Linguistic-cultural adaptation and internal reliability of the cultural-clinical competence questionnaire pre-training in Chilean dental students
DOI:
https://doi.org/10.17533/udea.rfo.v37n2e358747Keywords:
cultural competence, surveys and questionnaires, culture, dentistryAbstract
Introduction: This study aimed to carry out a linguistic and cultural adaptation of the Spanish version of the pre-training clinical cultural competence questionnaire and to assess its internal consistency reliability among Chilean dental students. Methods: A descriptive study was conducted. Fleiss’ Kappa index was used to measure agreement among expert judges during the linguistic and cultural adaptation process, as well as for cognitive testing with students. The revised questionnaire was applied to dental students through non-probabilistic convenience sampling. Internal consistency reliability was analyzed using Cronbach’s alpha in SPSS version 24, both for individual dimensions and the questionnaire as a whole. The Scientific Ethical Committee of the Faculty of Dentistry approved the study at the University of Concepción (Resolution No. 06/23). Results: Three expert judges participated in the adaptation process, resulting in a Fleiss’ Kappa of 0.68. Following their feedback, the clarity and wording of 27 items were improved. The revised version was then tested with 10 dental students from various academic levels, yielding a Kappa index of 0.86. Of the 426 eligible students, 284 completed the questionnaire, with 90.5 % identifying as Chilean. The total internal consistency reliability was 0.94, with individual dimension scores ranging from 0.73 to 0.94. Conclusion: The substantial agreement reached with judges and students supports the questionnaire’s strong internal consistency, with Cronbach’s alpha exceeding the recommended thresholds in all dimensions. The adapted version is suitable for future research to assess intercultural competence in dental education.
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