caa a22 4500 606177809 CHVBK 20210128100753.0 cr unu---uuuuu 210128e20150101xx s 000 0 eng 10.1007/s11136-014-0751-3 doi (NATIONALLICENCE)springer-10.1007/s11136-014-0751-3 Validation of a pediatric oral health-related quality of life scale in Navajo children [Elektronische Daten] [Patricia Braun, Kimberly Lind, William Henderson, Angela Brega, David Quissell, Judith Albino] Background: American Indian (AI) children experience the highest rates of early childhood caries (ECC) in the USA, yet no tool has been validated to measure the impact of ECC on their oral health-related quality of life (OHRQoL). Objective: To validate a pediatric OHRQoL scale in a preschool, rural, reservation-based AI population. Methods: In 2011 and 2012, we measured the OHRQoL of AI children attending Head Start in Navajo Nation with the 12-item preschool version of the pediatric oral health-related quality of life (POQL) scale administered to their parents/caregivers. Parents/caregivers also reported their children's subjective oral health status (OHS) and oral health behavior adherence. Concurrently, calibrated dental examiners measured the children's decayed, missing, and filled tooth surfaces (dmfs). Validation was assessed with internal reliability and convergent and divergent validity testing and exploratory factor analyses. Results: We measured the outcomes in 928 caregiver-child dyads. All children were AI and in preschool [mean (SD) child age was 4.1 (0.5) years]. The majority of children had experienced decay [dmfs: 89%, mean (SD): 21.5 (19.9)] and active decay [any ds: 70%, mean (SD): 6.0 (8.3)]. The mean (SD) overall POQL score was 4.0 (9.0). The POQL scale demonstrated high internal consistency reliability (Cronbach alpha=0.87). Convergent validity of the POQL scale was established with highly significant associations between POQL and caries experience, OHS, and adherence to oral health behaviors (all ps<0.0001). Conclusions: The POQL scale is a reliable and valid measure of OHRQoL in preschoolers from the Navajo Nation. Springer International Publishing Switzerland, 2014 Early childhood caries nationallicence Oral health-related quality of life nationallicence American Indian nationallicence Validation nationallicence Psychometrics nationallicence Severe early childhood caries nationallicence AI : American Indian nationallicence AI/AN : American Indian/Alaska Native nationallicence ECC : Early childhood caries nationallicence dmfs : Decayed, missing, filled surfaces nationallicence OHRQoL : Oral health-related quality of life nationallicence OHS : Oral health status nationallicence POQL : Pediatric oral health-related quality of life nationallicence Braun Patricia Children's Outcomes Research, Colorado Health Outcomes Programs, University of Colorado Anschutz Medical Campus, 13199 E. Montview Blvd. Suite 300 F443, 80045, Aurora, CO, USA aut Lind Kimberly Centers for American Indian and Alaska Native Health, Colorado School of Public Health, University of Colorado Anschutz Medical Campus, Aurora, CO, USA aut Henderson William Children's Outcomes Research, Colorado Health Outcomes Programs, University of Colorado Anschutz Medical Campus, 13199 E. Montview Blvd. Suite 300 F443, 80045, Aurora, CO, USA aut Brega Angela Centers for American Indian and Alaska Native Health, Colorado School of Public Health, University of Colorado Anschutz Medical Campus, Aurora, CO, USA aut Quissell David Department of Craniofacial Biology, School of Dental Medicine, University of Colorado Anschutz Medical Campus, Aurora, CO, USA aut Albino Judith Centers for American Indian and Alaska Native Health, Colorado School of Public Health, University of Colorado Anschutz Medical Campus, Aurora, CO, USA aut Quality of Life Research Springer International Publishing 24/1(2015-01-01), 231-239 0962-9343 24:1<231 2015 24 11136 https://doi.org/10.1007/s11136-014-0751-3 text/html Onlinezugriff via DOI BK010053 XK010053 XK010000 Metadata rights reserved Springer special CC-BY-NC licence nationallicence 1 research-article jats NATIONALLICENCE NATIONALLICENCE NL-springer NATIONALLICENCE 856 40 https://doi.org/10.1007/s11136-014-0751-3 text/html Onlinezugriff via DOI NATIONALLICENCE 700 1- Braun Patricia Children's Outcomes Research, Colorado Health Outcomes Programs, University of Colorado Anschutz Medical Campus, 13199 E. Montview Blvd. Suite 300 F443, 80045, Aurora, CO, USA aut NATIONALLICENCE 700 1- Lind Kimberly Centers for American Indian and Alaska Native Health, Colorado School of Public Health, University of Colorado Anschutz Medical Campus, Aurora, CO, USA aut NATIONALLICENCE 700 1- Henderson William Children's Outcomes Research, Colorado Health Outcomes Programs, University of Colorado Anschutz Medical Campus, 13199 E. Montview Blvd. Suite 300 F443, 80045, Aurora, CO, USA aut NATIONALLICENCE 700 1- Brega Angela Centers for American Indian and Alaska Native Health, Colorado School of Public Health, University of Colorado Anschutz Medical Campus, Aurora, CO, USA aut NATIONALLICENCE 700 1- Quissell David Department of Craniofacial Biology, School of Dental Medicine, University of Colorado Anschutz Medical Campus, Aurora, CO, USA aut NATIONALLICENCE 700 1- Albino Judith Centers for American Indian and Alaska Native Health, Colorado School of Public Health, University of Colorado Anschutz Medical Campus, Aurora, CO, USA aut NATIONALLICENCE 773 0- Quality of Life Research Springer International Publishing 24/1(2015-01-01), 231-239 0962-9343 24:1<231 2015 24 11136