成人口腔健康知识测试(TOHLA):新量表的开发和心理测量评估。

IF 1.5 4区 医学 Q3 DENTISTRY, ORAL SURGERY & MEDICINE
Brazilian oral research Pub Date : 2024-07-12 eCollection Date: 2024-01-01 DOI:10.1590/1807-3107bor-2024.vol38.0059
Mohtasham Ghaffari, Sakineh Rakhshanderou, Fábio Luiz Mialhe, Yadollah Mehrabi, Ali Safari-Moradabadi
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引用次数: 0

摘要

本研究旨在针对伊朗人口开发和严格评估成人口腔健康素养测试 (TOHLA),解决现有口腔健康素养(OHL)测量工具的局限性,并为口腔健康素养评估文献做出贡献。TOHLA 的开发采用了定性方法,包括全面的文献综述和半结构式访谈,访谈对象包括 15 位来自不同领域的专家和 22 位年龄在 18 至 64 岁之间的伊朗成年人。该工具设计了 48 个项目,分为四个领域:认知技能、沟通技能、媒体技能和功能技能。通过专家意见和内容验证指数确定了内容效度。结构效度由因子分析支持,并通过比较 TOHLA 分数和人口统计学变量来评估并发效度。为评估该工具的可靠性,还进行了内部一致性和重复测试可靠性分析。TOHLA 的心理测量学评估结果表明,TOHLA 具有很强的内容效度、结构效度、并发效度、内部一致性和重测信度。该工具具有较高的内部一致性,整个量表的 Cronbach's alpha 系数为 0.81。测试-再测信度令人满意,类内相关系数(ICC)为 0.83。并发效度分析表明,OHL得分与人口统计学变量之间存在显著的统计学关联,支持了该工具的整体性能。TOHLA克服了现有工具的不足,为评估伊朗成年人群的OHL提供了一个具有强大心理测量特性的综合工具。研究人员、政策制定者和医疗保健提供者可以利用 TOHLA 来应对口腔健康挑战,提高伊朗成年人的整体口腔健康水平。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Test of Oral Health Literacy in Adults (TOHLA): development and psychometric evaluation of a new scale.

This study aimed to develop and rigorously evaluate the Test of Oral Health Literacy in Adults (TOHLA) for the Iranian population, addressing the limitations of existing oral health literacy (OHL) measurement instruments and contributing to the literature on OHL assessment. The development of the TOHLA involved a qualitative approach, which included a comprehensive literature review and semi-structured interviews with a panel of 15 experts from diverse fields and 22 Iranian adults aged 18 to 64 years. The instrument was designed with 48 items categorized into four domains: cognitive skill, communication skill, media skill, and functional skill. Content validity was established through expert input and content validation indices. Construct validity was supported by factor analysis, and concurrent validity was assessed by comparing TOHLA scores with demographic variables. Internal consistency and test-retest reliability analyses were performed to assess the instrument's reliability. The psychometric evaluation of the TOHLA demonstrated strong content validity, construct validity, concurrent validity, internal consistency, and test-retest reliability. The instrument exhibited a high level of internal consistency, with a Cronbach's alpha coefficient of 0.81 for the entire scale. Test-retest reliability was satisfactory, with an intraclass correlation coefficient (ICC) of 0.83. Concurrent validity analysis showed statistically significant associations between OHL scores and demographic variables, supporting the instrument's overall performance. The TOHLA overcomes the weaknesses observed in existing instruments and offers a comprehensive tool with strong psychometric properties to assess the OHL of the Iranian adult population. Researchers, policymakers, and healthcare providers can utilize the TOHLA to address oral health challenges and enhance overall oral health outcomes among Iranian adults.

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来源期刊
CiteScore
3.70
自引率
4.00%
发文量
107
审稿时长
12 weeks
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