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Questionnaire development: face validity and item impact testing of the Child Oral Health Impact Profile
Author(s) -
Broder Hillary L.,
McGrath Colman,
Cisneros George J.
Publication year - 2007
Publication title -
community dentistry and oral epidemiology
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 1.061
H-Index - 101
eISSN - 1600-0528
pISSN - 0301-5661
DOI - 10.1111/j.1600-0528.2007.00401.x
Subject(s) - readability , medicine , respondent , face validity , oral health , quality of life (healthcare) , content validity , clinical psychology , psychometrics , family medicine , nursing , philosophy , linguistics , political science , law
Objective: The Child Oral Health Impact Profile (COHIP) was designed to assess oral‐facial well‐being in school‐age children as reported by the child and via proxy report from a caregiver. This article describes the development of the COHIP using a multi‐staged impact approach recommended by Guyatt et al. (Quality of life and pharmacoeconomics in clinical trials. Philadelphia, PA: Lippincott‐Raven; 1996. p. 41). Methods: There were multiple phases to the development of the questionnaire: (i) initial pool of items developed from the literature and expert review; (ii) face validity of items; (iii) impact evaluation of the initial item pool; (iv) development of positive items and face validity of new items; (v) impact evaluation of the revised questionnaire and (vi) factor analysis and final revision of the questionnaire. Factor analysis was completed on the final questionnaire using data from the impact evaluation in order to evaluate whether the COHIP measured independent conceptual domains. Results: Factor analysis identified five domains: oral health, functional well‐being, social/emotional well‐being, school environment and self‐image. Readability was calculated using the Flesch‐Kinkaid readability score that was finalized at a 3.5 grade reading level. Finally, two response sets, and a revised format (e.g., including pictures, increasing font size, and shading every other item) were implemented to decrease respondent fatigue and increase accuracy of participant responses. Conclusions: The final questionnaire consisted of 34 items and five conceptually distinct subscales: oral health, functional well‐being, social/emotional well‐being, school environment and self‐image. Subsequent papers present the validity and reliability of the COHIP.