Skip to main content

Advertisement

SpringerLink
Log in

Validation of the Chinese version of the Malocclusion Impact Questionnaire (MIQ)

  • Original Article
  • Published:
Clinical Oral Investigations Aims and scope Submit manuscript

Abstract

Objective

To translate and cross-culturally adapt the Malocclusion Impact Questionnaire (MIQ) into Chinese and to assess the psychometric properties of the Chinese version of the MIQ (MIQ/C) for use among adolescents with malocclusion in China.

Materials and method

First, the MIQ/C was developed according to international guidelines. Then, the MIQ/C was filled out by 536 adolescents between 10 and 16 years of age. This study used exploratory factor analysis (EFA), confirmatory factor analysis (CFA), convergent validity, internal consistency, and test-retest reliability to evaluate the psychometric properties of the MIQ/C.

Results

Following EFA, three domains were extracted, accounting for 65.950% of the total variance. The CFA results showed that the fit indices of each factor in the three-factor model all reached the standard (chi-square/DF = 2.591, GFI = 0.919, TLI = 0.926, CFI = 0.928, RMSEA = 0.076). The scale evidenced a good relationship with the two global questions, indicating good convergent validity. The Cronbach alpha value and the intraclass correlation coefficients (ICC) value of the MIQ/C were 0.929 and 0.893, respectively.

Conclusion

The MIQ/C demonstrated good reliability and validity and can be further studied and applied in Chinese adolescents with malocclusion.

Clinical relevance

The MIQ/C can be applied to assess the psychosocial impact of malocclusion among Chinese adolescents.

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

Access this article

Log in via an institution

Price excludes VAT (USA)
Tax calculation will be finalised during checkout.

Instant access to the full article PDF.

Institutional subscriptions

Fig. 1
Fig. 2

Similar content being viewed by others

References

  1. Gomaa N, Tenenbaum H, Glogauer M, Quinonez C (2019) The biology of social adversity applied to oral health. J Dent Res 98:1442–1449. https://doi.org/10.1177/0022034519876559

    Article  PubMed  Google Scholar 

  2. Choi SH, Cha JY, Lee KJ, Yu HS, Hwang CJ (2017) Changes in psychological health, subjective food intake ability and oral health-related quality of life during orthodontic treatment. J Oral Rehabil 44:860–869. https://doi.org/10.1111/joor.12556

    Article  PubMed  Google Scholar 

  3. Klages U, Bruckner A, Zentner A (2004) Dental aesthetics, self-awareness, and oral health-related quality of life in young adults. Eur J Orthod 26:507–514. https://doi.org/10.1093/ejo/26.5.507

    Article  PubMed  Google Scholar 

  4. da Rosa GN, Del Fabro JP, Tomazoni F, Tuchtenhagen S, Alves LS, Ardenghi TM (2016) Association of malocclusion, happiness, and oral health-related quality of life (OHRQoL) in schoolchildren. J Public Health Dent 76:85–90. https://doi.org/10.1111/jphd.12111

    Article  PubMed  Google Scholar 

  5. Piassi E, Antunes LS, Graca TCA, Antunes LAA (2019) The impact of mixed dentition malocclusion on the oral health-related quality of life for children and their families: a case-control study. J Clin Pediatr Dent 43:211–217. https://doi.org/10.17796/1053-4625-43.3.12

    Article  PubMed  Google Scholar 

  6. Andiappan M, Gao W, Bernabe E, Kandala NB, Donaldson AN (2015) Malocclusion, orthodontic treatment, and the Oral Health Impact Profile (OHIP-14): systematic review and meta-analysis. Angle Orthod 85:493–500. https://doi.org/10.2319/051414-348.1

    Article  PubMed  Google Scholar 

  7. Campbell C, Millett D, Kelly N, Cooke M, Cronin M (2020) Frankel 2 appliance versus the modified twin block appliance for phase 1 treatment of class II division 1 malocclusion in children and adolescents: a randomized clinical trial. Angle Orthod 90:202–208. https://doi.org/10.2319/042419-290.1

