Log in

Validity and reliability of the Child Perceptions Questionnaire 11–14 for Colombian school children

  • Original Scientific Article
  • Published:
European Archives of Paediatric Dentistry Aims and scope Submit manuscript

Abstract

Purpose

To evaluate the validity and reliability of the Child Perceptions Questionnaire 11–14 (CPQ11-14) for children attending public educational institutions in Floridablanca (Colombia).

Methods

An evaluation study of diagnostic technology was conducted. The questionnaire was completed by 500 students aged 11–14 years who were selected by simple random sampling. The test–retest reproducibility was evaluated in 36 students chosen at random from one of the schools; the questionnaire was completed a second time by these students, with an interval of two weeks between administrations. Internal consistency was estimated using the Cronbach’s alpha coefficient, and test–retest reproducibility was determined with the intraclass correlation coefficient (ICC). The Rasch Rating Scale Model was used to perform the validation; the structure of the categories, the quality of the items, the invariance and the one-dimensionality were analyzed; invariance was confirmed using differential item functioning (DIF). Informed consent was obtained from the parents or guardians, and assent was obtained from the minors.

Results

The mean age was 12.7 ± 1.1 years, and 210 (42.0%) participants were female. The Cronbach's alpha and ICC values were 0.91 and 0.63, respectively. The 37 items fit the Rasch model, but a uniform DIF was observed for an item that was eliminated. The questionnaire was not one-dimensional, and the proportion of variance explained by the model was poor (26.3%).

Conclusion

The CPQ11-14 showed unsatisfactory test–retest reproducibility and excellent internal consistency; no unidimensionality was observed, but the items fit the Rasch model.

This is a preview of subscription content, log in via an institution to check access.

Access this article

Subscribe and save

Springer+ Basic
EUR 32.99 /Month
  • Get 10 units per month
  • Download Article/Chapter or Ebook
  • 1 Unit = 1 Article or 1 Chapter
  • Cancel anytime
Subscribe now

Buy Now

Price includes VAT (Germany)

Instant access to the full article PDF.

Fig. 1
Fig. 2
Fig. 3

Similar content being viewed by others

Availability of data and material

We agree to allow the journal to review our data if requested.

References

  • Abanto J, Albites U, Bönecker M, Martins-Paiva S, Castillo J, Aguilar-Gálvez D. Cross-cultural adaptation and psychometric properties of the child perceptions questionnaire 11–14 (CPQ11-14) for the Peruvian Spanish language. Med Oral Patol Oral Cir Bucal. 2013;18(6):e832–8.

    Article  Google Scholar 

  • Alonso J. The measurement of health related-quality of life in clinical research and practice. Gac Sanit. 2000;14:163–7 ((Spanish)).

    Article  Google Scholar 

  • Althubaiti A. Information bias in health research: definition, pitfalls, and adjustment methods. J Multidiscip Healthc. 2016;9:211–7.

    Article  Google Scholar 

  • Barbosa T, Tureli M, Gaviao M. Validity and reliability of the Child Perceptions Questionnaires applied in Brazilian children. BMC Oral Health. 2009;9:13.

    Article  Google Scholar 

  • Bekiroglu N, Bakka M, Ozbay G, Karadeniz PG, Kargul B. Validity and reliability of Child Perception Questionnaire (CPQ11-14) by Rasch Analysis in Turkish children. Pediatr Dent J. 2017;27(1):14–20.

    Article  Google Scholar 

  • Bland J, Altman D. Statistical methods for assessing agreement between two methods of clinical measurements. Lancet. 1986;8:307–10.

    Article  Google Scholar 

  • Bond T, Fox C. Applying the Rasch model. Fundamental measurement in the human sciences. Mahwah: Lawrence Erlbaum Associates Inc; 2007.

    Google Scholar 

  • Brown A, Al-Khayal Z. Validity and reliability of the arabic translation of the child oral-health-related quality of life quetionnaire (CPQ 11–14) in Saudi Arabia. Int J Paediatr Dent. 2006;16:405–11.

    Article  Google Scholar 

  • Cavallo F, Zambon A, Borraccino A, Raven-Sieberer U, Torsheim T, Lemma P. Girls growing through adolescence have a higher risk of poor health. Qual Life Res. 2006;15(10):1577–85.

