Community Dentistry And Oral Epidemiology · 2013 · 50 citations · 15 references
DentistryPediatric DentistryChild Oral HealthInfant Oral HealthPediatric Dental CariesCaries Activity AssessmentCaries ManagementCaries PreventionCaries Risk AssessmentCaries Outcomes In ChildrenCaries Prevention In ChildrenCaries Severity IndicesEarly Caries PreventionEarly Childhood Caries AssessmentEarly Childhood Caries ManagementReliability TestingScale Scores
OBJECTIVE: To develop short-form versions of the Parental-Caregivers Perceptions Questionnaire (P-CPQ) and Family Impact Scale (FIS). METHODS: Pretest/post-test clinical studies involved parent-completed questionnaires (the P-CPQ and the FIS) before and some weeks after dental care (under general anaesthesia) for early childhood caries (ECCs) in consecutive clinical samples from Wellington and Auckland. Deriving the short-form versions used only the baseline data from the Wellington sample (N = 195), whereas their evaluation used both baseline and follow-up data from the Auckland sample (N = 144 followed up). Item impact analysis was used to identify the 8 and 16 items with the greatest impact. An eight-item short-form FIS version was obtained in the same way. RESULTS: In the Wellington sample, Cronbach's α for the full, 16- and 8-item P-CPQ scales was 0.92, 0.89 and 0.82, respectively, and it was 0.88 and 0.85 for the full and eight-item FIS. Cross-sectional concurrent validity in the Wellington sample was acceptable for all short forms. Examining their responsiveness in the Auckland sample, large decreases post-treatment were observed in the short-form P-CPQ scores which were similar in relative magnitude to those seen with the full version. The full and short-form FIS scale scores showed moderate decreases. CONCLUSIONS: The reliability, validity and responsiveness of the short-form versions were acceptable in these settings with children suffering from severe ECC; however, before they can be treated as definitive measures for use in health services research to determine the effects of clinical interventions for ECC, their test-retest reliability should be examined and further validation undertaken.
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