Validation and reliability of the Malaysian English version of the psychosocial impact of dental aesthetics questionnaire for adolescents

Background: The Malay version of the Psychosocial Impact of Dental Aesthetics Questionnaire has been validated for use by Malaysian adolescents. Although Malay is their national language, English is widely used as the lingua franca among Malaysians of different ethnicities. This study aimed to valid...

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Main Authors: Wan Hassan, Wan Nurazreena, Mohd Yusof, Zamros Yuzadi, Makhbul, M.Z.M., Shahidan, S.S.Z., Mohd Ali, S.F., Burhanudin, R., Gere, M.J.
Format: Article
Language:English
Published: BioMed Central 2017
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Online Access:http://eprints.um.edu.my/17157/1/art%253A10.1186%252Fs12955-017-0632-x.pdf
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author Wan Hassan, Wan Nurazreena
Mohd Yusof, Zamros Yuzadi
Makhbul, M.Z.M.
Shahidan, S.S.Z.
Mohd Ali, S.F.
Burhanudin, R.
Gere, M.J.
author_facet Wan Hassan, Wan Nurazreena
Mohd Yusof, Zamros Yuzadi
Makhbul, M.Z.M.
Shahidan, S.S.Z.
Mohd Ali, S.F.
Burhanudin, R.
Gere, M.J.
author_sort Wan Hassan, Wan Nurazreena
collection UM
description Background: The Malay version of the Psychosocial Impact of Dental Aesthetics Questionnaire has been validated for use by Malaysian adolescents. Although Malay is their national language, English is widely used as the lingua franca among Malaysians of different ethnicities. This study aimed to validate an English version of the PIDAQ adapted for use by Malaysian adolescents to optimize data capture from adolescents who prefer English as the medium for communication. Methods: The published English version of PIDAQ was pilot tested on 12-to 17-year-old adolescents, resulting in a few modifications to suit the Malaysian variety of English. Psychometric properties were tested on 393 adolescents who attended orthodontic practices and selected schools. Malocclusion was assessed using the Malocclusion Index, an aggregation of Perception of Occlusion Scale and the Aesthetic Component of the Index of Orthodontic Treatment Need, by the subjects (MI-S) and investigators (MI-D). Data were analysed for internal consistency and age-associated invariance, discriminant, construct and criterion validities, reproducibility and floor and ceiling effects using AMOS v. 20 and SPSS v. 20. Results: The item Don't like own teeth on video of the Aesthetic Concern (AC) subscale was not relevant to a large proportion of participants (11.7%). Therefore, it was removed and the Malaysian English PIDAQ was analysed based on 22 items instead of 23 items. Confirmatory factor analysis showed good fit statistics (comparative fit index: 0.902, root-meansquare error of approximation: 0.066). Internal consistency was good for the Dental Self-Confidence, Social Impact and Psychological Impact subscales (Cronbach's alpha: 0.70-0.95) but lower (0.52-0.62) though acceptable for the AC subscale as it consisted of only 2 items. The reproducibility test was acceptable (intra-class correlations: 0.53-0.78). For all PIDAQ subscales, the MI-S and MI-D scores of those with severe malocclusion differed significantly from those with no or slight malocclusion. There were significant associations between the PIDAQ subscales with ranking of perceived dental appearance, need for braces and impact of malocclusion on daily activities. There were no floor or ceiling effects. Conclusion: The adapted Malaysian English PIDAQ demonstrated adequate psychometric properties that are valid and reliable for assessment of psychological impacts of dental aesthetics among Malaysian adolescents.
