Cross-cultural adaptation and validation of the postoperative recovery in children scale for dental treatment under general anesthesia (PRiC-DTGA) in Chinese children
10.3760/cma.j.cn112144-20250705-00248
- VernacularTitle:中文版儿童全身麻醉下口腔治疗术后恢复质量量表的修订与信效度检验
- Author:
Xiaotong SHI
1
;
Bing LIU
1
;
Ze FAN
1
;
Yao ZHANG
1
;
Tiantian LIU
1
;
Zhenzhen GAO
1
;
Haopeng ZHANG
1
;
Hui ZHANG
1
Author Information
1. 空军军医大学口腔医院麻醉科 口颌系统重建与再生全国重点实验室 国家口腔疾病临床医学研究中心 陕西省口腔生物工程技术研究中心，西安 710032
- Publication Type:Journal Article
- Keywords:
Child;
Anesthesia, general;
Dental treatment;
Postoperative recovery;
Scales
- From:
Chinese Journal of Stomatology
2025;60(10):1128-1136
- CountryChina
- Language:Chinese
-
Abstract:
Objective:To translate and adapt the postoperative recovery in children (PRiC) scale, developing a Chinese version for children undergoing dental treatment under general anesthesia (PRiC-DTGA) with validated psychometric properties.Methods:The PRiC scale underwent forward-backward translation using Brislin′s model. A convenience sample of DTGA patients from the Department of Anesthesiology, School of Stomatology, The Fourth Mility Force Medical University was enrolled for a cross-sectional survey on postoperative complications. Delphi expert consultation informed cultural adaptation based on survey findings to develop the PRiC-DTGA Chinese version. Psychometric validation included reliability and validity testing in a separate DTGA cohort at the same center (April-October 2024).Results:Results from the cross-sectionalsurvey of 231 children showed that 82.7% (191/231) of them hadat least one postoperative complication within 72 hours, and these complications were mainly mild local symptoms. Additionally, 358 copies of the Chinese version of the PRiC-DTGA scale were distributed; 21 invalid questionnaires with incomplete information were excluded, and a total of 337 cases were included inthe study. The final PRiC-DTGA comprised 22 items across three dimensions including physical comfort, social ability, and negative emotional. Exploratory factor analysis (EFA) confirmed all factor loadings>0.4. Confirmatory factor analysis (CFA) demonstrated adequate fit: χ 2/df=1.665, tucker-Lewis index (TLI)=0.924, comparative fit index (CFI)=0.896, standardized root mean square residual (SRMR)=0.041, and root mean square error of approximation (RMSEA)=0.044 (90% CI: 0.035-0.053). Reliability was strong with Cronbach′s α (total scale)=0.853, subscale α=0.632-0.723, split-half reliability=0.824. Validity indices met standards: scale-content validity index (S-CVI)=0.909, Item-CVI range=0.944-1.000, average variance extracted (AVE)=0.473-0.501, composite reliability (CR)=0.830-0.913. Conclusions:The systematically adapted PRiC-DTGA demonstrates robust reliability and validity, serving as an effective tool for assessing postoperative recovery quality in Chinese children following DTGA.
