Development, psychometric testing and cross-cultural adaptation of a new tool to evaluate knowledge, attitude and practice of caregivers on oral healthcare of older people among Hindi speaking North Indian population

Q1 Medicine

Journal of oral biology and craniofacial research Pub Date : 2025-07-28 DOI:10.1016/j.jobcr.2025.07.017

Diptajit Das , Arpit Gupta, Nishant Mehta, Richa Shrivastava, Ashima Goyal

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引用次数: 0

Abstract

Background

Poor oral health among institutionalized older adults is associated with inadequate Knowledge and practice among caregivers, existing assessment tools lack validity, reliability, theoretical grounding, and cultural adaptation.

Objectives

This study aimed to develop and validate comprehensive tool to assess knowledge, attitude, and practices (KAP) of caregivers regarding oral health care for Hindi-speaking elderly in North India.

Methodology

This study aimed to develop and validate a comprehensive tool to assess the KAP of caregivers regarding oral health care for Hindi-speaking elderly in North India. A psychometric and cross-cultural adaptation study was conducted involving subject experts and caregivers from senior citizen facilities in Chandigarh and parts of Haryana. The tool development included literature review, expert consultations, and content validation using Content Validity Ratio and Content Validity Index. A preliminary pilot test was conducted with random sample of ten caregivers to assess applicability, viability and usability of the questionnaire. Their feedback informed refinements to improve face validity. The tool was translated and adapted into Hindi, followed by data collection through interviews during home visits.

Results

Out of 29 initial items across three domains, 11 were deleted after two rounds of expert review, and two were removed during the validation phase. The final version comprised 16 items, achieving an excellent Scale-CVI/Ave score of 0.94. The tool demonstrated good internal consistency with a Cronbach's alpha of 0.82.

Conclusion

The Hindi version of the newly developed tool had excellent content validity and good reliability to measure KAP of caregivers for oral healthcare of older people.

Patient or public contribution

Caregivers participated in the pilot testing of the questionnaire to assess the clarity, comprehension, and cultural appropriateness. Their feedback was instrumental in refining the language and structure of the questions, thereby enhancing the face validity of the instrument before its final administration in the main study.

Abstract Image

查看原文本刊更多论文

开发、心理测量测试和跨文化适应一种新工具，以评估北印度语人口中老年人口腔保健护理人员的知识、态度和做法

机构老年人口腔健康状况不佳与护理人员的知识和实践不足、现有评估工具缺乏有效性、可靠性、理论基础和文化适应性有关。本研究旨在开发和验证综合工具，以评估护理人员对北印度印地语老年人口腔卫生保健的知识、态度和实践（KAP）。方法：本研究旨在开发和验证一个综合工具，以评估护理人员对北印度印地语老年人口腔卫生保健的KAP。在昌迪加尔和哈里亚纳邦部分地区的老年机构中，专家和护理人员参与了一项心理测量学和跨文化适应研究。工具开发包括文献回顾、专家咨询和使用内容效度比和内容效度指数进行内容验证。随机抽取10名护理人员进行初步试点测试，以评估问卷的适用性、可行性和可用性。他们的反馈为改进面部有效性提供了信息。该工具被翻译并改编成印地语，随后通过家访期间的访谈收集数据。结果在3个领域的29个初始条目中，11个经过两轮专家评审后被删除，2个在验证阶段被删除。最终版本由16个项目组成，达到了0.94的优秀量表- cvi /Ave分数。该工具具有良好的内部一致性，Cronbach's alpha为0.82。结论新开发的印地语版测量老年人口腔保健护理人员KAP的内容效度和信度均较好。患者或公众贡献护理人员参与了问卷的试点测试，以评估问卷的清晰度、理解力和文化适应性。他们的反馈有助于改进问题的语言和结构，从而在主要研究中最后使用该工具之前提高其表面效度。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Journal of oral biology and craniofacial research Medicine-Otorhinolaryngology

CiteScore

4.90

自引率

0.00%

发文量

133

审稿时长

167 days

期刊介绍： Journal of Oral Biology and Craniofacial Research (JOBCR)is the official journal of the Craniofacial Research Foundation (CRF). The journal aims to provide a common platform for both clinical and translational research and to promote interdisciplinary sciences in craniofacial region. JOBCR publishes content that includes diseases, injuries and defects in the head, neck, face, jaws and the hard and soft tissues of the mouth and jaws and face region; diagnosis and medical management of diseases specific to the orofacial tissues and of oral manifestations of systemic diseases; studies on identifying populations at risk of oral disease or in need of specific care, and comparing regional, environmental, social, and access similarities and differences in dental care between populations; diseases of the mouth and related structures like salivary glands, temporomandibular joints, facial muscles and perioral skin; biomedical engineering, tissue engineering and stem cells. The journal publishes reviews, commentaries, peer-reviewed original research articles, short communication, and case reports.