Translation and validation of the Chinese version of the Child Perceptions Questionnaire for children aged 8-10 years

doi:10.7518/hxkq.2022.01.011

Abstract

Abstract: Objective

This study aimed to establish a Chinese version of the Child Perceptions Questionnaire for children aged 8-10 years (CPQ_8-10) and evaluate its reliability and validity for a comprehensive and reliable assessment of oral health-related quality of life in children.

Methods

The Chinese CPQ_8-10 was formed through translation, reverse translation, and cross-cultural adaption according to international standard procedures. It was used to evaluate the children's oral health-related quality of life to assess the reliability and validity of the scale.

Results

A total of 446 children received the survey, and 405 valid questionnaires were obtained. Cronbach's a for the full scale was 0.87, and the intraclass correlation coefficient for the total scale was 0.88. The CPQ_8-10 score was significantly correlated with the score of two global questions (P<0.01). The dental caries group had the highest score of the full scale, followed by the malocclusion group; the healthy group had the lowest score (P<0.01).

Conclusion

The Chinese version of CPQ_8-10 demonstrates great reliability and validity and provides a theoretical basis for its application in Chinese children aged 8-10 years.

Key words: Child Perceptions Questionnaire for children aged 8-10, reliability, validity, children, oral health-related quality of life

CLC Number:

R 780.1

Zeng Xinyi, Cheng Bin, Zhang Lin, Guo Yuxuan, Li Yiling, Zou Jing, Wang Yan.. Translation and validation of the Chinese version of the Child Perceptions Questionnaire for children aged 8-10 years[J]. West China Journal of Stomatology, 2022, 40(1): 75-79.

Figures/Tables 4

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References 15

1	Borges TS, Vargas-Ferreira F, Kramer PF, et al. Impact of traumatic dental injuries on oral health-related quality of life of preschool children: a systematic review and meta-analysis[J]. PLoS One, 2017, 12(2): e0172235.
2	邓力, 杨正艳, 蔡婷, 等. 重庆市12~15岁中学生口腔健康知识、态度、行为的问卷调查分析[J]. 华西口腔医学杂志, 2020, 38(1): 42-47.
	Deng L, Yang ZY, Cai T, et al. Investigation of oral health knowledge, attitude, behavior of 12-15 years old children in Chongqing[J]. West China J Stomatol, 2020, 38(1): 42-47.
3	冯希平. 中国居民口腔健康状况——第四次中国口腔健康流行病学调查报告[A]. 中华口腔医学会口腔预防医学专业委员会. 2018年中华口腔医学会第十八次口腔预防医学学术年会论文汇编[C]. 西安: 中华口腔医学会, 2018: 13.
	Feng XP. Oral health status of Chinese residents—the fourth epidemiological survey of oral health in China[A]. Professional Committee of Oral Preventive Medicine, Chinese Stomatological Association. Compilation of papers on the 18th annual conference of oral preventive medicine of Chinese Stomatological Association in 2018[C]. Xi’an: Chinese Stomatological Association, 2018: 13.
4	Jokovic A, Locker D, Tompson B, et al. Questionnaire for measuring oral health-related quality of life in eight- to ten-year-old children[J]. Pediatr Dent, 2004, 26(6): 512-
518
5	Jokovic A, Locker D, Stephens M, et al. Validity and reliability of a questionnaire for measuring child oral-health-related quality of life[J]. J Dent Res, 2002, 81(7): 459-463.
6	李晓捷, 黄华, 林田, 等. 儿童口腔健康影响程度量表的研制[J]. 华西口腔医学杂志, 2008, 26(3): 267-270.
	Li XJ, Huang H, Lin T, et al. Validation of a Chinese version of the Child Perception Questionnaire[J]. West China J Stomatol, 2008, 26(3): 267-270.
7	Barbosa Tde S, Gavião MB. Validation of the Parental-Caregiver Perceptions Questionnaire: agreement between parental and child reports[J]. J Public Health Dent, 2015, 75(4): 255-264.
8	Boy-Lefèvre ML, Razanamihaja N, Azogui-Lévy S, et al. Translation and validation of the French version of the Child Perceptions Questionnaire for children aged from 8 to 10 years old (CPQ 8-10)[J]. Health Qual Life Outcomes, 2018, 16(1): 86.
9	曲波, 郭海强, 任继萍, 等. 结构方程模型及其应用[J]. 中国卫生统计, 2005, 22(6): 405-407.
	Qu B, Guo HQ, Ren JP, et al. Structural equation model and its application[J]. Chin J Health Stat, 2005, 22(6): 405-407.
10	何松霖, 胡德渝. 儿童口腔健康相关生存质量评价的研究进展[J]. 重庆医学, 2009, 38(21): 2745-2747.
	He SL, Hu DY. Research progress on evaluation of oral health-related quality of life in children[J]. Chongqing Med, 2009, 38(21): 2745-2747.
11	林赳, 余钒源, 方欣怡, 等. 儿童口腔健康相关生存质量量表信度与效度的验证研究[J]. 国际口腔医学杂志, 2017, 44(4): 445-451.
	Lin J, Yu FY, Fang XY, et al. Validation of a Chinese version of oral health-related quality of life in children[J]. Int J Stomatol, 2017, 44(4): 445-451.
12	杨文中, 张漫, 陈国新. 中文版儿童感知问卷的信度检验[J]. 口腔医学研究, 2011, 27(1): 49-51, 54.
	Yang WZ, Zhang M, Chen GX. Validation of Chinese version of Child Perceptional Questionnaire[J]. J Oral Sci Res, 2011, 27(1): 49-51, 54.
13	王阿丹, 黄航敏, 凌均棨. 儿童口腔健康相关生存质量量表的验证研究[J]. 中华口腔医学研究杂志(电子版), 2012, 6(6): 503-507.
	Wang AD, Huang HM, Ling JQ. Validation of a Chinese version of oral health-related quality of life in children[J]. Chin J Stomatol Res (Elect Ed), 2012, 6(6): 503-507.
14	Dimberg L, Lennartsson B, Bondemark L, et al. Validity and reliability of the Swedish versions of the short-form child perceptions questionnaire 11-14 and parental perceptions questionnaire[J]. Acta Odontol Scand, 2019, 77(8): 630-635.
15	Martins MT, Ferreira FM, Oliveira AC, et al. Preliminary validation of the Brazilian version of the Child Perceptions Questionnaire 8-10[J]. Eur J Paediatr Dent, 2009, 10(3): 135-140.

