Cultural adaptation of a scale to measure anxiety before stomatological treatment in the Cuban population

Authors

  • Hilda Elia Rodriguez Chala Universidad de Ciencias Médicas de La Habana, Facultad “Julio Trigo López”. La Habana, Cuba. https://orcid.org/0000-0003-3571-2916
  • Dania Isabel Brito Menéndez Universidad de Ciencias Médicas de La Habana, Facultad de Ciencias Médicas “Julio Trigo López”, Departamento Docente de Estomatología. La Habana, Cuba. https://orcid.org/0000-0002-2370-5842

Keywords:

adaptation, anxiety, therapeutic, Cuba, population.

Abstract

Introduction: In Cuba there is no measuring instrument validated to the Cuban cultural context, nor designed by researchers to measure anxiety before stomatological treatment. Consequently, it is not possible to obtain information on this occurrence, because the tool has not been determined. Objective: To adapt the modified dental anxiety scale to the Cuban cultural context. Methods: Research with an exploratory sequential design, in the derivative modality, in an adult population of Havana province. The cultural adaptation included the processes of translation-retrotranslation, consolidation by experts and pilot testing in 30 subjects. These procedures were carried out so that the resulting scale would maintain equivalence with the original version. The empirical methods used were expert consultation and the group technique (nominal group) in teaching professionals, as well as the qualitative interview method with patients. Results: From the original version, seven comments were recorded by the experts that made it possible to establish the preliminary version of the scale, which was examined in a pilot test. The average time to answer the scale was 3.4 minutes. The application of the scale was carried out continuously and without obstacles. The preliminary version was adjusted and the definitive version was established. Conclusions: A scale adapted to the Cuban cultural context was obtained, composed of 6 items, with a range of 6 to 30 evaluation points and categories for different levels of anxiety.

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Author Biography

Dania Isabel Brito Menéndez, Universidad de Ciencias Médicas de La Habana, Facultad de Ciencias Médicas “Julio Trigo López”, Departamento Docente de Estomatología. La Habana, Cuba.

Universidad de Ciencias Médicas de La Habana, Facultad de Ciencias Médicas “Julio Trigo López”, Departamento Docente de Estomatología. La Habana, Cuba.

References

Carvajal A, Centeno C, Watson R, Martínez M, Rubiales AS. How is an instrument for measuring health to be validated? Anales del sistema sanitario de Navarra. 2011 [acceso 08/03/2019];34(1):63-72. Disponible en: https://europepmc.org/abstract/med/21532647

Guillemin F, Bombardier C, Beaton D. Cross-cultural adaptation of health-related quality of life measures: Literature review and proposed guidelines. Journal of Clinical Epidemiology. 1993 [acceso 08/03/2019];46(12):1417-32.

Disponible en: https://www.sciencedirect.com/science/article/abs/pii/089543569390142N

López Fernández R, Avello Martínez R, Palmero Urquiza DE, Gálvez SS, Álvarez, M. Q. Validación de instrumentos como garantía de la credibilidad en las investigaciones científicas. Revista Cubana de Medicina Militar. 2019 [acceso 17/09/2020];48(2):441-50. Disponible en: http://revmedmilitar.sld.cu/index.php/mil/article/view/390/331

Phongphanngam S, Lach HW. Cross-cultural Instrument Translation and Adaptation: Challenges and Strategies. Pacific Rim International Journal of Nursing Research. 2019 [acceso 29/09/2020];23(2):170-9. Disponible en: https://he02.tci-thaijo.org/index.php/PRIJNR/article/view/129032

Ventura León JL. ¿Existen los instrumentos válidos? Un debate necesario. Gaceta Sanitaria. 2017 [acceso 17/09/2018];31(1):71. Disponible en: https://www.scielosp.org/article/gs/2017.v31n1/71-71/#

Cypress BS. Rigor or Reliability and Validity in Qualitative Research: Perspectives, Strategies, Reconceptualization, and Recommendations. Dimens Crit Care Nurs. 2017;36(4):253-63. PMID: 28570380

Anzar W, Afaq A, Baig QA. Assessment of dental anxiety in adults undergoing dental procedures in Dow International Dental College. J Dow University of Health Sciences. 2017 [acceso 09/09/2018];11(1):2-5. Disponible en: www.duhs.edu.pk/jduhs/index.php/jduhs/article/download/449/257

Caltabiano ML, Croker F, Page L, Sklavos A, Spiteri J, Hanrahan L, et al. Dental anxiety in patients attending a student dental clinic. BMC oral health. 2018 [acceso 09/09/2018];18(1):[Aprox. 9 p.]. Disponible en: https://bmcoralhealth.biomedcentral.com/articles/10.1186/s12903-018-0507-5

