Abstract
Aim
This study aimed to investigate the sensitivity and responsiveness to change for the Brazilian version of the Child Perceptions Questionnaire (CPQ8–10) after dental caries treatment.
Subject and methods
Thirty children aged 8 to 10 years old with untreated dental caries were randomly selected from public schools. They responded to the CPQ8–10 before and 1 month after finishing treatment for dental caries. Sensitivity was assessed by determining distribution changes using paired t-tests and Wilcoxon signed-rank tests. Responsiveness to change was evaluated by effect size (ES) and standardized response mean (SRM). Minimally important differences (MIDs) were also evaluated.
Results
Mean/median pre-treatment values for the total CPQ8–10 score and subscales were significantly higher than the post-treatment values (p < 0.05). ES was large (effect size ≥ 0.8) for the total CPQ8–10 score and oral symptoms (OS), functional limitations (FL) and emotional wellbeing (EW) subscales and moderate (effect size 0.3–0.7) for the social wellbeing (SW) subscale. SRM values were moderate (0.3–0.7) for the total CPQ8–10 score and FL, EW and SW subscales and high (≥ 0.8) for the OS subscale. MID values for the total CPQ8–10 score and all subscales were lower than the mean score change.
Conclusion
The Brazilian version of the CPQ8–10 is sensitive and responsive enough to detect changes brought about by dental caries treatment.
Similar content being viewed by others
Change history
30 January 2018
The journal had been advised to revise the title so that Clarivate Analytics can try to count the citations more accurately. There’s been confusion due to the existence of another journal with the same name.
References
Abanto J, Albites U, Bönecker M, Martins-Paiva S, Castillo JL, Aguilar-Gálvez D (2013) Cross-cultural adaptation and psychometric properties of the Child Perceptions Questionnaire 11-14 (CPQ11-14) for the Peruvian Spanish language. Med Oral Patol Oral Cir Bucal 18:e832–e838
Abanto J, Paiva SM, Sheiham A, Tsakos G, Mendes FM, Cordeschi T, Vidigal EA, Bönecker M (2016) Changes in preschool children’s OHRQoL after treatment of dental caries: responsiveness of the B-ECOHIS. Int J Paediatr Dent 26:259–265
American Academy of Pediatric Dentistry (2015) Guideline on caries-risk assessment and management for infants, children, and adolescents. Pediatr Dent 37:132–139
Antunes LA, Luiz RR, Leão AT, Maia LC (2012) Initial assessment of responsiveness of the P-CPQ (Brazilian version) to describe the changes in quality of life after treatment for traumatic dental injury. Dent Traumatol 28:256–262
Barbosa TS, Tureli MC, Gavião MB (2009) Validity and reliability of the Child Perceptions Questionnaires applied in Brazilian children. BMC Oral Health 9:13
Beaton D, Hogg-Johnson S, Bombardier C (1997) Evaluating changes in health status. Reliability and responsiveness of five generic health status measures in workers with soft tissue injuries. J Clin Epidemiol 50:79–93
Cohen J (1994) The earth is round (p < .05). Am Psychol 49:997–1003
De Paula JS, Sarracini KL, Meneghim MC, Pereira AC, Ortega EM, Martins NS, Mialhe FL (2015) Longitudinal evaluation of the impact of dental caries treatment on oral health-related quality of life among schoolchildren. Eur J Oral Sci 123:173–178
Frisch MB, Clark MP, Rouse SV (2005) Predictive and treatment validity of life satisfaction and the quality of life inventory. Assessment 12:66–78
Gururatana O, Baker S, Robinson PG (2011) Psychometric properties of long and short forms of the Child Perceptions Questionnaire (CPQ11-14) in a Thai population. Community Dent Health 28:232–237
Husted JA, Cook RJ, Farewell VT, Gladman DD (2000) Methods for assessing responsiveness: a critical review and recommendations. J Clin Epidemiol 53:459–468
Jaeschke R, Singer J, Guyatt GH (1989) Measurement of health status. Ascertaining the minimal clinically important difference. Control Clin Trials 10:407–415
Jokovic A, Locker D, Stephens M, Kenny D, Tompson B, Guyatt G (2002) Validity and reliability of a questionnaire for measuring child oral-health-related quality of life. J Dent Res 81:459–463
Jokovic A, Locker D, Tompson B, Guyatt G (2004) Questionnaire for measuring oral health-related quality of life in eight- to ten-year-old children. Pediatr Dent 26:512–518
