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Evaluation of oral health-related quality of life among Sudanese schoolchildren using Child-OIDP inventory
Nazik M Nurelhuda, Mutaz F Ahmed, Tordis A Trovik, Anne N ?str?m
Health and Quality of Life Outcomes , 2010, DOI: 10.1186/1477-7525-8-152
Abstract: This paper aimed at evaluating the psychometric properties of the Arabic version of Child-OIDP, estimating the prevalence, severity and causes of oral impacts on daily performances in 12-year-old public and private school attendees in Khartoum State and to identify socio-demographic and clinical correlates of oral impacts as assessed by the Child-OIDP inventory.The Child-OIDP questionnaire was translated into Arabic was administered to a representative sample of 1109 schoolchildren in Khartoum state. Clinical measures employed in this study included DMFT index, Gingival index, Plaque index and Dean's index. A food frequency questionnaire was used to study the sugar-sweetened snack consumption.The instrument showed acceptable psychometric properties and is considered as a valid, reliable (Cronbach's alpha 0.73) and practical inventory for use in this population. An impact was reported by 54.6% of the schoolchildren. The highest impact was reported on eating (35.5%) followed by cleaning (28.3%) and the lowest impacts were on speaking (8.6%) and social contact (8.7%). Problems which contributed to all eight impacts were toothache, sensitive teeth, exfoliating teeth, swollen gums and bad breath. Toothache was the most frequently associated cause of almost all impacts in both private and public school attendees. After adjusting for confounders in the 3 multiple variable regression models (whole sample, public and private school attendees), active caries maintained a significant association with the whole sample (OR 2.0 95% CI 1.4-2.6) and public school attendees (OR 3.5 95% CI 2.1-5.6), and higher SES was associated with only public school attendees' Child-OIDP (OR 1.9 95% 1.1-3.1).This study showed that the Arabic version of the Child-OIDP was applicable for use among schoolchildren in Khartoum. Despite the low prevalence of the dental caries pathology (24%), a significant relationship, with an average moderate intensity was found with OHRQoL. Focus in this population s
Psychometric properties and the prevalence, intensity and causes of oral impacts on daily performance (OIDP) in a population of older Tanzanians
IA Kida, AN ?str?m, GV Strand, JR Masalu, G Tsakos
Health and Quality of Life Outcomes , 2006, DOI: 10.1186/1477-7525-4-56
Abstract: A cross-sectional survey was conducted in Pwani region and in Dar es Salaam in 2004/2005. A two-stage stratified cluster sample design was utilized. Information became available for 511 urban and 520 rural subjects (mean age 62.9 years) who were interviewed and participated in a full mouth clinical examination in their own homes.The Kiswahili version of the weighted OIDP inventory preserved the overall concept of the original English version. Cronbach's alpha was 0.83 and 0.90 in urban and rural areas, respectively, and the OIDP inventory varied systematically in the expected direction with self-reported oral health measures. The respective prevalence of oral impacts was 51.2% and 62.1% in urban and rural areas. Problems with eating was the performance reported most frequently (42.5% in urban, 55.1% in rural) followed by cleaning teeth (18.2% in urban, 30.6% in rural). More than half of the urban and rural residents with impacts had very little, little and moderate impact intensity. The most frequently reported causes of impacts were toothache and loose teeth.The Kiswahili OIDP inventory had acceptable psychometric properties among non-institutionalized adults 50 years and above in Tanzania. The impacts affecting their performances were relatively common but not very severe.Clinical data are mouth centered and rely on dental professionals' judgments. They have traditionally been utilized in assessing oral health in industrialized- and low income countries. Although informative, this clinical approach has been criticized because of its limited focus in terms of failing to consider functional and psychosocial aspects of oral health [1,2]. In response to a concern that clinical measures alone may not be adequate for assessing the public's oral health needs, oral health related quality of life measures (OHRQoL) have been developed and tested in various populations and are increasingly being used to supplement clinical indicators [1]. Cross-cultural adaptation of existin
Applicability of a Serbian version of the “Oral Impacts on Daily Performance (OIDP)” index - assessment of oral health-related quality of life  [PDF]
Stan?i? Ivica,Kuli? Jelena,Tiha?ek-?oji? Ljiljana,Stojanovi? Zorica
Vojnosanitetski Pregled , 2012, DOI: 10.2298/vsp1202175s
Abstract: Background/Aim. The Oral Impacts on Daily Performance (OIDP) is a well-known psychometric test used internationally to assess the oral health-related quality of life. The interview and self-administrated questionnaire both assess the degree to which oral health problems have affected the life of the participants over the previous 6 months. The aim of this study was to translate the OIDP index into Serbian and to assess its reliability in practice as its initial verification in the Serbian speaking area. Methods. Following an internationally established methods, the OIDP scale was translated using standardized methodology that consisted of forward translation, pilot study and backward translation. Results. A pilot study was carried out with 44 respondents (24 males i 20 females) using a preliminar Serbian version of the OIDP index. All patients were aged over 65 years. A total of 68.2% of the participants replied that they had at least one OIDP impact on daily life in the past 6 months. These troubles were most prominent during eating (47.7%) and speaking (36.4%), but there is a little impact of troubles in the domain of psychosocial sphere. The corrected item-total correlation coefficients for all items were above the minimum recommended level of 0.20 for including an item in a scale. The standardized Cronbach’s alpha coefficient was 0.75. Conclusion. Based on these results, we can conclude that this index is suitable for use in everyday practice in Serbian speaking area providing useful information required to assess oral health-related quality of life.