Fayad MI, Elbieh A, Baig MN, Alruwaili SA. Prevalence of Dental Anxiety among Dental Patients in Saudi Arabia. Journal of International Society of Preventive & Community Dentistry. 2017;7(2):100-4. Disponible en: PMID: 28462178

Dou L, Vanschaayk MM, Zhang Y, Fu X, Ji P, Yang D. The prevalence of dental anxiety and its association with pain and other variables among adult patients with irreversible pulpitis. BMC Oral Health. 2018 [acceso 17/09/2018];18(1):[Aprox. 6 p.]. Disponible en: https://bmcoralhealth.biomedcentral.com/articles/10.1186/s12903-018-0563-x

Humphris G. University of St. Andrews. Modified Dental Anxiety Scale. Scale translations. 2018 [acceso 08/07/2019]. Disponible en: https://www.st-andrews.ac.uk/dentalanxiety/scaletranslations/

Coolidge T, Chambers MA, Garcia LJ, Heaton LJ, Coldwell SE. Psychometric properties of Spanish-language adult dental fear measures. BMC Oral Health. 2008 [acceso 08/07/2016];8(1):[Aprox. 8 p.]. Disponible en http://bmcoralhealth.biomedcentral.com/articles/10.1186/1472-6831-8-15

Carrillo Díaz M, Crego A, Armfield JM, Romero M. Adaptation and psychometric properties of the Spanish version of the Index of Dental Anxiety and Fear (IDAF-4C+). Oral health & preventive dentistry. 2012;10(4):[Aprox. 10 p]. PMID: 23301233

Cázares de León F, Moral de la Rubia J, Montoya Flores BI. Validación del inventario de ansiedad dental versión corta en pacientes adultos mexicanos. Ansiedad y Estrés. 2013 [acceso 17/09/2018];19(1):[Aprox. 14 p.]. Disponible en: https://www.remexesto.com/index.php/remexesto/article/view/216

Villavicencio E, Castillo J, Llapa M, Jaramillo Z, Coronel P, Pariona M. Validación de un instrumento de ansiedad dental EQ-SDAI. Rev Estomatol Herediana. 2019 [acceso 17/09/2020];29(4):277-84. Disponible en: http://www.scielo.org.pe/scielo.php?script=sci_arttext&pid=S1019-43552019000400004

Hernández Sampieri R, Fernández Collado C, Baptista Lucio P. Metodología de la investigación. 6ta Ed. México: Editorial McGraw Hill; 2014.

Humphris GM, Morrison T, Lindsay SJE. The Modified Dental Anxiety Scale: validation and United Kingdom norms. Community Dent Health. 1995 [acceso 17/09/2018];12:[Aprox. 7 p.]. Disponible en: http://psycnet.apa.org/record/2015-10202-001

Lira MT, Caballero E. Adaptación transcultural de instrumentos de evaluación en salud: historia y reflexiones del por qué, cómo y cuándo. Revista Médica Clínica Las Condes. 2020 [acceso 17/09/2020];31(1):85-94. Disponible en https://www.sciencedirect.com/science/article/pii/S0716864019301166

Congost Maestre N. Aspectos lingüísticos en la traducción de cuestionarios de salud (británicos y estadounidenses). J Spec Transl. 2016 [acceso 17/09/2018];26:116-35. Disponible en: https://jostrans.org/issue26/art_congost.php

Giri J, Pokharel PR, Gyawali R, Bhattarai B. Translation and Validation of Modified Dental Anxiety Scale: The Nepali Version. Int Sch Res Notices. 2017 [acceso 17/09/2018];2017(3):1-5. Disponible en: https://www.hindawi.com/journals/isrn/2017/5495643/

Coolidge T, Hillstead MB, Farjo N, Weinstein P, Coldwell SE. Additional psychometric data for the Spanish Modified Dental Anxiety Scale, and psychometric data for a Spanish version of the Revised Dental Beliefs Survey. BMC Oral Health. 2010 [acceso 08/07/2019];10:[Aprox. 8 p.]. Disponible en: http://bmcoralhealth.biomedcentral.com/articles/10.1186/1472-6831-10-12

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Published

2023-04-03

How to Cite

1.
Rodriguez Chala HE, Brito Menéndez DI. Cultural adaptation of a scale to measure anxiety before stomatological treatment in the Cuban population. Rev Cubana Estomatol [Internet]. 2023 Apr. 3 [cited 2025 Mar. 12];60(2):e4000. Available from: https://revestomatologia.sld.cu/index.php/est/article/view/4000

Issue

Vol. 60 No. 2 (2023): APR- JUN

Section

Research Article

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