Psychometric Evaluation of Urdu Index of Dental Anxiety and Fear

| Posted in: Science Health Sciences

Journal name: The Malaysian Journal of Medical Sciences
Original article title: Psychometric Assessment of the Urdu Version of the Index of Dental Anxiety and Fear
The Malaysian Journal of Medical Sciences (MJMS) is a peer-reviewed, open-access journal published online at least six times a year. It covers all aspects of medical sciences and prioritizes high-quality research.
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Original source:

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Author:

Huma Farid, Lubna Pasha, Maryam Majeed


The Malaysian Journal of Medical Sciences:

(A peer-reviewed, open-access journal)

Full text available for: Psychometric Assessment of the Urdu Version of the Index of Dental Anxiety and Fear

Year: 2020 | Doi: 10.21315/mjms2020.27.2.12

Copyright (license): CC BY 4.0


Download the PDF file of the original publication


Summary of article contents:

Introduction

Dental anxiety and fear are significant issues that often lead to avoidance of dental visits, ultimately resulting in deteriorating oral health. Despite numerous scales developed to measure this anxiety, many fall short in capturing the complete psychological experience of dental fear. To address these gaps, Armfield introduced the Index of Dental Anxiety and Fear (IDAF-4C), which encompasses emotional, behavioral, physiological, and cognitive components of fear. This study aims to adapt the IDAF-4C into Urdu, evaluate its validity and reliability, and assess the prevalence of dental anxiety among patients at Margalla Dental Hospital in Pakistan.

Importance of Psychometric Validation

The psychometric properties of the Urdu version of IDAF-4C were evaluated through statistical methods including Cronbach's alpha for reliability and exploratory factor analysis (EFA) for validity. The study found high reliability, with a Cronbach's alpha of 0.88, suggesting strongly reliable internal consistency among the scale items. EFA revealed a single factor that explained 55.55% of the variance, indicating that all items on the scale are closely related and measure the same underlying construct of dental anxiety. The data showed that approximately 52.2% of participants experienced no to low fear, with significant gender differences noted—females reported higher levels of anxiety than males. This highlights the necessity for culturally adapted measurement tools to accurately assess psychological constructs in diverse populations.

Conclusion

The results provide compelling evidence for the good reliability and validity of the Urdu version of IDAF-4C, making it a suitable tool for measuring dental anxiety among Urdu-speaking populations. The study's findings emphasize the need for ongoing research to explore the various influences of gender and cultural context on dental anxiety. Furthermore, to ensure broader applicability, future studies should involve community-level assessments and comparison with established anxiety scales. This research is a critical step in addressing dental fear in Pakistan, ultimately contributing to improved oral health outcomes.

FAQ section (important questions/answers):

What is the main objective of the study?

The main objective of the study was to adapt the Index of Dental Anxiety and Fear (IDAF-4C) into the Urdu language, along with measuring its validity and reliability among patients in Pakistan.

How was the IDAF-4C translated into Urdu?

The original IDAF-4C English questionnaire was translated into Urdu by a panel of dentists and language experts, followed by critical evaluation, modification, and back translation into English for accuracy and consistency.

What were the findings regarding the reliability of IDAF-4C?

The Cronbach’s alpha for the Urdu version of IDAF-4C was found to be 0.88, indicating good reliability. This suggests that the Urdu version is consistent and dependable for measuring dental anxiety and fear.

What differences were observed between male and female participants?

The study found that female participants reported higher mean rank scores for all eight items of IDAF-4C compared to male participants, signifying a statistically significant difference in levels of dental anxiety and fear.

Glossary definitions and references:

Scientific and Ayurvedic Glossary list for “Psychometric Evaluation of Urdu Index of Dental Anxiety and Fear”. This list explains important keywords that occur in this article and links it to the glossary for a better understanding of that concept in the context of Ayurveda and other topics.

1) Fear:
Fear is a fundamental emotional response that can trigger avoidance behavior. It plays a crucial role in dental health, as many patients exhibit fear of dental procedures, leading to neglect of oral care. Understanding fear helps in developing interventions to reduce anxiety and improve dental health outcomes.

2) Anxiety:
Anxiety consists of emotional, cognitive, behavioral, and physiological components. In the context of dental visits, anxiety can manifest as irrational fears related to dental tools or procedures. This emotional state can be detrimental, causing patients to postpone visits, which ultimately affects their oral health.

