Reliability and validity testing for the Child Oral Health Impact Profile-Reduced (COHIP-SF 19)

Hillary L. Broder, Maureen Wilson-Genderson, Lacey Sischo

Research output: Contribution to journalArticlepeer-review


Objectives: This study assessed the reliability and validity of the Child Oral Health Impact Profile-Short Form 19 (COHIP-SF 19) from the validated 34-item COHIP. Methods: Participants included 205 pediatric, 107 orthodontic, and 863 patients with craniofacial anomalies (CFAs). Item level evaluations included examining content overlap, distributional properties, and use of the response set. Confirmatory factor analysis identified potential items for deletion. Scale reliability was assessed with Cronbach's alpha. Discriminant validity of the COHIP-SF 19 was evaluated as follows: among pediatric participants, scores were compared with varying amounts of decayed and filled surfaces (DFS) and presence of caries on permanent teeth; for orthodontic patients, scores were correlated with anterior tooth spacing/crowding; and for those with CFA, scores were compared with clinicians' ratings of extent of defect (EOD) for nose and lip and/or speech hypernasality. Convergent validity was assessed by examining the partial Spearman correlation between the COHIP scores and a standard Global Health self-rating. Comparisons between the COHIP and the COHIP-SF 19 were completed across samples. Results: The reduced questionnaire consists of 19 items: Oral Health (five items), Functional Well-Being (four items), and a combined subscale named Socio-Emotional Well-Being (10 items). Internal reliability is ≤0.82 for the three samples. Results demonstrate that the COHIP-SF 19 discriminates within and across treatment groups by EOD and within a community-based pediatric sample. The measure is associated with the Global Health rating (P < 0.05), thereby indicating convergent validity. Conclusions: Reliability and validity testing demonstrate that the COHIP-SF 19 is a psychometrically sound instrument to measure oral health-related quality of life across school-aged pediatric populations.

Original languageEnglish (US)
Pages (from-to)302-312
Number of pages11
JournalJournal of public health dentistry
Issue number4
StatePublished - Sep 2012


  • craniofacial
  • global health rating
  • oral health-related quality of life
  • orthodontics
  • pediatrics
  • quality of life

ASJC Scopus subject areas

  • General Dentistry
  • Public Health, Environmental and Occupational Health


Dive into the research topics of 'Reliability and validity testing for the Child Oral Health Impact Profile-Reduced (COHIP-SF 19)'. Together they form a unique fingerprint.

Cite this