Translation and Cross-Cultural Adaptation of the “Child Drawing: Hospital” (CD:H) Scale for Paediatric Dentistry in Brazil


  • Natália Baschirotto Custódio
  • Fernanda Burkert Mathias
  • Mariana Gonzalez Cademartori
  • Marília Leão Goettems


Pediatric Dentistry, Anxiety, Translations


Objective: To translate and perform the cross-cultural adaption of the CD:H scale for use in Paediatric Dentistry in Brazilian Portuguese language. Material and Methods: The translation and cross-cultural adaptation of the CD: H was carried out in four stages: 1) translation of the instrument; 2) reverse translation (back translation); 3) cross-cultural adaptation, and 4) face validation. Face validation consisted of the evaluation of 30 subjects from the target population. A pilot study was conducted with 15 children aged 5-10 years treated at a university dental clinic and their drawings were analysed by two dentists. Data were analysed using Stata 12.0. Results: In the face validation, most items were understood; however, some words were changed, and terms were included to identify the dental environment. Good reproducibility was obtained: inter-examiner reliability was 0.9647 and intra-examiner reliability was 0.9619 for examiner A and 0.8260 for examiner B. Conclusion: The Brazilian version of the CD:H scale is a useful tool for dentists, helping identify children's emotions and being enjoyable for them.


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How to Cite

Custódio, N. B., Mathias, F. B., Cademartori, M. G., & Goettems, M. L. (2023). Translation and Cross-Cultural Adaptation of the “Child Drawing: Hospital” (CD:H) Scale for Paediatric Dentistry in Brazil. Pesquisa Brasileira Em Odontopediatria E Clínica Integrada, 23, e210229. Retrieved from



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