Su Wanying, Feng Xiaowen, Cai Anqi, Xiao Wei, Shen Fang, Peng Cuiyin, Ye Ziwen, Zhong Xiaolv
Department of Orthodontics, School and Hospital of Stomatology, Guangdong Engineering Research Center of Oral Restoration and Reconstruction & Guangzhou Key Laboratory of Basic and Applied Research of Oral Regenerative Medicine, Guangzhou Medical University, Guangzhou, China.
Department of Nursing, School and Hospital of Stomatology, Guangdong Engineering Research Center of Oral Restoration and Reconstruction & Guangzhou Key Laboratory of Basic and Applied Research of Oral Regenerative Medicine, Guangzhou Medical University, Guangzhou, China.
BMC Oral Health. 2025 May 28;25(1):820. doi: 10.1186/s12903-025-06198-6.
To develop a Self-Efficacy Scale for Oral Management for adult patients with fixed orthodontic appliances and to test its reliability and validity.
Guided by self-efficacy theory, the initial version of the scale was formed through literature review and expert consultations. A convenience sample of 502 adult patients undergoing fixed orthodontic treatment was surveyed. Item analysis was conducted to refine the scale, and its validity was assessed through exploratory factor analysis (EFA) and confirmatory factor analysis (CFA). Reliability was evaluated using Cronbach's alpha coefficient and test-retest reliability.
The scale developed in this study comprises four dimensions: supportive behavior, oral care, dietary restrictions, and positive attitude, with a total of 28 items. The overall Cronbach's alpha coefficient of the scale was 0.92, indicating excellent internal consistency. The test-retest reliability was 0.92, suggesting that the scale is a stable and reliable instrument for assessing oral health self-efficacy in orthodontic patients. The scale also demonstrated good content and construct validity.
The scale developed in this study demonstrates good reliability and validity and can be used to assess the oral management self-efficacy levels for adult patients with fixed orthodontic appliances.
为成年固定正畸矫治器患者开发口腔管理自我效能量表，并检验其信效度。
以自我效能理论为指导，通过文献回顾和专家咨询形成量表初稿。对502名接受固定正畸治疗的成年患者进行便利抽样调查。进行项目分析以完善量表，并通过探索性因素分析（EFA）和验证性因素分析（CFA）评估其效度。使用Cronbach's α系数和重测信度评估信度。
本研究开发的量表包括四个维度：支持行为、口腔护理、饮食限制和积极态度，共28个条目。量表的总体Cronbach's α系数为0.92，表明具有良好的内部一致性。重测信度为0.92，表明该量表是评估正畸患者口腔健康自我效能的稳定可靠工具。该量表还具有良好的内容效度和结构效度。
本研究开发的量表具有良好的信效度，可用于评估成年固定正畸矫治器患者的口腔管理自我效能水平。
