins
Bruno Pereira
Stéphanie Tubert-Jeannin
Validation of the French version of COHIP-SF-19 among 12-years children in New Caledonia
BMC Oral Health
Oral health
Quality of life
Child
Validation study
Dental caries
Socio-economic factors
title Validation of the French version of COHIP-SF-19 among 12-years children in New Caledonia
title_full Validation of the French version of COHIP-SF-19 among 12-years children in New Caledonia
title_fullStr Validation of the French version of COHIP-SF-19 among 12-years children in New Caledonia
title_full_unstemmed Validation of the French version of COHIP-SF-19 among 12-years children in New Caledonia
title_short Validation of the French version of COHIP-SF-19 among 12-years children in New Caledonia
title_sort validation of the french version of cohip sf 19 among 12 years children in new caledonia
topic Oral health
Quality of life
Child
Validation study
Dental caries
Socio-economic factors
url https://doi.org/10.1186/s12903-022-02370-4
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