International Journal of Clinical Pediatric Dentistry

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VOLUME 13 , ISSUE 2 ( March-April, 2020 ) > List of Articles

Original Article

Cross-cultural Adaptation and Validation of Hindi Version of Child Oral Impacts on Daily Performance Index

Puneet Chahar, Shivam Kapoor

Keywords : Child OIDP, Oral health, Oral health-related quality of life, Psychometric analysis, Sociodental indicator

Citation Information : Chahar P, Kapoor S. Cross-cultural Adaptation and Validation of Hindi Version of Child Oral Impacts on Daily Performance Index. Int J Clin Pediatr Dent 2020; 13 (2):124-129.

DOI: 10.5005/jp-journals-10005-1720

License: CC BY-NC 4.0

Published Online: 23-07-2020

Copyright Statement:  Copyright © 2020; The Author(s).


Introduction: Oral diseases may have an impact on quality of life (QoL) and the oral health-related quality of life (OHRQoL). As compared to clinical measures which are unable to provide a complete picture, OHRQoL indices quantify the oral health impact on overall health. Worldwide indices have been developed to measure the OHRQoL in children but none can be applicable in Indian context. Aim: The aim of the study was cross-cultural adaptation and psychometric analysis of Hindi version of child oral impacts on daily performance (C-OIDP) index. Materials and methods: Translation and back translation were done for index using prescribed guidelines for cross-cultural adaptation. A pilot study was conducted in 32 children and required modifications were done. The final Hindi version was tested for reliability and validity on a convenience sample of 64 children aged 11–14 years selected from public schools in Delhi. The psychometric properties of the Hindi version were tested for face, content, construct validity along with internal consistency, and test–retest reliability. Results: The mean age of the final sample (n = 64) was 13.02 ± 0.93 years with boys (51.6%) and girls (48.4%). The mean C-OIDP score was 8.8 ± 7.8. Significant association was obtained when C-OIDP was compared with self-perceived oral health. Interitem correlation ranged from −0.008 to 0.45. Kappa for categories of child OIDP ranged from 0.711 to 1.00 and intraclass correlation coefficient was 0.91. Conclusion: The Hindi version of C-OIDP is a valid and reliable tool to measure OHRQoL in Hindi-speaking children in India.

