Cross-cultural adaptation of Modified Dental Pain screening Questionnaire (M-DePaQ) in a primary dental care clinic in Kuala Lumpur

Amy Kia Cheen Liew, Dalia Abdullah, Seong Jin Shiu, Chiang San Chan, Allan Pau

Research output: Contribution to journalArticle

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 cross-validated 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.

Original languageEnglish
Pages (from-to)38-45
Number of pages8
JournalMalaysian Journal of Public Health Medicine
Volume17
Issue number1
Publication statusPublished - 1 Jan 2017

Fingerprint

Dental Clinics
Deciduous Tooth
Dental Care
Primary Health Care
Tooth
Pain
Dental Models
Triage
Discriminant Analysis
Pain Management
Dentists
Population Groups
Surveys and Questionnaires
Sensitivity and Specificity

Keywords

  • Dental pain
  • Pericoronitis
  • Periodontitis
  • Pulpitis
  • Questionnaires
  • Validation

ASJC Scopus subject areas

  • Public Health, Environmental and Occupational Health

Cite this

Cross-cultural adaptation of Modified Dental Pain screening Questionnaire (M-DePaQ) in a primary dental care clinic in Kuala Lumpur. / Liew, Amy Kia Cheen; Abdullah, Dalia; Shiu, Seong Jin; Chan, Chiang San; Pau, Allan.

In: Malaysian Journal of Public Health Medicine, Vol. 17, No. 1, 01.01.2017, p. 38-45.

Research output: Contribution to journalArticle

@article{4ee77161ac0d4fd88b627f0075c7bd67,
title = "Cross-cultural adaptation of Modified Dental Pain screening Questionnaire (M-DePaQ) in a primary dental care clinic in Kuala Lumpur",
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 cross-validated 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.",
keywords = "Dental pain, Pericoronitis, Periodontitis, Pulpitis, Questionnaires, Validation",
author = "Liew, {Amy Kia Cheen} and Dalia Abdullah and Shiu, {Seong Jin} and Chan, {Chiang San} and Allan Pau",
year = "2017",
month = "1",
day = "1",
language = "English",
volume = "17",
pages = "38--45",
journal = "Malaysian Journal of Public Health Medicine",
issn = "1675-0306",
publisher = "Malaysian Public Health Physicians' Association",
number = "1",

}

TY - JOUR

T1 - Cross-cultural adaptation of Modified Dental Pain screening Questionnaire (M-DePaQ) in a primary dental care clinic in Kuala Lumpur

AU - Liew, Amy Kia Cheen

AU - Abdullah, Dalia

AU - Shiu, Seong Jin

AU - Chan, Chiang San

AU - Pau, Allan

PY - 2017/1/1

Y1 - 2017/1/1

N2 - 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 cross-validated 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.

AB - 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 cross-validated 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.

KW - Dental pain

KW - Pericoronitis

KW - Periodontitis

KW - Pulpitis

KW - Questionnaires

KW - Validation

UR - http://www.scopus.com/inward/record.url?scp=85072707250&partnerID=8YFLogxK

UR - http://www.scopus.com/inward/citedby.url?scp=85072707250&partnerID=8YFLogxK

M3 - Article

AN - SCOPUS:85072707250

VL - 17

SP - 38

EP - 45

JO - Malaysian Journal of Public Health Medicine

JF - Malaysian Journal of Public Health Medicine

SN - 1675-0306

IS - 1

ER -