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(Reference retrieved automatically from Web of Science through information on FAPESP grant and its corresponding number as mentioned in the publication by the authors.)

Evaluating oral health-related quality of life measure for children and preadolescents with temporomandibular disorder

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Author(s):
Barbosa, Tais S. [1] ; Leme, Marina S. [1] ; Castelo, Paula M. [2] ; Gaviao, Maria Beatriz D. [1]
Total Authors: 4
Affiliation:
[1] Univ Estadual Campinas, Piracicaba Dent Sch, Dept Pediat Dent, Piracicaba, SP - Brazil
[2] Univ Fed Sao Paulo, Dept Biol Sci, Diadema, SP - Brazil
Total Affiliations: 2
Document type: Journal article
Source: HEALTH AND QUALITY OF LIFE OUTCOMES; v. 9, MAY 12 2011.
Web of Science Citations: 20
Abstract

Background: Oral health-related quality of life (OHRQoL) in children and adolescents with signs and symptoms of temporomandibular disorder (TMD) has not yet been measured. This study aimed to evaluate the validity and reliability of OHRQoL measure for use in children and preadolescents with signs and symptoms of TMD. Methods: Five hundred and forty-seven students aged 8-14 years were recruited from public schools in Piracicaba, Brazil. Self-perceptions of QoL were measured using the Brazilian Portuguese versions of Child Perceptions Questionnaires (CPQ)(8-10) (n = 247) and CPQ(11-14) (n = 300). A single examiner, trained and calibrated for diagnosis according to the Axis I of the Research Diagnostic Criteria for TMD (RDC/TMD), examined the participants. A self-report questionnaire assessed subjective symptoms of TMD. Intraexaminer reliability was assessed for the RDC/TMD clinical examinations using Cohen's Kappa (kappa) and intraclass correlation coefficient (ICC). Criterion validity was calculated using the Spearman's correlation, construct validity using the Spearman's correlation and the Mann-Whitney test, and the magnitude of the difference between groups using effect size (ES). Reliability was determined using Cronbach's alpha, alpha if the item was deleted and corrected item-total correlation. Results: Intraexaminer reliability values ranged from regular (kappa = 0.30) to excellent (kappa = 0.96) for the categorical variables and from moderate (ICC = 0.49) to substantial (ICC = 0.74) for the continuous variables. Criterion validity was supported by significant associations between both CPQ scores and pain-related questions for the TMD groups. Mean CPQ(8-10) scores were slightly higher for TMD children than control children (ES = 0.43). Preadolescents with TMD had moderately higher scores than the control ones (ES = 0.62; p < 0.0001). Significant correlation between the CPQ scores and global oral health, as well as overall well-being ratings (p < 0.001) occurred, supporting the construct validity. The Cronbach's alphas were 0.93 for CPQ(8-10) and 0.94 for CPQ(11-14). For the overall CPQ(8-10) and CPQ(11-14) scales, the corrected item-total correlation coefficients ranged from 0.39-0.76 and from 0.28-0.73, respectively. The alpha coefficients did not increase when any of the items were deleted in either CPQ samples. Conclusions: The questionnaires are valid and reliable for use in children and preadolescents with signs and symptoms of temporomandibular disorder. (AU)

FAPESP's process: 08/00325-9 - Quality of life evaluation, oral health and salivary cortisol and amylase levels - associations with variables between and within individuals: longitudinal study in children
Grantee:Taís de Souza Barbosa
Support Opportunities: Scholarships in Brazil - Doctorate