    Article  Google Scholar 

  • Departamento Administrativo Nacional de Estadística (DANE). Colombia, Proyecciones de Población Municipales por Área (2005–2020) (2017) Bogotá, 2005. 2017. https://www.dane.gov.co/index.php/estadisticas-por-tema/demografia-y-poblacion/proyecciones-de-poblacion. Accessed 16 Nov.

  • Fayers PM, Machin D. Quality of Life The assessment, analysis and interpretation of patient-reported outcomes. 2nd ed. West Sussex: Wiley; 2007.

    Google Scholar 

  • Finlayson M, Peterson E, Fujimoto K, Plow M. Rasch validation of the Falls Prevention Strategies Survey. Arch Phys Med Rehabil. 2009;90:2039–46.

    Article  Google Scholar 

  • Fisher WJ. Rating scale instrument quality criteria. Rasch Meas Trans. 2007;21:1095.

    Google Scholar 

  • González M, Tellez M, Canchano F, Trujillo M, Rojas Y. Quality of life and oral health in a Colombian population with cleft lip and/or palate. Univ Odontol. 2011;30(64):73–82.

    Google Scholar 

  • Guyatt G, Feeny D, Patrick D. Measuring health related quality of life. Ann Int Med. 1993;118:622–9.

    Article  Google Scholar 

  • Hagquist C, Bruce M, Gustavsson JP. Using the Rasch model in nursing research: An introduction and illustrative example. Int J Nurs Stud. 2009;46(3):380–93.

    Article  Google Scholar 

  • Jokovic A, Locker D, Stephens M, Kenny D, Guyatt G. Validity and reliability of a questionnaire for measuring child oral-health-related quality of life. J Dent Res. 2002;81(7):459–63.

    Article  Google Scholar 

  • Kassis A, El Osta N, Tubert-Jeannin S, Hennequin M, El Osta L, Ghoubril J. Cross-cultural adaptation and validation of the child perceptions questionnaire (CPQ11-14) among children in Lebanon. BMC Oral Health. 2018;18:18.

    Article  Google Scholar 

  • Kumar S, Kroon J, Lalloo R, Johnson N. Psychometric properties of translation of the Child Perception Questionnaire (CPQ 11–14) in Telugu speaking Indian children. PLoS ONE. 2016;11:1.

    Google Scholar 

  • Linacre J. Sample size and item calibration stability. Rasch Meas Trans. 1994;7:328.

    Google Scholar 

  • Linacre J. Optimizing rating scale category effectiveness. J Appl Meas. 2002;3:85–106.

    PubMed  Google Scholar 

  • Messick S. Validity of psychological assessment. Validation inferences from person’s responses and performances as scientific inquiry score meaning. Am Psychol. 1995;50:741–9.

    Article  Google Scholar 

  • Michel G, Bisegger C, Fuhr DC, Abel T, The Kidscreen group. Age and gender differences in health-related quality of life of children and adolescentes in Europe: a multilevel analysis. Qual Life Res. 2009;18:1147–57.

    Article  Google Scholar 

  • Nuñez Franz L, Rey Clericus R, Bravo-Cavicchioli D, Jiménez Del Río P, Fernández Gonzalez C, Mejía DG. Adaptation and validation of the Spanish version of Child Perception Questionnaire CPQ-Spn11–14 in a Chilean community population. Rev Esp Salud Públ. 2015;89:585–95 ((Spanish)).

    Article  Google Scholar 

  • Olivieri A, Ferro R, Benacchio L, Besostri A, Stellini E. Validity of Italian version of the Child Perceptions Questionnaire (CPQ11-14). BMC Oral Health. 2013;13:55.

    Article  Google Scholar 

  • Pallant JF, Tennant A. An introduction to the Rasch measurement model: an example using the Hospital Anxiety and Depression Scale (HADS). Br J Clin Psychol. 2007;46(Pt 1):1–18.

    Article  Google Scholar 

  • República de Colombia, Ministerio de Salud (1993) Resolución No. 08430 de 4 de octubre de 1993. Bogotá1993.

  • Shin H, Han D, Shin M, Lee H, Kim M. Korean version of Child Perceptions Questionnaire and dental caries among Korean children. PLoS ONE. 2015;10:e0116011.

