Agreement between adolescents' and their mothers' reports of oral health-related quality of life

Abstract

The aim of this study was to determine the level of agreement between reports by adolescents and their mothers regarding the impact of oral health on the adolescents' quality of life. The sample consisted of 960 pairs of adolescents aged 11 to 14 years and their mothers. The Brazilian version of the Parental-Caregiver Perceptions Questionnaire (P-CPQ) and the short form of the Child Perceptions Questionnaire (CPQ [11][12][13][14] ) were administered. Agreement on the total scale and the subscales was determined through a comparison of mean values. The means of the directional and absolute differences were also determined. Agreement on each item on the group level and in the individual pairs was analyzed using the Intraclass Correlation Coefficient (ICC). The difference between the means and the directional differences were significant for the total score as well as for the functional limitation and social well-being subscales (p < 0.001). The ICC for the total P-CPQ and CPQ 11-14 scores was 0.43. The ICC indicated weak agreement on the subscales, ranging from 0.36 to 0.40. Agreement between reports by adolescents and their mothers regarding oral health-related quality of life (OHRQoL) was moderate, indicating that both perspectives should be considered.

Agreement between adolescents and parents/caregivers in rating the impact of malocclusion on adolescents' quality of life

“…Data were collected through OHRQoL tools. Adolescents answered the short version of the Child Perceptions Questionnaire (CPQ [11][12][13][14], 17 and parents/caregivers answered the Parental-Caregiver Perceptions Questionnaire (P-CPQ). 18 Both instruments were developed in Canada and have been translated and verified for use in the Portuguese language.…”

“…18 The two measures have 14 items in common: four items on the OS subscale, four on the FL subscale, three on the EW subscale, and three on the SW subscale. 11 The overall score is computed by adding up the scores for all questions. Scores for each of the four subscales can also be computed separately.…”

“…17,18 The overall score on both questionnaires ranges from 0 to 56. 11 For the CPQ 11-14 , a higher score is indicative of a greater negative impact on adolescents' quality of life. 17 For the P-CPQ, a higher score denotes a greater negative perception on the part of parents/caregivers with regard to their adolescents' OHRQoL.…”

“…This information may also be useful for health authorities in planning oral health services. 11 Though important, the perceptions of parents/ caregivers and the agreement between them and their sons/daughters in rating the impact of malocclusion on adolescents' quality of life has been poorly documented so far. 12 To the best of our knowledge, only two studies have evaluated such an agreement, and they have provided conflicting results.…”

Impact of the first eight months of orthodontic treatment with a fixed appliance on the families of adolescent patients

“…As mothers tend to be more involved in child care, it is likely that they are more aware of their children's views regarding OHRQoL than are the fathers. 21,22 Moreover, considerable agreement exists between mothers' and fathers' opinions, suggesting that the views of either parent can be used when considering parental perceptions. 23,24 The present findings revealed significant improvements in family OHRQoL after 8 months of orthodontic treatment among the adolescents, as demonstrated by the significantly lower overall FIS score as well as by the PA and PE subscale scores at T2.…”