  1. Park K. Text Book of Preventive and Social Medicine, 23rd ed., Jabalpur, India: Banarsidas Bhanot; 2015.
  2. Slade G. Measuring oral health and quality of life. Chapel Hill, NC: Dept. of Dental Ecology, School of Dentistry, University of North Carolina; 1997.
  3. Tubert-Jeannin S, Pegon-Machat E, Gremeau-Richard C, et al. Validation of a French version of the child-OIDP index. Eur J Oral Sci 2005;113(5):355–362. DOI: 10.1111/j.1600-0722.2005.00230.x.
  4. Cohen L, Jago J. Toward the formulation of sociodental indicators. Int J Health Serv 1976;6(4):681–698. DOI: 10.2190/LE7A-UGBW-J3NR-Q992.
  5. Locker D, Grushka M. Prevalence of oral and facial pain and discomfort: preliminary results of a mail survey. Community Dent Oral Epidemiol 1987;15(3):169–172. DOI: 10.1111/j.1600-0528.1987.tb00508.x.
  6. Locker D, Allen F. What do measures of ‘oral health-related quality of life’ measure? Community Dent Oral Epidemiol 2007;35(6):401–411. DOI: 10.1111/j.1600-0528.2007.00418.x.
  7. Mashoto KO, Astrøm AN, Skeie MS, et al. Changes in the quality of life of Tanzanian school children after treatment interventions using the child-OIDP. Eur J Oral Sci 2010;118(6):626–634. DOI: 10.1111/j.1600-0722.2010.00776.x.
  8. Bennadi D, Reddy C. Oral health related quality of life. J Int Soc Prevent Communit Dent 2013;3(1):1–6. DOI: 10.4103/2231-0762.115700.
  9. Do LG, Spencer A. Oral health-related quality of life of children by dental caries and fluorosis experience. J Public Health Dent 2007;67(3):132–139. DOI: 10.1111/j.1752-7325.2007.00036.x.
  10. Barbosa TS, Gavião M. Oral health-related quality of life in children: part II. Effects of clinical oral health status. A systematic review. Int J Dental Hygiene 2008;6(2):100–107. DOI: 10.1111/j.1601-5037.2008.00293.x.
  11. Jokovic A, Locker D, Tompson B, et al. Questionnaire for measuring oral health-related quality of life in eight- to 10-year-old children. Pediatr Dent 2004;26(6):512–518.
  12. Filstrup SL, Briskie D, da Fonseca M, et al. Early childhood caries and quality of life: Child and parent perspectives. Pediatr Dent 2003;25(5):431–440.
  13. Gherunpong S, Tsakos G, Sheiham A. Developing and evaluating an oral health-related quality of life index for children; The CHILD-OIDP. Community Dent Health 2004;21(2):161–169.
  14. Broder HL. Children's oral health-related quality of life questionnaire. Community Dent Oral Epidemiol 2007;35(Suppl 1):5–7. DOI: 10.1111/j.1600-0528.2007.00400.x.
  15. Pahel BT, Rozier RG, Slade GD. Parental perceptions of children's oral health: The early childhood oral health impact scale (ECOHIS). Health Qual Life Outcomes 2007;5(1):6. DOI: 10.1186/1477-7525- 5-6.
  16. Castro R, Cortes M, Leão A, et al. Child-OIDP index in brazil: Cross-cultural adaptation and validation. Health Qual Life Outcomes 2008;6(1):68. DOI: 10.1186/1477-7525-6-68.
  17. Yusuf H, Gherunpong S, Sheiham A, et al. Validation of an English version of the child-OIDP index, an oral health-related quality of life measure for children. Health Qual Life Outcomes 2006;4(1):38. DOI: 10.1186/1477-7525-4-38.
  18. Yusof ZY, Jaafar N. A malay version of the child oral impacts on daily performances (child-OIDP) index: assessing validity and reliability. Health Qual Life Outcomes 2012;10(1):63. DOI: 10.1186/1477-7525-10-63.
  19. Vera C, Moreno X, Rivera D. Adaptation and validation of child oral impact on daily performance index in 11–14-year-old Chilean school children. J Oral Res 2013;2(3):119–124. DOI: 10.17126/joralres.2013. 027.
  20. Pentapati KC, Acharya S, Bhat M, et al. Oral health-related quality of life and associated factors in national cadet corps of Udupi district, India. World Journal of Dentistry 2013;4(2):81–85. DOI: 10.5005/jp-journals-10015-1208.
  21. Usha GV, Thippeswamy HM, Nagesh L. Comparative assessment of validity and reliability of the oral impacts on daily performance (OIDP) frequency scale: A cross-sectional survey among adolescents in Davanagere city, Karnataka, India. Int J Dent Hyg 2013;11(1):28–34. DOI: 10.1111/j.1601-5037.2011.00540.x.
  22. Census of India: Abstract of speakers’ strength of languages and mother tongues –2001 [Internet]. 2016 [cited 3 July 2016]. Available from:
  23. Pal D. Quality of life assessment in children: A review of conceptual and methodological issues in multidimensional health status measures. J Epidemiol Community Health 1996;50(4):391–396. DOI: 10.1136/jech.50.4.391.
  24. Krisdapong S, Sheiham A. Which aspects of an oral health–related quality of life measure are mainly associated with global ratings of oral health in children? Community Dent Oral Epidemiol 2014;42(2):129–138. DOI: 10.1111/cdoe.12061.
  25. Casas AJ, Ramón Repullo LJ, Pereira CJ. Medidas de calidad de vida relacionada con la salud. Conceptos básicos, construcción y adaptación cultural. Med Clin (Barc) 2001;116(20):789–796.
  26. Beaton DE, Bombardier C, Guillemin F, et al. Guidelines for the process of cross-cultural adaptation of self-report measures. Spine 2000;25(24):3186–3191. DOI: 10.1097/00007632-200012150-00014.
  27. Gjersing L, Caplehorn JR, Clausen T. Cross-cultural adaptation of research instruments: language, setting, time and statistical considerations. BMC Med Res Methodol 2010;10(1):13. DOI: 10.1186/1471-2288-10-13.
  28. Bali RK, Mathur VB, Talwar PP, et al. National oral health survey and fluoride mapping 2002–2003 India. New Delhi: Dental Council of India; 2004.
  29. Sischo L, Broder H. Oral health-related quality of life: What, why, how, and future implications. J Dent Res 2011;90(11):1264–1270. DOI: 10.1177/0022034511399918.
  30. World Health Organization. Oral Health Survey. Basic Methods., 5th ed., Geneva (France): WHO Press; 2013.
  31. Gherunpong S, Tsakos G, Sheiham A. A sociodental approach to assessing dental needs of children: Concept and models. Int J Paediatr Dent 2006;16(2):81–88. DOI: 10.1111/j.1365-263X.2006.00701.x.
  32. Shrout PE, Yager TJ. Reliability and validity of screening scales: Effect of reducing scale length. J Clin Epidemiol 1989;42(1):69–78. DOI: 10.1016/0895-4356(89)90027-9.
  33. Streiner DL, Norman GR. Health measurement scales. In: A practical guide to their development and use, 2nd ed., New York: Oxford University Press; 2000. pp. 54–68.
  34. Ware JE, Brook RH, Davies AR, et al. Choosing measures of health status for individuals in general populations. Am J Public Health 1981;71(6):620–625. DOI: 10.2105/AJPH.71.6.620.
  35. Kline P. A handbook of psychological testing 2nd ed., London: Routledge; 2000.
  36. Bibace R, Walsh M. Development of children's concepts of illness. Paediatrics 1980;66(6):912–917.
  37. Montero J, Yarte JM, Bravo M, et al. Oral health-related quality of life of a consecutive sample of Spanish dental patients. Med Oral Patol Oral Cir Bucal 2011;16(6):810–815. DOI: 10.4317/medoral. 16790.
  38. Montero J, Rosel E, Barrios R, et al. Oral health-related quality of life in 6- to 12-year-old schoolchildren in Spain. Int J Paediatr Dent 2015;26(3):220–230. DOI: 10.1111/ipd.12193.
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