项目	可能得分范围	实际得分范围	地板效应	均数±标准差	中位数±四分位数间距
全量表	0~100	0~55	1.48%	12.25±10.00	10±12
维度口腔症状	0~20	0~17	3.46%	4.83±3.25	4±5
功能障碍	0~20	0~20	33.83%	2.23±2.61	1±3
情绪状态	0~20	0~20	32.59%	2.89±3.42	2±5
社会健康状态	0~40	0~22	45.93%	2.09±3.18	1±3

项目	条目数	内部一致性（n=405）	重测信度（n=47）
项目	条目数	Cronbach’s α系数	ICC	95%CI
全量表	25	0.87	0.88	0.79~0.93
维度口腔症状	5	0.72	0.78	0.62~0.88
功能障碍	5	0.73	0.75	0.57~0.86
情绪状态	5	0.79	0.86	0.76~0.92
社会健康状态	10	0.73	0.86	0.77~0.92

项目	口腔健康		日常生活
项目	Spearman秩相关系数	P值	Spearman秩相关系数	P值
全量表	0.556	<0.01	0.594	<0.01
维度口腔症状	0.391	<0.01	0.452	<0.01
功能障碍	0.357	<0.01	0.449	<0.01
情绪状态	0.479	<0.01	0.487	<0.01
社会健康状态	0.380	<0.01	0.328	<0.01

项目	健康组（n=178）	龋病组（n=130）	错畸形组（n=82）	P	P*	P^#	P^s
全量表	5（5）	18（13.25）	12（7.25）	<0.001	<0.010	<0.010	0.010
维度口腔症状	3（3）	7（5）	5（5）	<0.001	<0.010	<0.010	0.010
功能障碍	0（1）	3（5）	2（3）	<0.001	<0.010	<0.010	0.030
情绪状态	0（1）	4（5）	3（4）	<0.001	<0.010	<0.010	0.436
社会健康状态	0（1）	2（4.25）	1（3）	<0.001	<0.010	<0.010	0.080

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