Child Oral Health Impact Profile Questionnaire: A Reliability Generalization Meta-analysis of Cronbach's Alpha.

Kalyana C Pentapati, Deepika Chenna, Vijay S Kumar, Nanditha Kumar, Saurabh Kumar
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Abstract

Background and aim: To evaluate the pooled estimates of Cronbach's alpha for the Child Oral Health Impact Profile (COHIP) questionnaire using reliability generalization meta-analysis.

Methods: We have conducted a systematic search of literature from PubMed, Scopus, Excerpta Medica Database (EMBASE), and Cumulative Index to Nursing and Allied Health Literature (CINAHL) from inception till 31st May 2023. Studies in English and those that have reported Cronbach's alpha for the COHIP questionnaire were included. Screening was performed by two review authors independently. Information on authors, year, country, sample size, age, sex, target population, language and mode of administration, conditions studied for, study setting, and study design were recorded. The risk of bias was assessed using the COnsensus-based Standards for the selection of health Measurement INstruments (COSMIN) checklist for internal consistency. Meta-analysis was performed using the random effects model to derive a pooled estimate of Cronbach's alpha.

Results: A total of 626 studies were available for title and abstract screening after the removal of duplicates, and 106 studies were included for full text screening. A total of 25 estimates were obtained from 22 studies which yielded a total sample size of 10,639. The overall pooled Cronbach's alpha was 0.87 (95% CI = 0.85-8.88) with a high heterogeneity among the included publications (I 2 = 95.74%). Similarly, the parent or the caregiver reported COHIP also showed pooled Cronbach's alpha of 0.9 (95% CI: 0.87-0.93). Meta-regression showed no significant effect of sex (coefficient: -0.12), age (coefficient: -0.007), language (coefficient: 0.003), study setting (coefficient: -0.001), risk of bias (coefficient: -0.01), and continent (coefficient: -0.04) on the overall estimate.

Conclusion: The COHIP questionnaire showed good internal consistency and can be used in research and practice among children.

How to cite this article: Pentapati KC, Chenna D, Kumar VS, et al. Child Oral Health Impact Profile Questionnaire: A Reliability Generalization Meta-analysis of Cronbach's Alpha. Int J Clin Pediatr Dent 2024;17(10):1193-1198.

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儿童口腔健康影响问卷:Cronbach's Alpha信度概化元分析。
背景与目的:采用信度概化荟萃分析评估儿童口腔健康影响概况(COHIP)问卷的Cronbach’s alpha综合估计。方法:系统检索PubMed、Scopus、Medica摘录数据库(EMBASE)和CINAHL自成立至2023年5月31日的文献。包括英语研究和那些在COHIP问卷中报告了Cronbach's alpha的研究。筛选由两位综述作者独立完成。记录作者、年份、国家、样本量、年龄、性别、目标人群、语言和管理方式、研究条件、研究环境和研究设计等信息。使用基于共识的健康测量仪器选择标准(COSMIN)检查表评估偏倚风险,以实现内部一致性。采用随机效应模型进行meta分析,得出Cronbach’s alpha的汇总估计。结果:去除重复项后,共有626项研究可用于标题和摘要筛选,106项研究可用于全文筛选。总共从22项研究中得出25项估计,总样本量为10 639。总体合并的Cronbach's alpha为0.87 (95% CI = 0.85-8.88),纳入的出版物存在高度异质性(i2 = 95.74%)。同样,父母或照顾者报告的COHIP也显示合并Cronbach's alpha为0.9 (95% CI: 0.87-0.93)。meta回归显示,性别(系数:-0.12)、年龄(系数:-0.007)、语言(系数:0.003)、研究环境(系数:-0.001)、偏倚风险(系数:-0.01)和大洲(系数:-0.04)对总体估计没有显著影响。结论:COHIP问卷具有良好的内部一致性,可用于儿童的研究和实践。如何引用本文:Pentapati KC, Chenna D, Kumar VS,等。儿童口腔健康影响问卷:Cronbach's Alpha信度概化元分析。中华临床儿科杂志;2017;17(10):1193-1198。
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