Discriminative ability of the generic and condition-specific Child-Oral Impacts on Daily Performances (Child-OIDP) by the Limpopo-Arusha School Health (LASH) Project: A cross-sectional study
Hawa S Mbawalla, Matilda Mtaya, Joyce R Masalu, Pongsri Brudvik, Anne N Astrom
BMC Pediatrics , 2011, DOI: 10.1186/1471-2431-11-45
Abstract: In Arusha, 1077 school children (mean age 14.9 years, range 12-17 years) and 1601 school children in Dar es Salaam (mean age 13.0 years, range 12-14 years) underwent oral clinical examinations and completed the Kiswahili version of the generic and CS Child-OIDP inventories. The discriminative ability was assessed as differences in overall mean and prevalence scores between groups, corresponding effect sizes and odd ratios, OR.The differences in the prevalence scores and the overall mean generic Child-OIDP scores were significant between the groups with (DMFT > 0) and without (DMFT = 0) caries experience and with (simplified oral hygiene index [OHI-S] > 1) and without periodontal problems (OHI-S ≤ 1) in Arusha and Dar es Salaam. In Dar es Salaam, differences in the generic and CS Child-OIDP scores were observed between the groups with and without dental caries, differences in the generic Child-OIDP scores were observed between the groups with and without periodontal problems, and differences in the CS Child-OIDP scores were observed between malocclusion groups. The adjusted OR for the association between dental caries and the CS Child-OIDP score attributed to dental caries was 5.4. The adjusted OR for the association between malocclusion and CS Child-OIDP attributed to malocclusion varied from 8.8 to 2.5.The generic Child-OIDP discriminated equally well between children with and without dental caries and periodontal problems across socio-culturally different study sites. Compared with its generic form, the CS Child-OIDP discriminated most strongly between children with and without dental caries and malocclusion. The CS Child OIDP attributed to dental caries and malocclusion seems to be better suited to support clinical indicators when estimating oral health needs among school children in Tanzania.Planning dental treatment within a public health system requires information on the prevalence and distribution of oral diseases [1]. However, normative treatment needs, ref
A Malay version of the Child Oral Impacts on Daily Performances (Child-OIDP) index: assessing validity and reliability
Zamros Y.M. Yusof, Nasruddin Jaafar
Health and Quality of Life Outcomes , 2012, DOI: 10.1186/1477-7525-10-63
Abstract: The Child-OIDP index was translated from English into Malay. The Malay version was tested for reliability and validity on a non-random sample of 132, 11–12?year old schoolchildren from two urban schools in Kuala Lumpur. Psychometric analysis of the Malay Child-OIDP involved face, content, criterion and construct validity tests as well as internal and test-retest reliability. Non-parametric statistical methods were used to assess relationships between Child-OIDP scores and other subjective outcome measures.The standardised Cronbach’s alpha was 0.80 and the weighted Kappa was 0.84 (intraclass correlation?=?0.79). The index showed significant associations with different subjective measures viz. perceived satisfaction with mouth, perceived needs for dental treatment, perceived oral health status and toothache experience in the previous 3?months (p?<?0.05). Two-thirds (66.7%) of the sample had oral impacts affecting one or more performances in the past 3?months. The three most frequently affected performances were cleaning teeth (36.4%), eating foods (34.8%) and maintaining emotional stability (26.5%). In terms of severity of impact, the ability to relax was most severely affected by their oral conditions, followed by ability to socialise and doing schoolwork. Almost three-quarters (74.2%) of schoolchildren with oral impacts had up to three performances affected by their oral conditions.This study indicated that the Malay Child-OIDP index is a valid and reliable instrument to measure the oral impacts of daily performances in 11–12?year old urban schoolchildren in Malaysia.
