Siluvai Sibyl, Kp Indumathi, G Krishnaprakash, Venkatesan Raghulgandhi, Bennadi Darshana
Public Health Dentistry, SRM Kattankulathur Dental College and Hospital, SRM Institute of Science and Technology, Chengalpattu, IND.
Centre for Statistics, SRM Institute of Science and Technology, Chengalpattu, IND.
Cureus. 2024 Aug 12;16(8):e66671. doi: 10.7759/cureus.66671. eCollection 2024 Aug.
Background and aim Oral health is an integral part of overall general health. Understanding the variables that affect the use of dental services can help overcome the challenges and lessen disparities in oral health. There are no significant reliable questionnaires available for determining factors that influence dental care utilization. This study aimed to develop and validate a questionnaire based on the Andersen model of healthcare utilization to assess these factors. Materials and methods A preliminary questionnaire consisting of 34 items was developed based on the Andersen model of healthcare utilization. The questionnaire's final version consisted of 24 items after five subject area experts analyzed its face validity and content validity. Content validity ratio (CVR) was used to evaluate the validity of the questionnaire. The Cronbach's alpha coefficient was then used to establish the internal consistency and test-retest for the reliability of the questionnaire. Results The final version of the questionnaire included 24 items based on CVR, and the data of the final version suited the model well. The internal consistency measured with Cronbach's alpha coefficient was above the threshold for each item. The Cronbach's alpha value for test-retest reliability was found to be 0.72, which was acceptable. Conclusions The current results show that the proposed questionnaire for dental utilization based on the Andersen model has satisfactory validity and reliability. This questionnaire can be used as an instrument to determine the various factors that affect the utilization of dental services.
背景与目的 口腔健康是整体健康的一个组成部分。了解影响牙科服务使用的变量有助于克服挑战并减少口腔健康方面的差异。目前尚无用于确定影响牙科护理利用因素的可靠问卷。本研究旨在基于医疗服务利用的安德森模型开发并验证一份问卷,以评估这些因素。
材料与方法 基于医疗服务利用的安德森模型开发了一份包含34个条目的初步问卷。在五名学科领域专家分析了其表面效度和内容效度后,问卷的最终版本包含24个条目。使用内容效度比(CVR)来评估问卷的效度。然后使用克朗巴哈α系数来建立问卷的内部一致性和重测信度。
结果 基于CVR的问卷最终版本包含24个条目,最终版本的数据与模型拟合良好。用克朗巴哈α系数测量的内部一致性在每个条目的阈值之上。重测信度的克朗巴哈α值为0.72,是可接受的。
结论 目前的结果表明,基于安德森模型提出的牙科利用问卷具有令人满意的效度和信度。这份问卷可作为一种工具,用于确定影响牙科服务利用的各种因素。