Department of Pediatric Dentistry, King Abdulaziz University, Jeddah 21589, Saudi Arabia.
Dentistry Department, King Faisal Hospital and Research Center, Jeddah 21499, Saudi Arabia.
Int J Environ Res Public Health. 2021 Mar 25;18(7):3399. doi: 10.3390/ijerph18073399.
The study objective was to construct and validate a tool to assess, measure, and evaluate the barriers and obstacles that patients with orofacial clefts (OFCs), and their families, face during treatment. The Effective Accessibility and Accommodation subscale, based on the translated Primary Care Assessment Survey and Primary Care Assessment Tool scales, was used as a reference for the questionnaire. A total of 165 parents from three main cleft referral centers in Saudi Arabia were interviewed. Questionnaire content validity was conducted by calculation of a content validity index for each item (I-CVI) as well as for the total scale (S-CVI). Reliability was tested using Cronbach's alpha. Factor analysis and principal components analysis were performed to determine the factor structure of the instrument. The final questionnaire had nine items. Rating results showed both I-CVI and S-CVI scores of 1 and Cronbach's alpha was 0.86. There were three factors (geographic accessibility, appointment availability and accessibility, and scheduling-related barriers) with eigenvalues above 1.00, which collectively accounted for 73% of the variance. In conclusion, this tool is valid and reliable to evaluate accessibility and barriers to care of patients with OFCs in Saudi Arabia.
本研究旨在构建和验证一种工具，以评估、衡量和评估唇腭裂（OFC）患者及其家属在治疗过程中所面临的障碍和障碍。有效可及性和适应性分量表以翻译后的初级保健评估调查和初级保健评估工具量表为参考。共采访了沙特阿拉伯三个主要腭裂转诊中心的 165 名家长。通过计算每个项目的内容有效性指数（I-CVI）和总量表的内容有效性指数（S-CVI）来进行问卷内容有效性。采用克朗巴赫的 alpha 检验来检验可靠性。采用因子分析和主成分分析来确定仪器的因子结构。最终问卷有九个项目。评分结果显示 I-CVI 和 S-CVI 得分均为 1，克朗巴赫的 alpha 为 0.86。有三个特征（地理可及性、预约可用性和可及性以及与时间表相关的障碍）的特征值大于 1.00，它们共同占方差的 73%。总之，该工具在评估沙特阿拉伯 OFC 患者的可及性和护理障碍方面是有效和可靠的。
