Abstract
The aims of this study were to develop a German version of the Child Perceptions Questionnaire (CPQ11-14, a measure of oral health-related quality of life in 11–14-year-old children) and to assess the instrument’s reliability and validity in German children ages 11–14. The English original version of the CPQ11-14 questionnaire was translated into German (CPQ-G11-14) by a forward–backward translation method. Reliability was investigated in 1,061 subjects aged 11–14 years from a regional sample (Wernigerode, Saxonia-Anhalt, Germany) who were recruited during the annual dental public health examination. The subjects completed the CPQ-G11-14 and were clinically examined for the presence of dental caries, plaque accumulation, and malocclusion. In the reliability assessment, questionnaire summary score test–retest reliability was excellent (intraclass correlation coefficient, 95% confidence interval (CI) = 0.83, 0.73–0.94) and internal consistency was satisfactory (Cronbach’s alpha, lower limit of CI = 0.87, 0.86). Validity of the CPQ-G11-14 questionnaire was supported by correlations with global ratings of oral health and overall well-being that were moderate in magnitude and met expectations (r = 0.35; 95% CI, 0.30–0.40 and r = 0.30; 95% CI, 0.24–0.35, respectively). In conclusion, the German version of the CPQ11-14 was reliable and valid in a general population of 11–14-year-old German children.
Similar content being viewed by others
References
Locker D, Allen F (2007) What do measures of ‘oral health-related quality of life’ measure? Community Dent Oral Epidemiol 35:401–411
Scientific Advisory Committee of the Medical Outcomes Trust (2002) Assessing health status and quality-of-life instruments: attributes and review criteria. Qual Life Res 11:193–205
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
Do LG, Spencer AJ (2008) Evaluation of oral health-related quality of life questionnaires in a general child population. Community Dent Health 25:205–210
Goursand D, Paiva SM, Zarzar PM, Ramos-Jorge ML, Cornacchia GM, Pordeus IA, Allison PJ (2008) Cross-cultural adaptation of the Child Perceptions Questionnaire 11-14 (CPQ11-14) for the Brazilian Portuguese language. Health Qual Life Outcomes 6:2
Torres CS, Paiva SM, Vale MP, Pordeus IA, Ramos-Jorge ML, Oliveira AC, Allison PJ (2009) Psychometric properties of the Brazilian version of the Child Perceptions Questionnaire (CPQ11-14) - short forms. Health Qual Life Outcomes 7:43
McGrath C, Pang HN, Lo EC, King NM, Hagg U, Samman N (2008) Translation and evaluation of a Chinese version of the child oral health-related quality of life measure. Int J Paediatr Dent 18:267–274
Wogelius P, Gjorup H, Haubek D, Lopez R, Poulsen S (2009) Development of Danish version of child oral-health-related quality of life questionnaires (CPQ8-10 and CPQ11-14). BMC Oral Health 9:11
Foster Page LA, Thomson WM, Jokovic A, Locker D (2005) Validation of the Child Perceptions Questionnaire (CPQ 11-14). J Dent Res 84:649–652
Foster Page LA, Thomson WM, Jokovic A, Locker D (2008) Epidemiological evaluation of short-form versions of the Child Perception Questionnaire. Eur J Oral Sci 116:538–544
Brown A, Al-Khayal Z (2006) Validity and reliability of the Arabic translation of the child oral-health-related quality of life questionnaire (CPQ11-14) in Saudi Arabia. Int J Paediatr Dent 16:405–411
Marshman Z, Rodd H, Stern M, Mitchell C, Locker D, Jokovic A, Robinson PG (2005) An evaluation of the Child Perceptions Questionnaire in the UK. Community Dent Health 22:151–155
O’Brien K, Wright JL, Conboy F, Macfarlane T, Mandall N (2006) The child perception questionnaire is valid for malocclusions in the United Kingdom. Am J Orthod Dentofacial Orthop 129:536–540
Guyatt GH, Bombardier C, Tugwell PX (1986) Measuring disease-specific quality of life trials. J Can Med Assoc 134:889–895
Juniper EF, Guyatt GH, Jaeschke R (1996) How to develop and validate a new health-related quality of life instrument. In: Spilker B (ed) Quality of life and pharmacoeconomics in clinical trials. Lippincott-Raven, Philadelphia, pp 49–56
Beaton RD, Johnson LC (2002) Instrument development and evaluation of domestic preparedness training for first responders. Prehosp Disaster Med 17:119–125
World Health Organization (1997) Oral health surveys. Basic methods. World Health Organization, Geneva
Ambjornsen E, Valderhaug J, Norheim PW, Floystrand F (1982) Assessment of an additive index for plaque accumulation on complete maxillary dentures. Acta Odontol Scand 40:203–208
Klink-Heckmann U, Bredy E (1990) Kieferorthopädie. J. A. Barth, Leipzig-Heidelberg
Cronbach LJ (1951) Coefficient alpha and the internal structure of tests. Psychometrika 16:297–334
Bland JM, Altman DG (1986) Statistical methods for assessing agreement between two methods of clinical measurement. Lancet 1:307–310
Shrout PE, Fleiss JL (1979) Intraclass correlations: uses in assessing rater reliability. Psychol Bull 86:420–428
Nunnally JC, Bernstein IR (1994) Psychometric theory. McGraw-Hill, New York
Cohen J (1988) Statistical power analysis for the behavioral sciences. Lawrence Erlbaum, Hillsdale
Barbosa TS, Tureli MC, Gaviao MB (2009) Validity and reliability of the Child Perceptions Questionnaires applied in Brazilian children. BMC Oral Health 9:13
John MT, Patrick DL, Slade GD (2002) The German version of the Oral Health Impact Profile—translation and psychometric properties. Eur J Oral Sci 110:425–433
Szentpetery A, Szabo G, Marada G, Szanto I, John MT (2006) The Hungarian version of the Oral Health Impact Profile. Eur J Oral Sci 114:197–203
Rener-Sitar K, Petricevic N, Celebic A, Marion L (2008) Psychometric properties of Croatian and Slovenian short form of oral health impact profile questionnaires. Croat Med J 49:536–544
Al-Jundi MA, Szentpetery A, John MT (2007) An Arabic version of the Oral Health Impact Profile: translation and psychometric properties. Int Dent J 57:84–92
Yamazaki M, Inukai M, Baba K, John MT (2007) Japanese version of the Oral Health Impact Profile (OHIP-J). J Oral Rehabil 34:159–168
O’Connor R (2004) Measuring quality of life in health. Churchill Livingstone, Edinburgh
Acknowledgements
The study was supported by GABA International. The authors are grateful to Ms. Annett Schrock (University of Leipzig) for her help with data management and analysis.
Conflict of interest
The authors declare that they have no conflict of interest.
Author information
Authors and Affiliations
Corresponding author
Rights and permissions
About this article
Cite this article
Bekes, K., John, M.T., Zyriax, R. et al. The German version of the Child Perceptions Questionnaire (CPQ-G11-14): translation process, reliability, and validity in the general population. Clin Oral Invest 16, 165–171 (2012). https://doi.org/10.1007/s00784-010-0496-5
Received:
Accepted:
Published:
Issue Date:
DOI: https://doi.org/10.1007/s00784-010-0496-5