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Open AccessDevelopment of the Turkish version of the Index of Dental Anxiety and Fear (IDAF 4C+): Dental anxiety and concomitant factors in pediatric dental patients
Development of the Turkish version of the Index of Dental Anxiety and Fear (IDAF 4C+): Dental anxiety and concomitant factors in pediatric dental patients
1Faculty of Dentistry, Department of Pediatric Dentistry, Cumhuriyet University, Sivas, Turkey
2Australian Research Centre for Population Oral Health, School of Dentistry, University of Adelaide, Adelaide, South Australia, Australia
*Corresponding Author(s): Buldur B E-mail: bbuldur@gmail.com
Abstract
Objective: The aim of this study was to develop the Turkish version of the Index of Dental Anxiety and Fear (IDAF-4C+) and also to explore factors associated with dental anxiety in clinical pediatric dental patients (PDPs). Study Design: The study sample consisted of 421 PDPs aged 12–14, 104 of whom were selected for test-retest analysis. The psychometric evaluation included linguistic validity, exploratory factor analysis, reliability by internal consistency (Cronbach's alpha) and test-retest reliability (intra-class correlation coefficient, ICC). Construct validity was tested by comparing a commonly used instrument, the Children's Fear Survey Schedule Dental Subscale (CFSS-DS). Associations between parental dental anxiety, frequency of dental visits, dental caries, dental visit behaviour and children's dental anxiety were also examined. Results: The Turkish version of the IDAF-4C demonstrated good internal consistency (Cronbach's alpha α=.96) and test-retest reliability (ICC=.87). Factor analysis showed a fit IDAF-4C model with a single factor, 8 items. Dental anxiety scores were significantly correlated with all measured variables (p<0.001). Girls showed significantly higher dental anxiety scores than boys (p<0.05). Conclusions: This study suggests that the Turkish version of the IDAF-4C+ is a valid and reliable instrument for assessing dental anxiety and fear in Turkish children.
Keywords
assessment, cross-cultural adaptation, exploratory factor analysis, dental anxiety, pediatric dental patients
Cite and Share
Buldur B,Armfield JM. Development of the Turkish version of the Index of Dental Anxiety and Fear (IDAF 4C+): Dental anxiety and concomitant factors in pediatric dental patients. Journal of Clinical Pediatric Dentistry. 2018. 42(4);279-286.
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