Darukaradhya Tejaswini B, Shwetha K M, Krishnappa Pushpanjali
Department of Allied Health Sciences (Public Health), Faculty of Life and Allied Health Sciences, M. S. Ramaiah University of Applied Sciences, New BEL Road, GG Campus, Bengaluru, Karnataka, India.
Department of Public Health Dentistry, Faculty of Dental Sciences, M. S. Ramaiah University of Applied Sciences, New BEL Road, GG Campus, Bengaluru, Karnataka, India.
Indian J Community Med. 2023 Jan-Feb;48(1):147-154. doi: 10.4103/ijcm.ijcm_890_22. Epub 2023 Feb 1.
Creating oral cancer awareness among adolescents will bring change by modifying the risk factors responsible for oral cancer. Social cognitive theory (SCT) is one promising theory for developing oral cancer awareness programmes among school adolescents. However, data are limited on SCT-based intervention assessment in creating oral cancer awareness among rural community. To develop and validate a SCT-based Oral Cancer Awareness (SCT-OCA) assessment/survey tool for evaluation of intervention implementation.
A mixed method design encompassing both qualitative and quantitative was accomplished to develop and validate the assessment tool for rural setting.
Domains and items for SCT-OCA assessment tool for adolescents were selected using subject matter expert. A 21-item assessment tool was developed using three rounds of Delphi technique and validated using Lawshe method. The knowledge on oral cancer and its risk factors and key constructs of social-cognitive theory was selected as items of the tool. The final assessment tool was translated to regional language, which was used for evaluation of intervention implementation. Statistical analysis was conducted using SPSS, version 16. Descriptive statistics includes means, standard deviations and frequency. Validation using Lawshe, component factor analysis and Cronbach alpha coefficients were calculated.
The overall content validity ratio was agreeable, and 21 items were finally selected in assessment tool. The overall Cronbach's alphas of 0.718 for survey was acceptable. The agreement was good for the domains of tool.
This study developed the SCT-OCA assessment tool for intervention specifically designed for adolescents to measure oral cancer awareness.
提高青少年对口腔癌的认识将通过改变导致口腔癌的风险因素来带来改变。社会认知理论（SCT）是在学校青少年中开展口腔癌认识项目的一个有前景的理论。然而，关于基于社会认知理论的干预措施在农村社区提高口腔癌认识方面的评估数据有限。目的是开发并验证一种基于社会认知理论的口腔癌认识（SCT - OCA）评估/调查工具，用于评估干预措施的实施情况。
采用定性和定量相结合的混合方法设计，为农村地区开发并验证该评估工具。
使用主题专家选定青少年SCT - OCA评估工具的领域和项目。通过三轮德尔菲技术开发了一个包含21个项目的评估工具，并使用劳希方法进行验证。将关于口腔癌及其风险因素的知识以及社会认知理论的关键结构选为该工具的项目。最终的评估工具被翻译成地区语言，用于评估干预措施的实施情况。使用SPSS 16版进行统计分析。描述性统计包括均值、标准差和频率。计算使用劳希方法的验证、成分因子分析和克朗巴哈α系数。
总体内容效度比是合适的，评估工具最终选定了21个项目。调查的总体克朗巴哈α系数为0.718，是可接受的。该工具各领域的一致性良好。
本研究开发了SCT - OCA评估工具，用于专门为青少年设计的干预措施，以测量口腔癌认识情况。
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