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- W3042300229 abstract "Background: Caries Impacts and Experiences Questionnaire for Children (CARIES-QC) is a child-centred caries-specific quality of life measure. This study aimed to select, and validate with children, a classification system for a paediatric condition-specific preference-based measure, based on CARIES-QC.Methods: First, a provisional classification system for a preference-based measure based on CARIES-QC wasdeveloped using Rasch analysis, psychometric testing, involvement of children and parents, and the developer ofCARIES-QC. Second, qualitative, semi-structured ‘think aloud’ validation interviews were undertaken with apurposive sample of children with dental caries. The interviewer aimed to identify whether items were consideredimportant and easily understood, whether any were overlapping and if any excluded items should be reintroduced.Interview recordings were transcribed verbatim and thematic analysis conducted.Results: Rasch analysis identified poor item spread for the items ‘cross’ and ‘school’. Items relating to eatingwere correlated and the better performing items were considered for selection. Children expressed some confusionregarding the items ‘school’ and ‘food stuck’. Parent representatives thought that impacts surroundingtoothbrushing (‘brushing’) were encompassed by the item ‘hurt’. Five items were selected from CARIES-QC forinclusion in the provisional classification system; ‘hurt’, ‘annoy’, ‘carefully’, ‘kept awake’ and ‘cried’. Validationinterviews were conducted with 20 children aged 5-16 years old. Participants thought the questionnaire wasstraightforward and covered a range of impacts. Children thought an item about certain foods being ‘hard to eat’was more relevant than one about having to eat more carefully because of their teeth and so the ‘carefully’ itemwas replaced with ‘hard to eat’. Conclusion: Following child-centred modification, the preliminary five-item classification system is consideredvalid and suitable for use in a valuation survey. The innovative child-centred methods used to both identify andvalidate the classification system can be applied in the development of other preference-based measures." @default.
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- W3042300229 date "2020-05-01" @default.
- W3042300229 modified "2023-09-27" @default.
- W3042300229 title "Selection and validation of a classification system for a child-centred caries-specific utility measure" @default.
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