Department of Public Health Dentistry, SIBAR Institute of Dental Sciences, Guntur, Andhra Pradesh, India.
Department of Periodontology, SIBAR Institute of Dental Sciences, Guntur, Andhra Pradesh, India.
Indian J Dent Res. 2020 Nov-Dec;31(6):862-871. doi: 10.4103/ijdr.IJDR_539_19.
Oral health literacy (OHL) is a relatively unexplored construct in the Indian context. Most of the few previous studies estimating OHL among different populations of India used instruments that were either previously validated in a different country or not tested for psychometric properties. With this background, the objective of this study was to develop an Indian oral health literacy measure and to evaluate the psychometric properties of the instrument among Telugu speaking population of Andhra Pradesh (IOHLM-T).
The initial version of the instrument after evaluated for face and content validity was tested for psychometric properties among 200 adult patients visiting the outpatient department of SIBAR Institute of Dental Sciences. Predictive validity of the instrument was checked by the association between IOHLM-T score and oral health impact profile (OHIP-14), decayed-missing-filled teeth (DMFT) scores. Convergent validity was tested by assessing the correlation between IOHLM-T score and rapid estimate of adult literacy in dentistry (REALD-30) score.
SPSS version 20 software was used to analyse the data. Independent samples t-test, Pearson's correlation, one-way ANOVA and stepwise multiple linear regression were done to analyse the data.
IOHLM-T demonstrated good internal consistency reliability (Cronbach's alpha 0.75), convergent validity (r = 0.34 between Reald-30 and IOHLM-T scores) and predictive validity (significant negative correlation of IOHLM-T with OHIP-14 and DMFT scores).
IOHLM-T demonstrates good face validity, content validity, predictive validity, convergent validity and internal consistency reliability and thus can be used among different populations in India after translation to the corresponding languages and evaluation of psychometric properties.
口腔健康素养(OHL)在印度语境下是一个尚未得到充分探索的概念。此前,在印度不同人群中评估 OHL 的为数不多的几项研究大多使用的工具,要么是在其他国家经过验证的,要么是未经心理测量学特性测试的。基于此,本研究旨在开发一种印度口腔健康素养测量工具,并在安得拉邦的泰卢固语人群(IOHLM-T)中评估该工具的心理测量特性。
在经过表面效度和内容效度评估后,该工具的初始版本用于测试 SIBAR 牙科研究所门诊 200 名成年患者的心理测量特性。通过 IOHLM-T 评分与口腔健康影响量表(OHIP-14)和龋齿、缺失、补牙(DMFT)评分之间的相关性来检验工具的预测效度。通过评估 IOHLM-T 评分与成人牙科快速简易评估量表(REALD-30)评分之间的相关性来检验其收敛效度。
使用 SPSS 版本 20 软件分析数据。采用独立样本 t 检验、皮尔逊相关分析、单因素方差分析和逐步多元线性回归分析来分析数据。
IOHLM-T 表现出良好的内部一致性信度(Cronbach's alpha 0.75)、收敛效度(REALD-30 和 IOHLM-T 评分之间的 r = 0.34)和预测效度(IOHLM-T 与 OHIP-14 和 DMFT 评分呈显著负相关)。
IOHLM-T 具有良好的表面效度、内容效度、预测效度、收敛效度和内部一致性信度,因此,在翻译成相应语言并评估心理测量特性后,可在印度不同人群中使用。