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spelling um.eprints-171572021-09-21T03:23:53Z http://eprints.um.edu.my/17157/ Validation and reliability of the Malaysian English version of the psychosocial impact of dental aesthetics questionnaire for adolescents Wan Hassan, Wan Nurazreena Mohd Yusof, Zamros Yuzadi Makhbul, M.Z.M. Shahidan, S.S.Z. Mohd Ali, S.F. Burhanudin, R. Gere, M.J. Practice of dentistry. Dental economics Background: The Malay version of the Psychosocial Impact of Dental Aesthetics Questionnaire has been validated for use by Malaysian adolescents. Although Malay is their national language, English is widely used as the lingua franca among Malaysians of different ethnicities. This study aimed to validate an English version of the PIDAQ adapted for use by Malaysian adolescents to optimize data capture from adolescents who prefer English as the medium for communication. Methods: The published English version of PIDAQ was pilot tested on 12-to 17-year-old adolescents, resulting in a few modifications to suit the Malaysian variety of English. Psychometric properties were tested on 393 adolescents who attended orthodontic practices and selected schools. Malocclusion was assessed using the Malocclusion Index, an aggregation of Perception of Occlusion Scale and the Aesthetic Component of the Index of Orthodontic Treatment Need, by the subjects (MI-S) and investigators (MI-D). Data were analysed for internal consistency and age-associated invariance, discriminant, construct and criterion validities, reproducibility and floor and ceiling effects using AMOS v. 20 and SPSS v. 20. Results: The item Don't like own teeth on video of the Aesthetic Concern (AC) subscale was not relevant to a large proportion of participants (11.7%). Therefore, it was removed and the Malaysian English PIDAQ was analysed based on 22 items instead of 23 items. Confirmatory factor analysis showed good fit statistics (comparative fit index: 0.902, root-meansquare error of approximation: 0.066). Internal consistency was good for the Dental Self-Confidence, Social Impact and Psychological Impact subscales (Cronbach's alpha: 0.70-0.95) but lower (0.52-0.62) though acceptable for the AC subscale as it consisted of only 2 items. The reproducibility test was acceptable (intra-class correlations: 0.53-0.78). For all PIDAQ subscales, the MI-S and MI-D scores of those with severe malocclusion differed significantly from those with no or slight malocclusion. There were significant associations between the PIDAQ subscales with ranking of perceived dental appearance, need for braces and impact of malocclusion on daily activities. There were no floor or ceiling effects. Conclusion: The adapted Malaysian English PIDAQ demonstrated adequate psychometric properties that are valid and reliable for assessment of psychological impacts of dental aesthetics among Malaysian adolescents. BioMed Central 2017 Article PeerReviewed application/pdf en http://eprints.um.edu.my/17157/1/art%253A10.1186%252Fs12955-017-0632-x.pdf Wan Hassan, Wan Nurazreena and Mohd Yusof, Zamros Yuzadi and Makhbul, M.Z.M. and Shahidan, S.S.Z. and Mohd Ali, S.F. and Burhanudin, R. and Gere, M.J. (2017) Validation and reliability of the Malaysian English version of the psychosocial impact of dental aesthetics questionnaire for adolescents. Health and Quality of Life Outcomes, 15 (1). p. 54. ISSN 1477-7525, DOI https://doi.org/10.1186/s12955-017-0632-x <https://doi.org/10.1186/s12955-017-0632-x>. https://hqlo.biomedcentral.com/articles/10.1186/s12955-017-0632-x 10.1186/s12955-017-0632-x
spellingShingle Practice of dentistry. Dental economics
Wan Hassan, Wan Nurazreena
Mohd Yusof, Zamros Yuzadi
Makhbul, M.Z.M.
Shahidan, S.S.Z.
Mohd Ali, S.F.
Burhanudin, R.
Gere, M.J.
Validation and reliability of the Malaysian English version of the psychosocial impact of dental aesthetics questionnaire for adolescents
title Validation and reliability of the Malaysian English version of the psychosocial impact of dental aesthetics questionnaire for adolescents
title_full Validation and reliability of the Malaysian English version of the psychosocial impact of dental aesthetics questionnaire for adolescents
title_fullStr Validation and reliability of the Malaysian English version of the psychosocial impact of dental aesthetics questionnaire for adolescents
title_full_unstemmed Validation and reliability of the Malaysian English version of the psychosocial impact of dental aesthetics questionnaire for adolescents
title_short Validation and reliability of the Malaysian English version of the psychosocial impact of dental aesthetics questionnaire for adolescents
title_sort validation and reliability of the malaysian english version of the psychosocial impact of dental aesthetics questionnaire for adolescents
topic Practice of dentistry. Dental economics
url http://eprints.um.edu.my/17157/1/art%253A10.1186%252Fs12955-017-0632-x.pdf
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