Validation of an English version of the Child-OIDP index, an oral health-related quality of life measure for children
Huda Yusuf, Sudaduang Gherunpong, Aubrey Sheiham, Georgios Tsakos
Health and Quality of Life Outcomes , 2006, DOI: 10.1186/1477-7525-4-38
Abstract: Children aged 10–11 years in the final year of primary school (year 6) were selected from seven schools where annual screenings are carried out. A total of 228 children participated (99% response rate). A clinical examination was conducted followed by a questionnaire designed to measure oral health-related quality of life in children, namely the Child-OIDP. The psychometric properties of the Child-OIDP were evaluated in terms of face, content and concurrent validity in addition to internal and test-retest reliability.The Child-OIDP revealed excellent validity and good reliability. Weighted Kappa was 0.82. Cronbach's alpha coefficient was 0.58. The index showed significant associations with perceived oral treatment needs and perceived satisfaction with mouth and oral health status (p < 0.001).This study has demonstrated that the Child-OIDP is a valid and reliable index to be used among 10–11 year old schoolchildren in the UK.The concept of need is central to planning, provision and evaluation of health care services. Traditionally, need has been estimated by using professionally based measures, known as normative need. Although normative need is important, it mainly reflects the clinical aspects of illness. However, subjective measures of health are important too, because they provide insights into how people feel and how satisfied they are with their quality of life [1]. Health-related quality of life instruments should therefore be used in conjunction with clinical measures.A child's oral health can impact on eating, smiling, speaking and socialising. Oral conditions, such as dental caries may result in pain, which in turn may lead to consequences on a child's daily life such as taking time off from school or difficulty eating. Facial appearance and its relation to body image, self-esteem and emotional well-being also play important roles in social interaction. Measuring oral impacts in children is particularly relevant, as it will aid researchers and policymakers
Validation of a Persian version of the OIDP index
Mojtaba Dorri, Aubrey Sheiham, Georgios Tsakos
BMC Oral Health , 2007, DOI: 10.1186/1472-6831-7-2
Abstract: The Persian version of OIDP index was developed through a linguistic translation exercise. The psychometric properties of the Persian version of OIDP were evaluated in terms of face, content, construct and criterion validity in addition to internal and test-retest reliability. A convenience sample of 285 working adults aged 20–50 living in Mashad was recruited (91% response rate) to evaluate the Persian version.The Persian version of OIDP had excellent validity and reliability charactersitics. Weighted Kappa was 0.91. Cronbachs alpha coefficient was 0.79. The index showed significant associations with self-rated oral and general health status, as well as perceived dental treatment needs, satisfaction with mouth and prevalence of pain in mouth (P < 0.001). 64.9% of subjects had an oral impact on their daily performances. The most prevalent performance affected was eating, followed by major work or role and sleeping.The Persian version of OIDP index is a valid and reliable measure for use in 20 to 50 year old working Iranians.Measuring the impact of oral conditions on quality of life is an important part of assessing oral health. It is now recognised that there are serious limitations in solely using the clinical normative assessments for the measurement of oral health status and needs. Clinical measures do not consider the individual's perceived health status or perceived needs [1]. Health is no longer defined in terms of illness and disease, but concepts have been broadened to take into account physical, psychological and social aspects of well-being [2]. Hence, measures of health status, which more accurately reflect its multi-dimensional character, have been advocated [3]. These measures, which assess "the extent to which oral conditions disrupt normal social role functioning and lead to major changes in behaviour", are known as socio-dental indicators or oral health-related quality of life measures (OHRQoL) [4-7].A variety of oral health-related quality of life i
Comparison of the self-administered and interviewer-administered modes of the child-OIDP
Georgios Tsakos, Eduardo Bernabé, Kevin O'Brien, Aubrey Sheiham, Cesar de Oliveira
Health and Quality of Life Outcomes , 2008, DOI: 10.1186/1477-7525-6-40
