Brazilian version of Positive Oral Health and Well-Being: cross-cultural adaptation and psychometric analysis

Matheus França Perazzo*, Fernanda Ruffo Ortiz, Pablo Alejandro Pérez-Díaz, Georgios Tsakos, Avraham Zini, Arndt Büssing, Yuval Vered, Paulo Antônio Martins, Ana Flávia Granville-Garcia, Saul Martins Paiva

*Corresponding author for this work

Research output: Contribution to journalArticlepeer-review

1 Scopus citations


Specific measures to evaluate positive oral health have been in a nascent stage in Dentistry, especially in developing countries. The present study aimed to translate, cross-culturally adapt and evaluate the psychometric properties of the Brazilian version of Positive Oral Health and Well-Being (B-POHW). After forward-backwards translation to Brazilian Portuguese language, the cross-cultural adaptation of B-POHW was pretested, followed by the main study to perform psychometric analysis. We tested the model fit by Confirmatory Factor Analysis with categorical factor indicators in bifactor and simple structure models on a sample of 209 participants (mean age: 39.36 ± 12.26. Questionnaires about sociodemographic status, self-reported oral health-related outcomes, and general well-being were administered and used as external validation measures. Moreover, dental caries experience was clinically diagnosed. For test-retest reliability, 53 participants completed the B-POHW a fortnight later. The following results were found: a) the bifactor model presented the best model fit; b) the B-POHW demonstrated satisfactory internal consistency (Cronbach’s α and McDonald’s ω > 0.8); c) the intraclass correlation coefficient suggested good reliability for the Global Factor of B-POHW in the test-retest (ICC = 0.84); d) evidence based on other variables and construct representation was in line with the positive oral health framework. The B-POHW is psychometrically sound to be used in a Brazilian context, and evidence of its internal structure confirmed its theoretical framework for measuring positive oral health. These findings advance in holistic approaches, enabling to assess positive oral health in Dental practice in Brazil.

Original languageAmerican English
Article numbere051
JournalBrazilian Oral Research
StatePublished - Apr 2022

Bibliographical note

Funding Information:
Funding was provided by the National Council for Scientific and Technological Development (CNPq) - Nº 22/2018, under grant Nº. 205043/2018-6, (CNPq) - Nº 08/2019, under grant Nº. 150339/2020-8, and financed in part by the Coordenação de Aperfeiçoamento de Pessoal de Nível Superior - Brazil (CAPES) - Finance Code 001. The study was additionally supported by the Federal University of Minas Gerais (UFMG), State University of Paraíba (UEPB), University College London (UCL), Austral University of Chile (UACh), and Chilean national commission of research, science and technology (CONICYT).

Publisher Copyright:
© 2022. Brazilian Oral Research.All Rights Reserved


  • Factor analysis
  • Oral health
  • Psychometrics
  • Quality of life
  • Statistical


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