Tradução, adaptação cultural e análise das propriedades psicométricas da “children’s experiences of dental anxiety measure” para uso em crianças brasileiras

Abstract

This study aimed to translate, perform cultural adaptation and test the psychometric properties of the Brazilian Portuguese version of the Children's Experiences of Dental Anxiety Measure (CEDAM), applied in schoolchildren aged nine to twelve years, enrolled at the Coronel Camilo Soares State School, in the municipality of Ubá - MG. For this, two studies were carried out (named as articles): the first consisted of the stage of translation and cultural adaptation of CEDAM into Brazilian Portuguese and the second in the analysis of psychometric properties. Initially, CEDAM was submitted to the process of translation, back-translation, review by the Expert Committee and pre-test. The socioculturally adapted Brazilian Portuguese version was used in a quantitative cross-sectional study with 80 pairs of parents/guardians and schoolchildren. In this second phase, the children answered the CEDAM, the Brazilian version of the Children's Fear Survey Schedule-Dental Subscale (CFSS-DS) and Child Perceptions Questionnaire (CPQ8-10 and CPQ11-14), in the parents were interviewed remotely and answered: a questionnaire on the child's dental history, a socioeconomic questionnaire, the CORAH Dental Anxiety Scale and the Brazilian version of the Parental-Caregiver Perceptions Questionnaire (P-CPQ). The data were analyzed using descriptive statistics, comparison tests and psychometric analysis. The CEDAM score ranged from 14 to 38, with an average of 19.8 and standard deviation of 5.6. A floor effect was almost non-existent and there was no ceiling effect. Cronbach's alpha was 0.93 and overall, very scared children (CFSS-DS≥32) had higher CEDAM average scores (21.5 vs. 17.0, p=0.0011). The CEDAM score correlated positively with the emotional well-being domain of CPQ8-10 (r=0.41; p=0.0081). Positive correlations were also observed between the CEDAM scores and the total P-CPQ (r=0.30; p=0.0053). It is concluded that the translated and culturally adapted version of CEDAM for Brazilian Portuguese was well understood and the questionnaire proved to be valid and reliable.