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Home The Child Dental Control Assessment (CDCA) in youth: reliability, validity and cross-cultural...

The Child Dental Control Assessment (CDCA) in youth: reliability, validity and cross-cultural differences

Authors:

  • T. Coolidge
    Dental Public Health Sciences, University of Washington, Seattle WA, USA
  • M. Heima
    Department of Behavioral Pediatric Dentistry, Okayama University Graduate School of Medicine and Dentistry, Okayama, Japan
  • L. J. Heaton
    Departments of Psychology and Behavioral Science, College of Medicine, University of Kentucky, Lexington KY, USA
  • Y. Nakai
    Department of Behavioral Pediatric Dentistry, Okayama University Graduate School of Medicine and Dentistry, Okayama, Japan
  • Hskuldsson
    Faculty of Dentistry, University of Iceland, Reykjavik, Iceland
  • T. A. Smith
    Department of Behavioral Science, College of Medicine, University of Kentucky, Lexington KY, USA
  • P. Weinstein
    Dental Public Health Sciences, University of Washington, Seattle WA, USA
  • P. Milgrom
    Dental Public Health Sciences, University of Washington, Seattle WA, USA

ABSTRACT


Aim

The Child Dental Control Assessment (CDCA) measures children's preferred control strategies in the dental situation.
Three studies are reported, assessing aspects of this instrument in youths from the USA, Japan and Australia. In particular,
measurements were made as to the reliability and validity of this instrument in this age group in the three cultures, as well as comparing
some results across cultures. STUDY DESIGN: These studies used a questionnaire design.

Methods

Questionnaires (including the
CDCA and other measures) were given to youths aged 11-15 in the three cultures. In one culture, youths received the questionnaire
twice, to compute test-retest reliability.

Results

The measure's reliability and validity were similar to those of other measures. The
CDCA behaves similarly to the Revised Iowa Dental Control Index (R-IDCI). Youths in all three cultures showed similar responses,
although the Japanese were less likely to endorse items. STATISTICS: Internal reliability of the scale ranged from 0.74 to 0.85. Test-
retest reliability was 0.74. Participants in the High Desire/Low Predicted classification on the R-IDCI scored higher on the CDCA (t (73) =
2.9, p<.01). In the Japanese and Australian samples the correlation between CDCA and dental fear was 0.29-0.33 (p<.001). The Australian and USA samples scored significantly higher than the Japanese sample (overall F(2,1544) = 383.98, p<.001, followed by Tukey's HSD, p<.001). CONCLUSIONS: These results provide evidence for the reliability and validity of the CDCA in youth. It appears to measure the discrepancy between Desired and Predicted Control identified in the Revised Iowa Dental Control Index (R-IDCI). Responses of the youth in all three cultures were similar, indicating common dental control preferences for individuals of this age. However, consistent with cultural values, Japanese youth were less likely to endorse the control strategies. These results underline the need to develop culturally-specific, as well as situationally-specific control measures.

PLUMX METRICS

Publication date:

Mar /2005

Keywords:

adolescents, australia, control, dentistry, japan

Issue:

Vol.6 – n.1/2005

Page:

35 – 43

Publisher:

Ariesdue

Cite:


Harvard: T. Coolidge, M. Heima, L. J. Heaton, Y. Nakai, Hskuldsson, T. A. Smith, P. Weinstein, P. Milgrom (2005) "The Child Dental Control Assessment (CDCA) in youth: reliability, validity and cross-cultural differences", European Journal of Paediatric Dentistry, 6(1), pp35-43. doi:
Vancouver: T. Coolidge, M. Heima, L. J. Heaton, Y. Nakai, Hskuldsson, T. A. Smith, P. Weinstein, P. Milgrom. The Child Dental Control Assessment (CDCA) in youth: reliability, validity and cross-cultural differences. European Journal of Paediatric Dentistry [Internet]. 2005Mar.1 [cited 2025May.15];6(1):35-43. Available from: https://www.ejpd.eu/abstract-pubmed/the-child-dental-control-assessment-cdca-in-youth-reliability-validity-and-cross-cultural-differences/
MLA: T. Coolidge, M. Heima, L. J. Heaton, Y. Nakai, Hskuldsson, T. A. Smith, P. Weinstein, P. Milgrom The Child Dental Control Assessment (CDCA) in youth: reliability, validity and cross-cultural differences. European Journal of Paediatric Dentistry. 2005;6(1):35-43

Copyright (c) 2021 Ariesdue

Creative Commons License

This work is licensed under a Creative Commons Attribution-NonCommercial 4.0 International License.

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    European Journal of Paediatric Dentistry © | ISSN (Online): 2035-648X
    Registrazione del Tribunale di Milano n. 285 del 14.04.1998 | ROC 1946 - 26.09.2001
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