Gupta Gaurav, Shanbhag Namita, Puranik Manjunath P
Post Graduate Student, Department of Public Health Dentistry, Government Dental College & Research Institute , Bangalore, India .
Associate Professor, Department of Public Health Dentistry, Government Dental College & Research Institute , Bangalore, India .
J Clin Diagn Res. 2015 Sep;9(9):ZC34-8. doi: 10.7860/JCDR/2015/12675.6469. Epub 2015 Sep 1.
Dental anxiety is one of the most common barriers in seeking dental care. In order to overcome this barrier dentist need to screen patients to successfully help in treatment. A scale is thus needed to measure dental anxiety which is socially & culturally acceptable.
This study aimed to assess the Cross cultural adaptation and validity of the Kannada translation of the Modified Dental Anxiety Scale (MDAS-K).
A test-retest was conducted on 30 patients visiting a dental institution to assess the reliability of MDAS- K. A cross-sectional survey of 301 patients was conducted in different departments at a dental institution to test the psychometric properties of MDAS-K. The assessment tool consisted of a proforma containing socio-demographic, non socio- demographic variables, MDAS-K and Visual analogue scale (VAS).
Reliability was assessed using Cronbach's alpha, inter-item Spearman's correlation. Independent t-test, ANOVA and post hoc Bonferroni were used to analyse dental anxiety in the psychometric constructs.
The internal consistency of MDAS-K was good with Cronbach's alpha of 0.83. The test-retest reliability for MDAS K had a good correlation of 0.901. The psychometric variables established the construct validity of MDAS-K.MDAS-K also showed good convergent validity with VAS score. The anxiety levels differed in patients visiting different dental departments.
The high reliability and validity of the MDAS-K supports its cross cultural adaptation and indicates that it can be a valuable tool for dental practioners in quantifying anxiety among patients and provide quality dental care.
牙科焦虑是寻求牙科治疗时最常见的障碍之一。为了克服这一障碍,牙医需要对患者进行筛查,以成功地协助治疗。因此,需要一种在社会和文化上都可接受的量表来测量牙科焦虑。
本研究旨在评估改良牙科焦虑量表卡纳达语翻译版(MDAS-K)的跨文化适应性和有效性。
对30名到牙科机构就诊的患者进行重测,以评估MDAS-K的信度。在一家牙科机构的不同科室对301名患者进行横断面调查,以测试MDAS-K的心理测量学特性。评估工具包括一份包含社会人口统计学、非社会人口统计学变量、MDAS-K和视觉模拟量表(VAS)的表格。
使用Cronbach's alpha系数、项目间Spearman相关性评估信度。采用独立样本t检验、方差分析和事后Bonferroni检验分析心理测量学结构中的牙科焦虑。
MDAS-K的内部一致性良好,Cronbach's alpha系数为0.83。MDAS-K的重测信度相关性良好,为0.901。心理测量学变量确立了MDAS-K的结构效度。MDAS-K与VAS评分也显示出良好的收敛效度。不同牙科科室就诊患者的焦虑水平存在差异。
MDAS-K的高信度和效度支持其跨文化适应性,表明它可以成为牙科医生量化患者焦虑并提供优质牙科护理的有价值工具。