The Early Childhood Oral Health Impact Scale (ECOHIS): psychometric properties and application on preschoolers

Bianca Núbia Souza Silva; Lucas A. Campos; João Marôco; Juliana A.D.B. Campos

doi:10.7717/peerj.16035

The Early Childhood Oral Health Impact Scale (ECOHIS): psychometric properties and application on preschoolers

Bianca Núbia Souza Silva, Lucas A. Campos, João Marôco, Juliana A.D.B. Campos

KNK, Ear and mouth illnesses

Research output: Contribution to journal › Article › Scientific › peer-review

1 Citation (Scopus)

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Abstract

Background. The concept of oral health related to quality of life involves the impact that oral health has on an individual’s well-being. The Early Childhood Oral Health Impact Scale (ECOHIS) was developed to measure the impact of oral health problems on the lives of children and their families. Objective. To evaluate the psychometric properties of ECOHIS applied to mothers of preschool children and estimate the influence of demographic characteristics, caries experience, and plaque index on the ECOHIS score. Methods. The fit of ECOHIS to the data was assessed by confirmatory analysis. Chi-square for degrees of freedom ratio (χ²/df), Comparative Fit Index (CFI), Tucker-Lewis Index (TLI), and Root Mean Square Error of Approximation (RMSEA) were used. Reliability was estimated by the ordinal coefficients alpha (α) and omega (ω). The factorial invariance was estimated by the difference in CFI (1CFI). Comparisons of the ECOHIS mean scores according to the demographic characteristics, caries experience, and plaque index was performed using analysis of variance (ANOVA). Results. A total of 371 children participated in the study. Mothers’ mean age was 33.0 (SD = 7.04) years. The ECOHIS presented a good fit to the data (χ²/df = 4.31; CFI = 0.95; TLI = 0.94; RMSEA = 0.09) and a strict model invariance. Children without caries and from higher income class had lower oral health impact. Conclusion. The data obtained with the ECOHIS were valid, reliable, and invariant. Children with caries experience and from lower income families had a greater impact of oral problems.

Original language	English
Article number	e16035
Journal	PeerJ
Volume	11
DOIs	https://doi.org/10.7717/peerj.16035
Publication status	Published - 2023
Publication type	A1 Journal article-refereed

Funding

This study was supported by the Coordenac¸ão de Aperfeic¸oamento de Pessoal de Nível Superior–Brasil (CAPES)–grant Code 001 and the São Paulo Research Foundation (Fapesp) (Proceedings # 2019/17200-9 and # 2019/24424-0). The funders had no role in study design, data collection and analysis, decision to publish, or preparation of the manuscript. The following grant information was disclosed by the authors: Coordenac¸ão de Aperfeic¸oamento de Pessoal de Nível Superior–Brasil (CAPES): 001. São Paulo Research Foundation (Fapesp): 2019/17200-9, 2019/24424-0.

Funders	Funder number
Fundação de Amparo à Pesquisa do Estado de São Paulo	2019/24424-0, 2019/17200-9
Coordenação de Aperfeiçoamento de Pessoal de Nível Superior	001

Keywords

Children
Oral health

Publication forum classification

Publication forum level 1

ASJC Scopus subject areas

General Neuroscience
General Biochemistry,Genetics and Molecular Biology
General Agricultural and Biological Sciences

Access to Document

10.7717/peerj.16035Licence: CC BY

peerj-16035Final published version, 266 KBLicence: CC BY

https://urn.fi/URN:NBN:fi:tuni-202401261858Licence: CC BY

Cite this

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title = "The Early Childhood Oral Health Impact Scale (ECOHIS): psychometric properties and application on preschoolers",