3) Table:
A table organizes data clearly, enabling comparison and analysis. In research, tables present demographic information and results, such as response rates and scores related to dental anxiety. They facilitate the reading and understanding of findings, allowing for effective communication of relevant metrics to the audience.

4) Study (Studying):
A study is a systematic investigation aimed at discovering or interpreting facts. In the context of medical and psychological fields, studies often assess parameters like anxiety and fear using validated tools. Results from such studies contribute to evidence-based practice and further understanding of patient behaviors.

5) Language:
Language is crucial for effective communication and understanding of concepts, especially in a diverse society. The translation of questionnaires into local languages, like Urdu, ensures accessibility for patients, enhancing their ability to express fears and emotions regarding dental treatment, thus improving data quality and reliability.

6) Reliability:
Reliability refers to the consistency of a measure over time and across different populations. In psychological assessments, high reliability ensures that results accurately reflect true anxiety levels. Tools like the IDAF-4C need to demonstrate reliability to be trusted in clinical settings for better treatment outcomes.

7) Male:
Male gender often presents different psychological profiles compared to females, particularly regarding emotional expression and fear. Research shows that men may report lower levels of dental anxiety. Understanding these differences is vital for tailoring communication and treatment strategies in dental care to cater to gender-specific needs.

8) Science (Scientific):
Science involves systematic studies and experiments to understand natural phenomena. Dental anxiety research utilizes scientific methods to assess emotional responses and develop valid instruments for measurement, which are crucial for improving patient care. Advances in dental science depend on sound research and data interpretation.

9) Visit:
A visit to the dentist is often accompanied by anxiety and fear, affecting patient attendance. Regular visits are essential for maintaining oral health and preventing complications. Understanding factors influencing these visits can help develop strategies to encourage more patients to seek dental care when needed.

10) Pain:
Pain in the context of dental procedures is a significant concern for patients. Fear of pain often contributes to dental anxiety, leading to avoidance of necessary treatments. Hence, managing pain effectively during dental visits is crucial in alleviating fear and improving overall patient experience.

11) Rules:
Rules provide guidelines for administering studies and implementing treatment protocols in healthcare settings. They ensure ethical standards are met while gathering data from patients. Following established rules in surveys helps maintain methodological rigor, reliability, and validity of findings in studies related to patient anxiety.

12) Nature:
Nature refers to the inherent characteristics or qualities of something. In psychological research, understanding the nature of fear and anxiety can lead to effective management strategies. Recognizing how these emotional states manifest can help healthcare providers develop targeted interventions that address patients' unique psychological profiles.

13) Developing:
Developing refers to the process of creating or improving tools, practices, or understanding. In the context of psychology and healthcare, developing validated assessment tools allows for better measurement of constructs like dental anxiety. Continuous development leads to enhanced patient care and improved methodologies in research.

14) Medicine:
Medicine encompasses the science and practice of diagnosing, treating, and preventing disease. Understanding the psychological aspects of patients, such as anxiety related to dental care, is crucial for effective medical practice. Integrating psychology and medicine can lead to improved patient outcomes and satisfaction in healthcare.

15) Quality:
Quality refers to the standard of something as measured against other things of a similar kind. In healthcare research, the quality of instruments used to measure psychological states like anxiety directly affects the reliability and validity of findings. Quality assessments lead to better understanding and improvement of patient care.

16) Post:
Post typically refers to a position or state following a certain event. In research contexts, follow-up studies post-intervention are crucial for assessing long-term effectiveness and understanding sustained impacts on patient outcomes. Evaluating post-treatment effects on anxiety can inform future practice and interventions.

17) Mud:
Mood signifies a temporary emotional state that can influence a person's behavior. In dental care, a patient’s mood may affect their perception of anxiety and fear toward procedures. Recognizing the role of mood in patient experiences can assist clinicians in creating a more comfortable and reassuring environment.

18) Discussion:
Discussion is a crucial component of research and clinical practice where findings are interpreted and contextualized. It allows researchers and healthcare professionals to explore implications, compare results with prior studies, and offer recommendations for future practice. A thorough discussion aids in advancing knowledge in dental anxiety management.

