Zhao Shuangyun, Zou Siyu, Li Xueying, Shen Lijuan, Zhou Hong
Department of Pediatrics, Peking University School and Hospital of Stomatology & National Center for Stomatology & National Clinical Research Center for Oral Diseases & National Engineering Research Center of Oral Biomaterials and Digi-tal Medical Devices, Beijing 100081, China.
Department of Maternal and Child Health, Peking University School of Public Health/Peking University Health Science Center-Weifang Joint Research Center for Maternal and Child Health/National Health Commission Key Laboratory of Reproductive Health, Beijing 100191, China.
Beijing Da Xue Xue Bao Yi Xue Ban. 2024 Oct 18;56(5):828-832. doi: 10.19723/j.issn.1671-167X.2024.05.012.
To assess the reliability, and validity of the Chinese version of a short-form of Health Literacy Dental scale (HeLD-14) in 3-6 years old preschool children's parents.
The study population consisted of those eligible 3-6 years old preschool children's parents in Yanqing District, Beijing, China in 2021. A total of 1 479 preschool children's parents were surveyed by questionnaire to understand the general situation of parents and oral health literacy related content. SPSS 21.0 and Mplus 7.4 were used for statistical analysis. Through Cronbach's coefficient, confirmatory factor analysis, Pearson correlation calculation, Student's test and other methods, the internal consistency reliability, structure validity, calibration validity and discrimination validity of the scale were evaluated.
The Cronbach's coefficient of Chinese version HeLD-14 scale was 0.958, and Cronbach's coefficient of different constructs ranged from 0.778 to 0.963. The confirmatory factor analysis showed that the factor loadings of each item of the Chinese version HeLD-14 scale were between 0.719 and 0.977 ( < 0.001), root-mean-square error of approximation (RMSEA)=0.04, comparative fix index (CFI)=0.992, Tucker-Lewis index (TLI)=0.988, and the model had good goodness of fit. The total score of the Chinese version HeLD-14 scale and the scores of the dimension of concerning, understanding, supporting, financial burden, medical treatment, communication, and application were all positively correlated with general self-efficacy, and the correlation coefficients were 0.439, 0.406, 0.370, 0.344, 0.346, 0.367, 0.373, 0.390, respectively ( all < 0.05). For parents in the high group with the top 27% HeLD-14 score, the average HeLD-14 score was 69.27±1.06, which was higher than the low group with the bottom 27% HeLD-14 score, 41.29±11.09 (=48.13, < 0.01).
The Chinese version HeLD-14 scale has good reliability and validity in the 3-6 years old preschool children's parents, and can be used as a tool to assess the oral health literacy of parents of preschool children.
评估中文版简化版健康素养牙科量表（HeLD-14）在3至6岁学龄前儿童家长中的信度和效度。
研究对象为2021年中国北京市延庆区符合条件的3至6岁学龄前儿童的家长。通过问卷调查对1479名学龄前儿童家长进行调查，以了解家长的一般情况和口腔健康素养相关内容。使用SPSS 21.0和Mplus 7.4进行统计分析。通过计算克朗巴哈系数、验证性因子分析、皮尔逊相关性、学生检验等方法，对量表的内部一致性信度、结构效度、校准效度和区分效度进行评估。
中文版HeLD-14量表的克朗巴哈系数为0.958，不同结构的克朗巴哈系数在0.778至0.963之间。验证性因子分析表明，中文版HeLD-14量表各项目的因子载荷在0.719至0.977之间（<0.001），近似均方根误差（RMSEA）=0.04，比较拟合指数（CFI）=0.992，塔克-刘易斯指数（TLI）=0.988，模型拟合度良好。中文版HeLD-14量表总分及关注、理解、支持、经济负担、医疗、沟通和应用维度得分均与一般自我效能感呈正相关，相关系数分别为0.439、0.406、0.370、0.344、0.346、0.367、0.373、0.390（均<0.05）。HeLD-14得分前27%的高分组家长，HeLD-14平均得分为69.27±1.06，高于HeLD-14得分后27%的低分组家长，其得分为41.29±11.09（t=48.13，P<0.01）。
中文版HeLD-14量表在3至6岁学龄前儿童家长中具有良好的信度和效度，可作为评估学龄前儿童家长口腔健康素养的工具。
