1
|
Lotto M, Maschio KF, Silva KK, Ayala Aguirre PE, Cruvinel A, Cruvinel T. eHEALS as a predictive factor of digital health information seeking behavior among Brazilian undergraduate students. Health Promot Int 2023; 38:daab182. [PMID: 34718563 DOI: 10.1093/heapro/daab182] [Citation(s) in RCA: 2] [Impact Index Per Article: 2.0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/13/2022] Open
Abstract
This study aimed to perform the cross-cultural adaptation and validation of the eHealth Literacy Scale (eHEALS) for Brazilian Portuguese. The cross-cultural adaptation was conducted through conceptual equivalence, verbatim translation, semantic, item and operational equivalence, and back-translation. Subsequently, 521 undergraduate students answered the adapted version of the eHEALS, the General Perceived Self-Efficacy Scale (GSES), the Oral Health Impact Profile-14 (OHIP-14) and sociodemographic and health-related questions. Statistical analysis was performed to determine the dimensionality, internal consistency, stability and concurrent/convergent/discriminant/predictive validities of the eHEALS (p < 0.05). The adequacy of sample size was confirmed by a non-identity correlation matrix (Bartlett's test of sphericity, p < 0.001), without influence of multicollinearity (determinant = 0.026). The confirmatory factor analysis identified four factors in agreement to the constructs namely as online searching self-efficacy, awareness of available sources, information usage ability, and critical analysis of useful information. The eHEALS displayed an excellent internal consistency (Cronbach's alpha = 0.88), a good stability (ICC = 0.71, 95% CI: 0.49-0.84), and it was significantly correlated with GSES (concurrent validity). Higher eHEALS scores were identified among (i) white and (ii) younger students, (iii) from health sciences courses, (iv) with more years of graduation, (v) who their fathers were working in specialized functions (discriminant validity), and (vi) among those who were frequently interested in digital health information (convergent validity). The students with higher eHealth literacy levels were more likely to seek health information in the last 24 h (predictive validity). In conclusion, the eHEALS demonstrated adequate psychometric properties to be applied for the Brazilian population.
Collapse
Affiliation(s)
- Matheus Lotto
- Department of Pediatric Dentistry, Orthodontics and Public Health, Bauru School of Dentistry, University of São Paulo, Al. Dr. Octávio Pinheiro Brisolla, 9-75, Vila Universitária, 17012-901Bauru, São Paulo, Brazil
| | - Kaiane Fátima Maschio
- Discipline of Public Health, School of Medicine, Federal University of Fronteira Sul, Rodovia SC 484 Km 02, Bairro Fronteira Sul, 89815-899, Chapecó, Santa Catarina, Brazil
| | - Kimberly Kamila Silva
- Discipline of Public Health, School of Medicine, Federal University of Fronteira Sul, Rodovia SC 484 Km 02, Bairro Fronteira Sul, 89815-899, Chapecó, Santa Catarina, Brazil
| | - Patricia Estefania Ayala Aguirre
- Department of Pediatric Dentistry, Orthodontics and Public Health, Bauru School of Dentistry, University of São Paulo, Al. Dr. Octávio Pinheiro Brisolla, 9-75, Vila Universitária, 17012-901Bauru, São Paulo, Brazil
| | - Agnes Cruvinel
- Discipline of Public Health, School of Medicine, Federal University of Fronteira Sul, Rodovia SC 484 Km 02, Bairro Fronteira Sul, 89815-899, Chapecó, Santa Catarina, Brazil
| | - Thiago Cruvinel
- Department of Pediatric Dentistry, Orthodontics and Public Health, Bauru School of Dentistry, University of São Paulo, Al. Dr. Octávio Pinheiro Brisolla, 9-75, Vila Universitária, 17012-901Bauru, São Paulo, Brazil
| |
Collapse
|
2
|
Puello SDCP, Silva-Júnior MF, de Sousa MDLR, Batista MJ. Criterion validity of 14-item Health Literacy Scale (HLS-14) questionnaire in Brazilian adults and older people. Health Promot Int 2022; 37:6749054. [DOI: 10.1093/heapro/daac142] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/04/2022] Open
Abstract
Summary
The objective of this study was to evaluate the criterion validity of the 14-item Health Literacy Scale (HLS-14) in Brazilian adults and older adults. The cross-sectional study performed in an oral health (OH) prospective cohort was conducted in 2017 in Piracicaba, Brazil. The HLS-14 questionnaire was applied to evaluate Health Literacy (HL) by dimensions: Functional literacy (FunL), Communicative literacy (ComL) and Critical literacy (CriL). An evaluation protocol (EP) was proposed to evaluate the criterion validity of HLS-14 considering HL dimensions (FunL: reading of the drug information leaflets; ComL: reading of the medical prescription and CriL: identification of OH conditions). HL (total) was dichotomized by the median in high (≥35 point) or low (<35 point) HL. Kendall’s rank correlation coefficient (p < 0.05) and chi-squared test (p < 0.05) were applied. There was agreement between EP and HLS-14 for FunL (p < 0.01). There was association between high HL, measured through the HLS-14 questionnaire, assessing the reading of the drug information leaflets (p < 0.01) and the need for help to read them (p < 0.01). EP showed association between high HL and being able to read the drug information leaflet (p < 0.01), not needing help to read (p < 0.01), having found in the prescription all the information to take the medicine (p < 0.01) and knowing two or more health and OH information in the educational material (p < 0.01). The HSL-14 questionnaire showed criterion validity to measure FunL, and for some items of ComL and CriL evaluation. HL evaluation in a practical and multidimensional way could have an effect on the communication between health professional and patient, motivation and health outcomes.