19) Education:
Education equips individuals with knowledge and skills, influencing health-seeking behaviors. Educating patients about dental procedures can diminish fears and encourage visits to professionals. Incorporating educational initiatives about dental anxiety can significantly enhance overall public health and improve dental care delivery systems.

20) Suffering:
Suffering refers to the experience of pain or distress, often associated with psychological states such as fear and anxiety. In dentistry, understanding patient suffering is critical to developing empathetic approaches in treatment planning and communication. Addressing suffering can lead to better patient compliance and satisfaction.

21) Gathering:
Gathering involves the collection of data or resources, vital in research for drawing meaningful conclusions. In psychology, gathering data on anxiety and fear informs practitioners about patients' emotional states and needs. The effectiveness of interventions depends heavily on accurately gathering and analyzing relevant information.

22) Disease:
Disease refers to a pathological condition that affects bodily function and health. In dentistry, untreated anxiety and fear can lead to poor oral health, which can escalate into more significant diseases. Understanding the relationship between psychological conditions and oral diseases is crucial for preventive healthcare.

23) Account:
Account refers to a report or description of events. In research, the detailed account of methodologies and findings is essential for transparency and reproducibility. Accurate accounts ensure that findings related to dental anxiety can be compared across different studies and contexts, enhancing overall comprehension.

24) Rupee:
Rupee is the currency commonly used in Pakistan. In the context of healthcare, understanding the economic factors influencing patient access to dental care is vital. Higher costs may deter patients from seeking treatment, impacting overall oral health outcomes and contributing to anxiety related to dental visits.

25) Shame (Same):
Shame is a deep feeling of embarrassment or guilt often related to personal inadequacies. In dental contexts, feelings of shame regarding oral health can exacerbate anxiety and avoidance behaviors. Understanding the role of shame can help healthcare providers create supportive environments that encourage patients to seek necessary care.

26) Sage:
Sage represents wisdom gained through experience. In healthcare, particularly in psychological contexts, experienced practitioners can offer valuable insights into managing fear and anxiety. By applying sage advice and practices, clinicians can improve patient interactions and outcomes, ultimately fostering a better understanding of dental anxiety.

27) Line:
Line can refer to a boundary or a point of demarcation. In discussions of psychological assessments, establishing clear lines in the definitions and measurements of anxiety is crucial. It helps delineate between different levels of anxiety, facilitating better understanding and effective intervention strategies in clinical practice.

28) Pur:
Poor refers to a state of deficiency or lack, particularly in quality or quantity. In the context of dental care, poor oral health can be linked to unaddressed anxiety and fear. Identifying poor outcomes facilitates necessary interventions to improve patient care, education, and treatment experiences.

Other Health Sciences Concepts:

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Discover the significance of concepts within the article: ‘Psychometric Evaluation of Urdu Index of Dental Anxiety and Fear’. Further sources in the context of Health Sciences might help you critically compare this page with similair documents:

Social gathering, Reliability, Fear and anxiety, English language, Validity, Reliability and validity, Emotional response, Anxiety and fear, Vicious cycle, Hearing impairment, Statistical analysis, Gender difference, Turkish version, Data analysis, Malay version, Social problem, Malay language, Inclusion criteria, Exclusion criteria, Sample size, Statistical Significance, General population, Cronbach's alpha, Systemic disease, Oral health, Study participants, Psychometric properties, Scale development, Construct validity, Response rate, Oral health status, Root canal treatment, Mann–Whitney U-test, Level of significance, Ethical approval, Dental anxiety, Factor analysis, Physiological components, Sample size estimation, Internal Consistency, Exploratory Factor Analysis, High reliability, Preventive dentistry, Dental students, Behavioral components, Demographic detail, Dental Fear, Dental Phobia, Dental Treatment, Questionnaire, Cognitive component, Neuroticism, Community level, Male participants, Emotional Component, Pakistani population, Study subject, Cross-cultural adaptation, Dental visits, Female participants, Dental attendance, Translated version, Clinical indices, Psychometric analysis, Item analysis, Psychometric assessment, Factor loading, Back translation, Psychological tests, Public health service, German version, Research instrument, Spanish version, Original version, Instrument translation, Swedish version, Dental patient, English questionnaire, Mann-Whitney U-test, Fear stimuli, Language expert, Physiological component, Female participant.

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