Translation, cross-cultural adaptation, and psychometric properties of the Finnish version of the Malocclusion Impact Questionnaire (MIQ)
Campos, Lucas Arrais; Kaikkonen, Terhi; Ylitervo, Kaisa; Ylikontiola, Leena; Sofia Silvola, Anna-Sofia (2025-01-30)
Medical Journals Sweden AB
30.01.2025
Campos, L. A., Kaikkonen, T., Ylitervo, K., Ylikontiola, L., & Sofia Silvola, A.-. (2025). Translation, cross-cultural adaptation, and psychometric properties of the Finnish version of the Malocclusion Impact Questionnaire (Miq). Acta Odontologica Scandinavica, 84, 54–64. https://doi.org/10.2340/aos.v84.42833
https://creativecommons.org/licenses/by/4.0/
© 2025 The Author(s). Published by MJS Publishing on behalf of Acta Odontologica Scandinavica Society. This is an Open Access article distributed under the terms of the Creative Commons Attribution 4.0 International License (http://creativecommons.org/licenses/by/4.0/), allowing third parties to copy and redistribute the material in any medium or format and to remix, transform, and build upon the material, with the condition of proper attribution to the original work.
https://creativecommons.org/licenses/by/4.0/
© 2025 The Author(s). Published by MJS Publishing on behalf of Acta Odontologica Scandinavica Society. This is an Open Access article distributed under the terms of the Creative Commons Attribution 4.0 International License (http://creativecommons.org/licenses/by/4.0/), allowing third parties to copy and redistribute the material in any medium or format and to remix, transform, and build upon the material, with the condition of proper attribution to the original work.
https://creativecommons.org/licenses/by/4.0/
Julkaisun pysyvä osoite on
https://urn.fi/URN:NBN:fi:oulu-202501311415
https://urn.fi/URN:NBN:fi:oulu-202501311415
Tiivistelmä
Abstract
Objectives:
This study aimed to translate and adapt the Malocclusion Impact Questionnaire (MIQ) into Finnish; to estimate its psychometric properties when applied to Finnish adolescents; and to estimate the effect of demographic characteristics on the perceived impact of malocclusion.
Methods:
The Finnish version of MIQ (MIQ-Fi) was established through translation, back-translation, and a pilot study. Psychometric properties were estimated using factorial validity (confirmatory factor analysis [CFA]), convergent validity (Average Variance Extracted [AVE]), and reliability (αordinal and ω). Structural Equation Model estimated the effect of demographic characteristics on malocclusion impact.
Results:
A total of 268 Finnish adolescents participated in the study (mean age = 13.4 [standard deviation, SD = 1.5] years, 48.5% girls). MIQ-Fi factor model presented an adequate fit to the data after refinements (CFA: comparative fit index [CFI] = 0.96, Tucker-Lewis index [TLI] = 0.95, standardized root mean square residual [SRMR] = 0.08, exclusion of 4 items and 1 correlation between items error). Convergent validity (AVE = 0.61) and reliability (αordinal and ω ≥ 0.90) were adequate. Gender and self-reported need for orthodontic treatment had moderate effects on malocclusion impact (βstandardized = 0.36 and 0.30, respectively, p < 0.01), while other demographic characteristics had weak effects (βstandardized < |0.18|, p < 0.04).
Conclusion:
MIQ-Fi demonstrated adequate psychometric properties and can measure malocclusion impact in Finnish adolescents. Demographic characteristics had weak to moderate effect on the malocclusion impact.
Objectives:
This study aimed to translate and adapt the Malocclusion Impact Questionnaire (MIQ) into Finnish; to estimate its psychometric properties when applied to Finnish adolescents; and to estimate the effect of demographic characteristics on the perceived impact of malocclusion.
Methods:
The Finnish version of MIQ (MIQ-Fi) was established through translation, back-translation, and a pilot study. Psychometric properties were estimated using factorial validity (confirmatory factor analysis [CFA]), convergent validity (Average Variance Extracted [AVE]), and reliability (αordinal and ω). Structural Equation Model estimated the effect of demographic characteristics on malocclusion impact.
Results:
A total of 268 Finnish adolescents participated in the study (mean age = 13.4 [standard deviation, SD = 1.5] years, 48.5% girls). MIQ-Fi factor model presented an adequate fit to the data after refinements (CFA: comparative fit index [CFI] = 0.96, Tucker-Lewis index [TLI] = 0.95, standardized root mean square residual [SRMR] = 0.08, exclusion of 4 items and 1 correlation between items error). Convergent validity (AVE = 0.61) and reliability (αordinal and ω ≥ 0.90) were adequate. Gender and self-reported need for orthodontic treatment had moderate effects on malocclusion impact (βstandardized = 0.36 and 0.30, respectively, p < 0.01), while other demographic characteristics had weak effects (βstandardized < |0.18|, p < 0.04).
Conclusion:
MIQ-Fi demonstrated adequate psychometric properties and can measure malocclusion impact in Finnish adolescents. Demographic characteristics had weak to moderate effect on the malocclusion impact.
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