Cross-Cultural Adaptation Of Modified Dental Pain Screening Questionnaire (M-Depaq) In A Primary Dental Care Clinic In Kuala Lumpur
- Author:
Amy Kia Cheen Liew
;
Dalia Abdullah
;
Seong Jin Shiu
;
Chiang San Chan
;
Allan Pau
- Publication Type:Journal Article
- Keywords:
Dental pain;
pulpitis;
periodontitis;
pericoronitis;
questionnaires;
validation
- From:Malaysian Journal of Public Health Medicine
2017;17(1):38-45
- CountryMalaysia
- Language:English
-
Abstract:
A validated screening tool for patient triage based on the pain symptoms, could potentially optimize the
resources and expertise available in dental pain management. The aim of this study was to translate and
validate the Modified Dental Pain Questionnaire (M-DePaQ) for use in categorizing patients with pain into
three groups of common dental conditions. Forward Malay and Chinese translation was performed, followed
by backward English translation. The translation was reviewed by an expert panel and pre-tested on patients
who are native speakers. Consecutive patients aged 18 years and older experiencing pain and attending the
primary dental care clinic completed the questionnaires. Four calibrated dentists made clinical diagnoses
independent of the questionnaire responses. For data analysis, the cases were split randomly into Random
Sample 1 (RS1) and Random Sample 2 (RS2). Discriminant analysis was performed on RS1 to develop a model
for classifying dental pain cases into three groups. The model was applied to cases in RS2, and a crossvalidated
accuracy rate was obtained. Criterion validity was assessed using measures such as sensitivity,
specificity, positive predictive value, and kappa. Of the 234 questionnaires distributed, 216 (92.3%) were
returned. Classification rates were recorded at 73.8% for RS1, 75.0% for RS2, and 71.1% for all cases. The
sensitivity values were 0.72, 0.39, and 0.43 for Groups 1, 2, and 3, respectively. The corresponding
specificity values were 0.42, 0.87, and 0.94. The discriminant validity of the adapted questionnaire was
satisfactory, but the criterion validity could not be established because of biases incorporated in the study.
- Full text:P020170622447332474402.pdf
