Translation and Cultural Adaptation of the Modified Child Dental Anxiety Scale - Faces (MCDASf) into Brazilian Portuguese

Taís de Souza  Barbosa; Marina Sousa  Azevedo; Giovanna Lucas  Vidal; Paulo Veríssimo Barbosa  D’Almeida; Carolina Dea  Bruzamolin; Luciane Rezende  Costa; Vanessa Polina Pereira da  Costa; Marília Leão  Goettems

Authors

Taís de Souza Barbosa
Marina Sousa Azevedo
Giovanna Lucas Vidal
Paulo Veríssimo Barbosa D’Almeida
Carolina Dea Bruzamolin
Luciane Rezende Costa
Vanessa Polina Pereira da Costa
Marília Leão Goettems

Keywords:

Dental Anxiety, Surveys and Questionnaires, Translating

Abstract

Objective: To translate and culturally adapt the Modified Child Dental Anxiety Scale - Faces (MCDASf) into Brazilian Portuguese. Material and Methods: The MCDASf consists of eight questions about anxiety toward dental procedures that are answered on a five-point Likert scale ranging from “not worried” (1 point) to “very worried” (5 points). The answers correspond to a scale of face drawings ranging from extremely negative to extremely positive. The process consisted of initial translation, back-translation, expert committee review, and pretesting. Results: The first revised version was applied to 32 children aged 5 to 12 years, 16 from the city of Governador Valadares, Brazil (southeastern region) and 16 from the city of Pelotas, Brazil (southern region). In the first pretest, Item 5 was misunderstood by 6.25% of children in the southern region; Item 6 by 6.25% in both regions; Items 7 and 8 by 87.5% and 100% of those from the southeastern region, respectively, and by 12.5% and 25% of those from the southern region, respectively. Items 7 and 8 were modified by the expert committee, and the second revised version was applied to 32 children, 16 from each region. The only misunderstood items were 4 and 5, both by a 7-year-old boy in Governador Valadares. Conclusion: The Brazilian Portuguese version of the MCDASf was well understood by the sample of children.

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