Responsiveness of the early childhood oral health impact scale (ECOHIS) is related to dental treatment complexity

Novaes, Tatiane F., Pontes, Laura Regina A., Freitas, Julia G., Acosta, Carolina P., Andrade, Katia Cristina E., Guedes, Renata S., Ardenghi, Thiago M., Imparato, Jose Carlos P., Braga, Mariana M., Raggio, Daniela P. ORCID: https://orcid.org/0000-0002-0048-2068 and Mendes, Fausto P. 2017. Responsiveness of the early childhood oral health impact scale (ECOHIS) is related to dental treatment complexity. Health and Quality of Life Outcomes 15 , 182. 10.1186/s12955-017-0756-z

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Abstract

Background The responsiveness of the Early Childhood Oral Health Impact Scale (ECOHIS) has varied greatly across studies; hence, we hypothesized that this discrepancy could be related to the complexity of dental treatment received. Thus, we aimed to evaluate the responsiveness of the ECOHIS to changes in oral health-related quality of life (OHRQoL) following dental treatments of varying complexity in preschool children. Methods Preschool children aged 3 to 6 years were selected; their parents responded to the ECOHIS at baseline. The parents responded to the ECOHIS again and a global transition question 30 days after the children were treated. The type of treatment received by the children was categorized according to complexity, as follows: 1) non-operative treatment only, 2) restorative treatment, and 3) endodontic treatment and/or tooth extraction. Change scores and effect sizes (ES) were calculated for total scores, as well as considering the different treatment types and global transition question responses. Results Of the 152 children who completed the study, the ECOHIS yielded large ES for total scores (0.89). The children showed increasing ES values associated with better perception of improvement, assessed by the global transition question. The magnitude of ES after treatment was related to treatment complexity (0.53, 0.92 and 1.43, for children who received non-operative treatment only, restorative treatment, and endodontic treatment and/or tooth extraction, respectively). Conclusions Parents whose children required more complex dental treatment are more likely to perceive treatment-related changes to OHRQoL assessed with the ECOHIS.

Item Type:	Article
Date Type:	Publication
Status:	Published
Schools:	Dentistry
Additional Information:	This article is distributed under the terms of the Creative Commons Attribution 4.0 International License (http://creativecommons.org/licenses/by/4.0/), which permits unrestricted use, distribution, and reproduction in any medium, provided you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons license, and indicate if changes were made.
Publisher:	BioMed Central
ISSN:	1477-7525
Date of First Compliant Deposit:	20 June 2022
Date of Acceptance:	10 September 2017
Last Modified:	08 May 2023 04:28
URI:	https://orca.cardiff.ac.uk/id/eprint/148882

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