An Indonesian version of caries management by risk assessment (CAMBRA) for children aged 0-5 years: Assessing validity and reliabilty

Caries is a serious public health problem and its control should be a priority. Proper caries management is urgently needed to handle caries based on specific individual conditions in Indonesia. CAMBRA methodology helps dentists identify the causes of caries by examining risk factors in each patient. The aim of this study is to assess the validity of the CAMBRA Indonesia version that was developed according to guidelines for cross-cultural adaptation. This was a validity and reliability test designated with Cohen's Kappa. This study was carried out by two groups of operators who performed an assessment using the CAMBRA Indonesia version and the original CAMBRA. Both groups examined 36 pairs of mothers and children aged 0-5 years. The mothers had a minimum education of a bachelor's degree. The outcomes of caries risk from each group was tested using Cohen's Kappa. The results of intra- and inter-examiner agreement was almost perfect with a k-value = 0.828 (range 0.81-1.00), with inter-examiner agreement at 94.4%. The Indonesian version of CAMBRA was developed successfully to be used as an instrument assessing caries risk in children 0-5 years old. The inter- and intra-examiner agreement between the CAMBRA Indonesia version and the original CAMBRA were confirmed.