    Article  PubMed  Google Scholar 

  8. Pithon MM, Magno MB, da Silva Coqueiro R, de Paiva SM, Marques LS, Paranhus LR, Tanaka OM, Maia LC (2019) Oral health-related quality of life of children before, during, and after anterior open bite correction: a single-blinded randomized controlled trial. Am J Orthod Dentofac Orthop 156:303–311. https://doi.org/10.1016/j.ajodo.2019.04.022

    Article  Google Scholar 

  9. Sischo L, Broder HL (2011) Oral health-related quality of life: what, why, how, and future implications. J Dent Res 90:1264–1270. https://doi.org/10.1177/0022034511399918

    Article  PubMed  PubMed Central  Google Scholar 

  10. Randrianarivony J, Ravelomanantsoa JJ, Razanamihaja N (2020) Evaluation of the reliability and validity of the Early Childhood Oral Health Impact Scale (ECOHIS) questionnaire translated into Malagasy. Health Qual Life Outcomes 18:39. https://doi.org/10.1186/s12955-020-01296-1

    Article  PubMed  PubMed Central  Google Scholar 

  11. Kragt L, Tiemeier H, Wolvius EB, Ongkosuwito EM (2016) Measuring oral health-related quality of life in orthodontic patients with a short version of the Child Oral Health Impact Profile (COHIP). J Public Health Dent 76:105–112. https://doi.org/10.1111/jphd.12118

    Article  PubMed  Google Scholar 

  12. Gao SS, Chen KJ, Duangthip D, Chu CH, Lo ECM (2020) Translation and validation of the Chinese version of the scale of oral health outcomes for 5-year-old children. Int Dent J 70:201–207. https://doi.org/10.1111/idj.12545

    Article  PubMed  Google Scholar 

  13. Kavaliauskiene A, Sidlauskas A, Zaborskis A (2019) Modification and psychometric evaluation of the child perceptions questionnaire (CPQ11-14) in assessing oral health related quality of life among Lithuanian children. BMC Oral Health 19:1. https://doi.org/10.1186/s12903-018-0701-5

    Article  PubMed  PubMed Central  Google Scholar 

  14. Dimberg L, Arnrup K, Bondemark L (2015) The impact of malocclusion on the quality of life among children and adolescents: a systematic review of quantitative studies. Eur J Orthod 37:238–247. https://doi.org/10.1093/ejo/cju046

    Article  PubMed  Google Scholar 

  15. O'Brien K, Kay L, Fox D, Mandall N (1998) Assessing oral health outcomes for orthodontics--measuring health status and quality of life. Community Dent Health 15:22–26

    PubMed  Google Scholar 

  16. Locker D, Allen F (2007) What do measures of ‘oral health-related quality of life’ measure? Community Dent Oral Epidemiol 35:401–411. https://doi.org/10.1111/j.1600-0528.2007.00418.x

    Article  PubMed  Google Scholar 

  17. Marshman Z, Gibson BJ, Benson PE (2010) Is the short-form Child Perceptions Questionnaire meaningful and relevant to children with malocclusion in the UK? J Orthod 37:29–36. https://doi.org/10.1179/14653121042849

    Article  PubMed  Google Scholar 

  18. He S, Wang J, Wei S, Ji P (2017) Development and validation of a condition-specific measure for chronic periodontitis: oral health impact profile for chronic periodontitis. J Clin Periodontol 44:591–600. https://doi.org/10.1111/jcpe.12716

    Article  PubMed  Google Scholar 

  19. Gondivkar SM, Bhowate RR, Gadbail AR, Gondivkar RS, Sarode SC, Saode GS (2019) Comparison of generic and condition-specific oral health-related quality of life instruments in patients with oral submucous fibrosis. Qual Life Res Int J Qual Life Asp Treat Care Rehab 28:2281–2288. https://doi.org/10.1007/s11136-019-02176-y

