Int J Paediatr Dent. 2025 Nov 17. doi: 10.1111/ipd.70051. Online ahead of print.
ABSTRACT
BACKGROUND: Silver diamine fluoride (SDF) is a viable biological approach for arresting active dental caries in children. However, the resulting dark staining is a major concern for parents, often limiting its acceptance despite clinical benefits. Therefore, evaluating parental acceptability is crucial.
AIM: This study aimed to develop and validate a Malay version of the questionnaire on parental perception and acceptance of SDF treatment in children, based on the English version by Crystal et al., for use in Malaysia.
DESIGN: The English questionnaire was modified and translated into Malay following standardised guidelines. Content validation was performed by an expert committee, followed by pilot testing with 134 participants. Construct validity was assessed using Exploratory Factor Analysis (EFA) with Kaiser-Meyer-Olkin (KMO) and Bartlett’s test. Reliability was then measured through internal consistency (Cronbach’s alpha) and test-retest reliability using intraclass correlation coefficient (ICC).
RESULTS: Nineteen out of 22 items scored an I-CVI of 1.0; three scored 0.5. S-CVI/UA was 0.86 and S-CVI/Ave was 0.93. EFA confirmed construct validity (KMO = 0.74, Bartlett’s test p < 0.001). Cronbach’s alpha values ranged from 0.780 to 0.919, indicating high internal consistency. ICC values (0.528-0.802, p < 0.05) showed moderate to good reliability.
CONCLUSION: The Malay version of the questionnaire is both valid and reliable, supporting further nationwide studies to improve its stability.
PMID:41249769 | DOI:10.1111/ipd.70051
