Das Diptajit, Gupta Arpit, Mehta Nishant, Shrivastava Richa, Goyal Ashima
National Resource Centre for Oral Healthcare of Children and Elderly, Oral Health Sciences Centre, Postgraduate Institute of Medical Education and Research, Sector-12, Chandigarh, 160020, India.
J Oral Biol Craniofac Res. 2025 Sep-Oct;15(5):1108-1114. doi: 10.1016/j.jobcr.2025.07.017. Epub 2025 Jul 28.
Poor oral health among institutionalized older adults is associated with inadequate Knowledge and practice among caregivers, existing assessment tools lack validity, reliability, theoretical grounding, and cultural adaptation.
This study aimed to develop and validate comprehensive tool to assess knowledge, attitude, and practices (KAP) of caregivers regarding oral health care for Hindi-speaking elderly in North India.
This study aimed to develop and validate a comprehensive tool to assess the KAP of caregivers regarding oral health care for Hindi-speaking elderly in North India. A psychometric and cross-cultural adaptation study was conducted involving subject experts and caregivers from senior citizen facilities in Chandigarh and parts of Haryana. The tool development included literature review, expert consultations, and content validation using Content Validity Ratio and Content Validity Index. A preliminary pilot test was conducted with random sample of ten caregivers to assess applicability, viability and usability of the questionnaire. Their feedback informed refinements to improve face validity. The tool was translated and adapted into Hindi, followed by data collection through interviews during home visits.
Out of 29 initial items across three domains, 11 were deleted after two rounds of expert review, and two were removed during the validation phase. The final version comprised 16 items, achieving an excellent Scale-CVI/Ave score of 0.94. The tool demonstrated good internal consistency with a Cronbach's alpha of 0.82.
The Hindi version of the newly developed tool had excellent content validity and good reliability to measure KAP of caregivers for oral healthcare of older people.
Caregivers participated in the pilot testing of the questionnaire to assess the clarity, comprehension, and cultural appropriateness. Their feedback was instrumental in refining the language and structure of the questions, thereby enhancing the face validity of the instrument before its final administration in the main study.
机构养老的老年人口腔健康状况不佳与护理人员知识不足和实践不当有关，现有评估工具缺乏有效性、可靠性、理论基础和文化适应性。
本研究旨在开发并验证一种综合工具，以评估印度北部说印地语的老年人护理人员在口腔保健方面的知识、态度和实践（KAP）。
本研究旨在开发并验证一种综合工具，以评估印度北部说印地语的老年人护理人员在口腔保健方面的KAP。开展了一项心理测量和跨文化适应性研究，涉及来自昌迪加尔和哈里亚纳邦部分地区老年设施的主题专家和护理人员。工具开发包括文献综述、专家咨询以及使用内容效度比和内容效度指数进行内容验证。对10名护理人员的随机样本进行了初步预测试，以评估问卷的适用性、可行性和可用性。他们的反馈为改进提供了依据，以提高表面效度。该工具被翻译成印地语并进行了改编，随后通过家访期间的访谈收集数据。
在三个领域的29个初始项目中，经过两轮专家评审后删除了11个，在验证阶段又删除了2个。最终版本包含16个项目，量表CVI/Ave得分为0.94，表现出色。该工具显示出良好的内部一致性，Cronbach's alpha系数为0.82。
新开发工具的印地语版本在测量护理人员对老年人口腔保健的KAP方面具有出色的内容效度和良好的可靠性。
护理人员参与了问卷的预测试，以评估其清晰度、可理解性和文化适宜性。他们的反馈有助于完善问题的语言和结构，从而在该工具最终用于主要研究之前提高其表面效度。