Abstract: This was a cross-sectional study of 144 consecutive children aged 9–16 years referred to orthodontic clinics in Bedfordshire. To compare the two administration modes of the Child-OIDP, the sample was randomly split in two groups. The two groups were analysed in terms of baseline characteristics, self-perceived measures (self-rated oral health, self-perceived need for braces, happiness with dental appearance, frequency of thinking about dental appearance), Child-OIDP performance scores and overall score and psychometric properties (criterion validity and internal reliability).No significant difference between the two groups was found in relation to their sociodemographic profile and self-perceived measures. The self- and interviewer-administered Child-OIDP had identical mean scores and did not differ in recording any of the eight performances (p ≥ 0.206). For criterion validity, the correlation coefficients of the Child-OIDP with self-perceived measures were not different between the two modes of administration (p ≥ 0.118). Furthermore, the Cronbach's alpha values of the two groups were similar (p = 0.466).This study demonstrated that the self-administered Child-OIDP performed the same as the original interviewer-administered mode, while at the same time reducing administration burden. This provides support for the use of the self-administered Child-OIDP. Further studies should focus on a more comprehensive psychometric evaluation.This study assesses differences between two different administration modes of an oral health-related quality of life (OHRQoL) measure for children. The Child-OIDP [1] is an interviewer-administered OHRQoL measure that assesses the frequency and severity of oral impacts on eight daily life performances. Through its condition-specific feature, where the oral impacts are attributed to specific oral conditions according to the respondent's perceptions, the Child-OIDP can be used in needs assessment and for planning services [2]. Indeed, its use
Validity and reliability of the Oral Impacts on Daily Performance (OIDP) frequency scale: a cross-sectional study of adolescents in Uganda
Anne ?str?m, Isaac Okullo
BMC Oral Health , 2003, DOI: 10.1186/1472-6831-3-5
Abstract: 1146 adolescents (mean age 15.8, response rate 87%) attending secondary schools in Kampala (urban) and Lira (rural) completed a survey instrument designed to measure subjective oral health indicators including the eight-item OIDP frequency scores. A clinical examination was conducted among 372 students (mean age 16.3, response rate 72%) and caries was assessed following the World Health Organisation criteria (1997).62% of the students experienced at least one oral impact during the 6 months preceding the survey. Cronbach's alpha for the OIDP frequency items was 0.91 and the corrected item-total correlation ranged from 0.62 to 0.75. Discriminant and construct validity were demonstrated in that the OIDP scores varied systematically in the expected direction with missing teeth and self-report indicators of oral health status, respectively. Socio-demographics and dental attendance did not predict OIDP through interaction with clinical indicators but varied systematically and independently with OIDP frequency scores in the multivariate analysis.the OIDP frequency score have acceptable psychometric properties in the context of an oral health survey among Ugandan adolescents. Some evidence of the importance of social and personal characteristics in shaping adolescents' responses to oral disorders was provided.In response to the growing recognition of quality of life measurement in health care, socio-dental indicators, designed to assess the functional and psychological outcomes of oral disorders, have been developed and tested in various populations [1,2]. Most of the research on oral health related quality of life has been performed with adults and older people and there are only few studies from outside North-America and Europe [1-3,5,6]. Uncertainty remains as to the use of socio-dental indicators in youth populations generally and to their applicability in non-western cultural settings, specifically.The Oral Impacts on Daily Performance (OIDP) scale [5] assesses impact
Slobodanka Ba?i?,Milan Antic,Sla?ana Jovic,Olivera Radulovic
Acta Medica Medianae , 2001,
Abstract: The paper gives an analyzes of the indicators of the social-economic situationof the schoolchildren families. The data are gathered by means of a questionnairefilled up by 262 families of the elementary schoolchildren in Ni as a results of thescientific project entitled "Health and Diseases of Schoolchildren". The research hasshown that the schoolchildren live in a nucleus family; regarding the parents'education, the dominant is high school level; the mothers are more often unemployedthan the fathers; the majority of the parents consider Yugoslav society as a "poor" oneand an important part of the family members are forced to turn to additional incomealso counting upon the help of relatives and friends. Regardless of the parents' level ofeducation, the majority of the examined do not go to the cinema, theater or any othercultural program. The majority of the parents think that the school programs have apositive effect upon appropriate childrens behavior.
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