Jokovic A, Locker D, Guyatt G (2006) Short forms of the Child Perceptions Questionnaire for 11–14-year-old children (CPQ11-14): development and initial evaluation. Health Qual Life Outcomes 4:4
Lee GH, McGrath C, Yiu CK, King NM (2011) Sensitivity and responsiveness of the Chinese ECOHIS to dental treatment under general anaesthesia. Community Dent Oral Epidemiol 39:372–377
Locker D, Jokovic A, Clarke M (2004) Assessing the responsiveness of measures of oral health related quality of life. Community Dent Oral Epidemiol 32:10–18
Marshman Z, Rodd H, Stern M (2005) An evaluation of the Child Perceptions Questionnaire in the UK. Community Dent Health 22:151–155
Martins-Júnior PA, Oliveira M, Marques LS, Ramos-Jorge ML (2012) Untreated dental caries: impact on quality of life of children of low socioeconomic status. Pediatr Dent 34:49–52
Mashoto KO, Astrøm AN, Skeie MS, Masalu JR (2010) Changes in the quality of life of Tanzanian school children after treatment interventions using the Child-OIDP. Eur J Oral Sci 118:626–634
Norman GR, Sloan JA, Wyrwick KW (2003) Interpretation of changes in health-related quality of life: the remarkable universality of half a standard deviation. Med Care 41:582–592
Phillips C, Beal KNE (2009) Self-concept and the perception of facial appearance in children and adolescents seeking orthodontic treatment. Angle Orthod 79:12–16
Prous ML, Salvanés FR, Ortells LC (2008) Responsiveness of outcome measures. Reumatol Clin 4:240–247
Robinson PG, Gibson B, Khan FA, Birnbaum W (2003) Validity of two oral health-related quality of life measures. Community Dent Oral Epidemiol 31:90–99
Slade GD (1998) Assessing change in quality of life using the Oral Health Impact Profile. Community Dent Oral Epidemiol 26:52–61
Slade GD (2001) Epidemiology of dental pain and dental caries among children and adolescents. Community Dent Health 18:219–227
Tsakos G, Allen PF, Steele JG, Locker D (2001) Interpreting oral health-related quality of life data. Community Dent Oral Epidemiol 40:193–200
Turton BJ, Thomson WM, Foster Page LA, Saub R, Ishak AR (2015) Responsiveness of the Child Perceptions Questionnaire 11–14 for Cambodian children undergoing basic dental care. Int J Paediatr Dent 25:2–8
Wilson I, Cleary P (1995) Linking clinical variables with health-related quality of life: a conceptual model of patient outcomes. JAMA 273:59–65
World Health Organization (WHO) (1997) Oral health surveys. Basic methods, Geneva
Acknowledgments
This study was supported by the Brazilian Coordination of Higher Education, Ministry of Education (CAPES), the Research Foundation of the State of Minas Gerais (FAPEMIG) and the National Council for Scientific and Technological Development (CNPQ), Brazil.
Author information
Authors and Affiliations
Corresponding author
Ethics declarations
Conflict of interest
Author Paulo Antônio Martins-Júnior declares that he has no conflict of interest. Author Laís Almeida declares that she has no conflict of interest. Author Valdirene Souza Silva declares that she has no conflict of interest. Author Saul Martins Paiva declares that he has no conflict of interest. Author Maria Letícia Ramos-Jorge declares that she has no conflict of interest.
Ethical approval
All procedures performed in studies involving human participants were in accordance with the ethical standards of the institutional and/or national research committee and with the 1964 Helsinki Declaration and its later amendments or comparable ethical standards. Informed consent was obtained from all individual participants included in the study.
Additional information
The original version of this article was revised: Due to the existence of another journal with the same name, the Publisher has added a subtitle, “From Theory to Practice.” Effective as of January 2018, the new title of this Journal is Journal of Public Health: From Theory to Practice.
A correction to this article is available online at https://doi.org/10.1007/s10389-017-0893-1.
Rights and permissions
About this article
Cite this article
Martins-Júnior, P.A., Almeida, L., Silva, V.S. et al. Sensitivity and responsiveness to change for the Brazilian version of the child perceptions questionnaire for 8- to 10-year-old children. J Public Health 26, 15–21 (2018). https://doi.org/10.1007/s10389-017-0848-6
Received:
Accepted:
Published:
Issue Date:
DOI: https://doi.org/10.1007/s10389-017-0848-6