    Article  Google Scholar 

  20. Benson PE, Cunningham SJ, Shah N, Gilchrist F, Baker SR, Hodges SJ, Marshman Z (2016) Development of the Malocclusion Impact Questionnaire (MIQ) to measure the oral health-related quality of life of young people with malocclusion: part 2 - cross-sectional validation. J Orthod 43:14–23. https://doi.org/10.1080/14653125.2015.1114223

    Article  PubMed  PubMed Central  Google Scholar 

  21. Patel N, Hodges SJ, Hall M, Benson PE, Marshman Z, Cunningham SJ (2016) Development of the Malocclusion Impact Questionnaire (MIQ) to measure the oral health-related quality of life of young people with malocclusion: part 1 - qualitative inquiry. J Orthod 43:7–13. https://doi.org/10.1080/14653125.2015.1114712

    Article  PubMed  PubMed Central  Google Scholar 

  22. Benson PE, Gilchrist F, Farella M (2019) The Malocclusion Impact Questionnaire (MIQ): cross-sectional validation in a group of young people seeking orthodontic treatment in New Zealand. Dent Jl 7. https://doi.org/10.3390/dj7010024

  23. Terwee CB, Bot SD, de Boer MR, van der Windt DA, Knol DL, Dekker J, Bouter LM, de Vet HC (2007) Quality criteria were proposed for measurement properties of health status questionnaires. J Clin Epidemiol 60:34–42. https://doi.org/10.1016/j.jclinepi.2006.03.012

    Article  PubMed  Google Scholar 

  24. Beaton DE, Bombardier C, Guillemin F, Ferraz MB (2000) Guidelines for the process of cross-cultural adaptation of self-report measures. Spine 25:3186–3191

    Article  Google Scholar 

  25. Guillemin F, Bombardier C, Beaton D (1993) Cross-cultural adaptation of health-related quality of life measures: literature review and proposed guidelines. J Clin Epidemiol 46:1417–1432

    Article  Google Scholar 

  26. He S, Wang J, Ji P (2016) Validation of the Tampa Scale for Kinesiophobia for Temporomandibular Disorders (TSK-TMD) in patients with painful TMD. J Headache Pain 17:109. https://doi.org/10.1186/s10194-016-0706-x

    Article  PubMed  PubMed Central  Google Scholar 

  27. Bentler PM, Bonett DG (1980) Significance tests and goodness of fit in the analysis of covariance structures. Psychol Bull 88:588–606

  28. Hu L, Bentler PM (1999) Cutoff criteria for fit indexes in covariance structure analysis: conventional criteria versus new alternatives. Struct Equ Model Multidiscip J 6:1–55

    Article  Google Scholar 

  29. Fayers PM (2000) Quality of life assessment, analysis and interpretation. Chichester, John Wiley and Sons, Inc

    Book  Google Scholar 

  30. He S, Wang J (2017) Validation of the Social support and Pain Questionnaire (SPQ) in patients with painful temporomandibular disorders. J Headache Pain 18:57. https://doi.org/10.1186/s10194-017-0766-6

    Article  PubMed  PubMed Central  Google Scholar 

  31. He SL, Wang JH, Ji P (2018) Validation of the pain resilience scale in Chinese-speaking patients with temporomandibular disorders pain. J Oral Rehabil 45:191–197. https://doi.org/10.1111/joor.12591

    Article  PubMed  Google Scholar 

  32. Barbosa C, Manso MC, Reis T, Soares T, Gavinha S, Ohrbach R (2018) Cultural equivalence, reliability and utility of the Portuguese version of the oral behaviors checklist. J Oral Rehabil 45:924–931. https://doi.org/10.1111/joor.12716

    Article  PubMed  Google Scholar 

  33. Simancas-Pallares M, John MT, Prodduturu S, Rush WA, Enstad CJ, Lenton P (2018) Development, validity and reliability of the Orofacial Esthetic Scale - Spanish version. J Prosthodont Res 62:456–461. https://doi.org/10.1016/j.jpor.2018.05.003