    Article  Google Scholar 

  • Shrout PE, Fleiss JL. Intraclass Correlation: uses in assessing rater reliability. Psychol Bull. 1979;86(2):420–8.

    Article  Google Scholar 

  • Sischo L, Broder H. Oral health-related quality of life: What, why, how, and future implications. J Dent Res. 2011;90(11):1264–70.

    Article  Google Scholar 

  • Tavakol M, Dennick R. Making sense of Cronbach’s alpha [editorial]. Int J Med Educ. 2011;2:53–5.

    Article  Google Scholar 

  • Tebe C, Berra S, Herdman M, Aymerich M, Alonso J, Rajmil L. Reliability and validity of the Spanish version of the KIDSCREEN-52 for child and adolescent population. Med Clin (Barc). 2008;130:650–4 ((Spanish)).

    Article  Google Scholar 

  • Téllez M, Martignon S, Lara J, Zuluaga J, Barreiro L, Builes L, et al. Oral health related quality of life among Colombian children. Rev CES Odont. 2010;23(1):9–15 ((Spanish)).

    Google Scholar 

  • van der Wal MB, Tuinebreijer WE, Bloemen MC, Verhaegen PD, Middelkoop E, van Zuijlen PP. Rasch analysis of the Patient and Observer Scar Assessment Scale (POSAS) in burn scars. Qual Life Res. 2012;21(1):13–23.

    Article  Google Scholar 

  • Wogelius P, Gjorup H, Haubek D, Lopez R, Poulsen S. Development of Danish version of child oral-health-related quality of life questionnaires (CPQ8–10 and CPQ11–14). BMC Oral Health. 2009;9:11.

    Article  Google Scholar 

  • Wolfe E, Smith E. Instrument development tools and activities for measure validation using Rash models: Part II—validation activities. J Appl Meas. 2007;8(2):204–34.

    PubMed  Google Scholar 

  • Yau D, Wong M, Lam K, McGrath C. Evaluation of psychometric properties and differential item functioning of 8-item Child Perceptions Questionnaires using Item Response Theory. BMC Public Health. 2015;15:792.

    Article  Google Scholar 

Download references

Acknowledgments

Thanks to Dr. Jenny Abanto for her kindness in providing the translated version of the CPQ11-14 adapted for Peru. Thanks to the educational institutions, parents and participating children.

Funding

Own resources.

Author information

Authors and Affiliations

Authors

Contributions

Aura D. García: contributed to the planification of the study, collected the data, digited the information, co-wrote and review this manuscript. Jose L. Pineda: contributed to the planification of the study, collected the data, digited the information, co-wrote and review this manuscript. Diego Chaparro: contributed to the planification of the study, collected the data, digited the information, co-wrote and review this manuscript. Juliana Duque: contributed to the planification of the study, collected the data, digited the information, co-wrote and review this manuscript. Martha J. Rodríguez: conceived and designed the analysis, performed the analysis, co-wrote and review this manuscript.

Corresponding author

Correspondence to M. J. Rodríguez.

Ethics declarations

Conflicts of interest

No conflict of interest.

Ethics approval

This research was approved by the Ethics Committee of the School of Dentistry at the Universidad Santo Tomás with the number 24032016.

Consent to participate

Informed consent was requested and signed by the parents or guardians, and the child gave his or her assent to participate.

Additional information

Publisher's Note

Springer Nature remains neutral with regard to jurisdictional claims in published maps and institutional affiliations.

Supplementary Information

Below is the link to the electronic supplementary material.

Supplementary file1 (XLSX 115.pdf)

Rights and permissions

Reprints and permissions

About this article

Check for updates. Verify currency and authenticity via CrossMark

Cite this article

García, A.D., Pineda, J.L., Chaparro, D. et al. Validity and reliability of the Child Perceptions Questionnaire 11–14 for Colombian school children. Eur Arch Paediatr Dent 22, 497–506 (2021). https://doi.org/10.1007/s40368-020-00587-x

Download citation

  • Received:

  • Accepted:

  • Published:

  • Issue Date:

  • DOI: https://doi.org/10.1007/s40368-020-00587-x

Keywords

Navigation