ArticleActa odontologica Scandinavica2024
Dental caries and oral health-related quality of life in Preschoolers - introducing the Swedish version of the early childhood oral health impact scale (ECOHIS).
Article in Acta odontologica Scandinavica, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 9 papers, 3 of them syntheses that pooled it.
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9 citing papers in PubMed, 3 syntheses or guidelines pooled it.
- Early Childhood Oral Health Impact Scale (ECOHIS) questionnaire: reliability generalization meta-analysis of Cronbach's alpha.BMC oral health · 2025Pooled it
- Prevalence of bruxism in patients affected by epilepsy: a systematic review and meta-analysis.Acta odontologica Scandinavica · 2025Pooled it
- Low-level laser treatment's ability to reduce dry socket pain.Acta odontologica Scandinavica · 2024Pooled it
- Early Childhood Caries and Oral Health-Related Quality of Life in Preschool Children: A Systematic Review.Journal of clinical medicine · 2026Review
- Does stunting modify the impact of salivary factors and early childhood caries on oral health-related quality of life?BMC public health · 2026Article
- Maternal age and oral health-related quality of life in preschool children: the mediating role of dental caries in a cross-sectional study.Frontiers in oral health · 2026Article
- Social inequalities and untreated dental caries in 5-year-old children: an intersectional analysis based on SB Brasil 2023.Revista brasileira de epidemiologia = Brazilian journal of epidemiology · 2026Article
- Impact of dental caries on the quality of life of preschool children: a cross-sectional study within a birth cohort.BMC oral health · 2025Article
- Integrating oral and social factors in individual caries risk assessments in preschool children-a registry-based study.European archives of paediatric dentistry : official journal of the European Academy of Paediatric Dentistry · 2024Article
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Abstract
objectiveExperience of caries has a clearly negative impact on the quality of life in preschool children. The instrument Early Childhood Oral Health Impact Scale (ECOHIS) measures the oral health-related quality of life in preschool children (Child Impact Section) and their families (Family Impact Section). The aims of the study were to develop a Swedish version of ECOHIS and to evaluate the instrument's reliability, validity, and internal consistency. Additionally, to analyse the oral health-related quality of life (OHRQoL) among preschool children who have experienced caries.
methodsThe original ECOHIS questionnaire was translated into Swedish. Caregivers of preschool children aged 2-5 years were recruited at dental clinics in Sweden, to participate in the study and answer the Swedish version of the ECOHIS (S-ECOHIS). The internal consistency and reliability were assessed by using Cronbach's Alpha coefficient. In order to measure the consistency of the study, the questionnaire was re-tested two weeks later for 10 of the caregivers and assessed by using intra-class correlation coefficients (ICCs). The results from S-ECOHIS were described as descriptive data and independent t-test was performed. All data were calculated using SPSS (Statistical Package for the Social Sciences).
resultsS-ECOHIS was developed by translating the original English version using a double-blinded technique. A total of 274 caregivers participated in the study and completed the questionnaire. Cronbach's Alpha was 0.84 for S-ECOHIS, 0.83 for CIS, and 0.66 for FIS. The ICCwas 0.95 for the test-retest of S-ECOHIS. Among the respondents, 117 (43%) had children diagnosed with caries, while 157 (57%) had children without caries. The children with caries reported a higher total score of 5.97 (SD 6.16) of S-ECOHIS, compared to the score of the non-caries children 0.77 (SD 1.38) (p < 0.001).
conclusionThe Swedish version of ECOHIS that was developed demonstrates good validity, test-retest reliability, and internal consistency. The findings show that the oral health-related quality of life is adversely affected in preschool children with caries, with particular vulnerability observed among children with untreated caries. These results indicate that S-ECOHISis suitable for use in future clinical and research endeavors. ABBREVIATIONS: S- ECOHIS: Swedish version of the Early Childhood Oral Health Impact Scale; OHRQoL: Oral Health-Related Quality of Life; ICC: Intraclass correlation coefficient; CIS: Children Impact Section; FIS: Family Impact Section.
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