    Article  PubMed  PubMed Central  Google Scholar 

  34. Epstein J, Santo RM, Guillemin F (2015) A review of guidelines for cross-cultural adaptation of questionnaires could not bring out a consensus. J Clin Epidemiol 68:435–441. https://doi.org/10.1016/j.jclinepi.2014.11.021

    Article  PubMed  Google Scholar 

  35. He S, Wang J (2020) Validation of the Chinese version of the Caries Impacts and Experiences Questionnaire for Children (CARIES-QC). Int J Paediatr Dent 30:50–56. https://doi.org/10.1111/ipd.12576

    Article  PubMed  Google Scholar 

  36. Li XL, He SL, Wang JH (2020) Validation of a web-based version of the craniofacial pain and disability inventory. J Oral Rehabil 47:802–808. https://doi.org/10.1111/joor.12956

    Article  PubMed  Google Scholar 

  37. He S, Thomson WM (2018) An oral epidemiological comparison of Chinese and New Zealand adults in 2 key age groups. Community Dent Oral Epidemiol 46:154–160. https://doi.org/10.1111/cdoe.12348

    Article  PubMed  Google Scholar 

  38. Norquist JM, Girman C, Fehnel S, DeMuro-Mercon C, Santanello N (2012) Choice of recall period for patient-reported outcome (PRO) measures: criteria for consideration. Qual Life Res Int J Qual Life Asp Treat Care Rehab 21:1013–1020. https://doi.org/10.1007/s11136-011-0003-8

    Article  Google Scholar 

Download references

Acknowledgments

The authors wish to thank all adolescents who participated in the study.

Funding

This study was supported by the Program for Innovation Team Building at Institutions of Higher Education in Chongqing in 2016, Chongqing Municipal Key Laboratory of Oral Biomedical Engineering of Higher Education.

Author information

Authors and Affiliations

  1. College of Stomatology, Chongqing Medical University, No. 7 Shangqingsi Road, Chongqing, 400015, China

    Meng-ying Li, Song-lin He & Jin-hua Wang

  2. Chongqing Key Laboratory of Oral Diseases and Biomedical Sciences, Chongqing, China

    Meng-ying Li, Song-lin He & Jin-hua Wang

  3. Chongqing Municipal Key Laboratory of Oral Biomedical Engineering of Higher Education, Chongqing, China

    Meng-ying Li, Song-lin He & Jin-hua Wang

Authors
  1. Meng-ying Li
    View author publications

    You can also search for this author in PubMed Google Scholar

  2. Song-lin He
    View author publications

    You can also search for this author in PubMed Google Scholar

  3. Jin-hua Wang
    View author publications

    You can also search for this author in PubMed Google Scholar

Corresponding authors

Correspondence to Song-lin He or Jin-hua Wang.

Ethics declarations

Conflict of interest

The authors declare that they have no conflict of interest

Ethical approval

All procedures in studies involving human participants were performed in accordance with the ethical standards of the institutional and/or national research committee and with the 1964 Helsinki declaration and its later amendments or comparable ethical standards.

Informed consent

Informed consent was obtained from all individual participants included in the study

Additional information

Publisher’s note

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

Electronic supplementary material

ESM 1

(DOCX 347 kb)

Rights and permissions

Reprints and permissions

About this article

Check for updates. Verify currency and authenticity via CrossMark

Cite this article

Li, My., He, Sl. & Wang, Jh. Validation of the Chinese version of the Malocclusion Impact Questionnaire (MIQ). Clin Oral Invest 25, 2419–2427 (2021). https://doi.org/10.1007/s00784-020-03565-1

Download citation

  • Received:

  • Accepted:

  • Published:

  • Issue Date:

  • DOI: https://doi.org/10.1007/s00784-020-03565-1

Keywords

Search

Navigation