abstract = "Background. The concept of oral health related to quality of life involves the impact that oral health has on an individual{\textquoteright}s well-being. The Early Childhood Oral Health Impact Scale (ECOHIS) was developed to measure the impact of oral health problems on the lives of children and their families. Objective. To evaluate the psychometric properties of ECOHIS applied to mothers of preschool children and estimate the influence of demographic characteristics, caries experience, and plaque index on the ECOHIS score. Methods. The fit of ECOHIS to the data was assessed by confirmatory analysis. Chi-square for degrees of freedom ratio (χ2/df), Comparative Fit Index (CFI), Tucker-Lewis Index (TLI), and Root Mean Square Error of Approximation (RMSEA) were used. Reliability was estimated by the ordinal coefficients alpha (α) and omega (ω). The factorial invariance was estimated by the difference in CFI (1CFI). Comparisons of the ECOHIS mean scores according to the demographic characteristics, caries experience, and plaque index was performed using analysis of variance (ANOVA). Results. A total of 371 children participated in the study. Mothers{\textquoteright} mean age was 33.0 (SD = 7.04) years. The ECOHIS presented a good fit to the data (χ2/df = 4.31; CFI = 0.95; TLI = 0.94; RMSEA = 0.09) and a strict model invariance. Children without caries and from higher income class had lower oral health impact. Conclusion. The data obtained with the ECOHIS were valid, reliable, and invariant. Children with caries experience and from lower income families had a greater impact of oral problems.",

keywords = "Children, Oral health",

author = "Silva, {Bianca N{\'u}bia Souza} and Campos, {Lucas A.} and Jo{\~a}o Mar{\^o}co and Campos, {Juliana A.D.B.}",

year = "2023",

doi = "10.7717/peerj.16035",

language = "English",

volume = "11",

journal = "PeerJ",

issn = "2167-8359",

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AU - Marôco, João

AU - Campos, Juliana A.D.B.

PY - 2023

Y1 - 2023

N2 - Background. The concept of oral health related to quality of life involves the impact that oral health has on an individual’s well-being. The Early Childhood Oral Health Impact Scale (ECOHIS) was developed to measure the impact of oral health problems on the lives of children and their families. Objective. To evaluate the psychometric properties of ECOHIS applied to mothers of preschool children and estimate the influence of demographic characteristics, caries experience, and plaque index on the ECOHIS score. Methods. The fit of ECOHIS to the data was assessed by confirmatory analysis. Chi-square for degrees of freedom ratio (χ2/df), Comparative Fit Index (CFI), Tucker-Lewis Index (TLI), and Root Mean Square Error of Approximation (RMSEA) were used. Reliability was estimated by the ordinal coefficients alpha (α) and omega (ω). The factorial invariance was estimated by the difference in CFI (1CFI). Comparisons of the ECOHIS mean scores according to the demographic characteristics, caries experience, and plaque index was performed using analysis of variance (ANOVA). Results. A total of 371 children participated in the study. Mothers’ mean age was 33.0 (SD = 7.04) years. The ECOHIS presented a good fit to the data (χ2/df = 4.31; CFI = 0.95; TLI = 0.94; RMSEA = 0.09) and a strict model invariance. Children without caries and from higher income class had lower oral health impact. Conclusion. The data obtained with the ECOHIS were valid, reliable, and invariant. Children with caries experience and from lower income families had a greater impact of oral problems.

AB - Background. The concept of oral health related to quality of life involves the impact that oral health has on an individual’s well-being. The Early Childhood Oral Health Impact Scale (ECOHIS) was developed to measure the impact of oral health problems on the lives of children and their families. Objective. To evaluate the psychometric properties of ECOHIS applied to mothers of preschool children and estimate the influence of demographic characteristics, caries experience, and plaque index on the ECOHIS score. Methods. The fit of ECOHIS to the data was assessed by confirmatory analysis. Chi-square for degrees of freedom ratio (χ2/df), Comparative Fit Index (CFI), Tucker-Lewis Index (TLI), and Root Mean Square Error of Approximation (RMSEA) were used. Reliability was estimated by the ordinal coefficients alpha (α) and omega (ω). The factorial invariance was estimated by the difference in CFI (1CFI). Comparisons of the ECOHIS mean scores according to the demographic characteristics, caries experience, and plaque index was performed using analysis of variance (ANOVA). Results. A total of 371 children participated in the study. Mothers’ mean age was 33.0 (SD = 7.04) years. The ECOHIS presented a good fit to the data (χ2/df = 4.31; CFI = 0.95; TLI = 0.94; RMSEA = 0.09) and a strict model invariance. Children without caries and from higher income class had lower oral health impact. Conclusion. The data obtained with the ECOHIS were valid, reliable, and invariant. Children with caries experience and from lower income families had a greater impact of oral problems.

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KW - Oral health

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M1 - e16035

ER -

The Early Childhood Oral Health Impact Scale (ECOHIS): psychometric properties and application on preschoolers

Abstract

Funding

Keywords

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ASJC Scopus subject areas

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