Collapse
Affiliation(s)
- Sthefanie del Carmen Perez Puello
- Department of Health Sciences and Pediatric Dentistry of the Piracicaba Dental School, State University of Campinas , Piracicaba, São Paulo , Brazil
- Department of Research, Faculty of Dentistry, Universidad de Cartagena , Cartagena, Bolívar , Colombia
| | | | - Maria da Luz Rosário de Sousa
- Department of Health Sciences and Pediatric Dentistry of the Piracicaba Dental School, State University of Campinas , Piracicaba, São Paulo , Brazil
| | - Marília Jesus Batista
- Department of Health Sciences and Pediatric Dentistry of the Piracicaba Dental School, State University of Campinas , Piracicaba, São Paulo , Brazil
- Department of Community Health, Medical School of Jundiaí , Jundiaí, São Paulo , Brazil
| |
Collapse
|
3
|
Almeida ER, Sistani MMN, Bendo CB, Pordeus IDA, Firmino RT, Paiva SM, Ferreira FM. Validation of the Brazilian Oral Health Literacy-Adults Questionnaire. Health Lit Res Pract 2022; 6:e224-e231. [PMID: 36099034 PMCID: PMC9469776 DOI: 10.3928/24748307-20220822-01] [Citation(s) in RCA: 3] [Impact Index Per Article: 1.5] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/20/2022] Open
Abstract
Background: Objective: Methods: Key Results: Conclusions: Plain Language Summary:
Collapse
Affiliation(s)
- Eliete Rodrigues Almeida
- Address correspondence to Eliete Rodrigues Almeida, PhD, Department of Pediatric Dentistry, School of Dentistry, Federal University of Minas Gerais. Rua Professor Moacir Gomes de Freitas, 688. Belo Horizonte, MG, Brazil, 31270-901;
| | | | | | | | | | | | | |
Collapse
|
4
|
Firmino RT, Granville-Garcia AF, Bendo CB, Ferreira FM, Ortiz FR, Mcgrath CP, Paiva SM. Development and validation of a short form of the BOHLAT-P. Braz Oral Res 2022; 36:e074. [PMID: 36507761 DOI: 10.1590/1807-3107bor-2022.vol36.0074] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 12/09/2019] [Accepted: 04/21/2021] [Indexed: 12/15/2022] Open
Abstract
The authors developed and validated a short form of the Brazilian Oral Health Literacy Assessment Task for Paediatric Dentistry (BOHLAT-P). Data included responses from 200 parents of preschoolers to sociodemographic and oral health service access questions on the BOHLAT-P, the Brazilian Rapid Estimate of Adult Literacy in Dentistry (BREALD-30), and the Brazilian Early Childhood Oral Health Impact Scale (B-ECOHIS). Data on the preschoolers' dental caries experience (ICDAS-II) were also included. An item response theory-based approach was employed to develop the short form, while confirmatory factor analysis evaluated the instrument dimensionality. The validity and reliability of the short form were tested by statistical analysis using BREALD-30, B-ECOHIS, and sociodemographic and dental caries experience data. The short form (BOHLAT-P-30) comprises 30 items, is unidimensional, and presents better model fit estimates (TLI = 0.94; CFI = 0.94; RMSEA = 0.05) than those of the BOHLAT-P. Moreover, BOHLAT-P-30 demonstrated excellent reliability (Cronbach's alpha = 0.91; intraclass correlation coefficient [ICC] = 0.95). BOHLAT-P-30 scores were positively correlated with BREALD-30 scores (r = 0.71), with the number of years of schooling (r = 0.60), and with the number of hours spent reading (r = 0.33). BOHLAT-P-30 scores were negatively correlated with B-ECOHIS scores (r = -0.21), and with the number of teeth with cavitated caries (r = -0.18). After controlling for confounding factors, BOHLAT-P-30 scores were not found to be associated with caries presence, or with the number of teeth with cavitated caries. The BOHLAT-P-30 had properties similar to those of the BOHLAT-P, and proved to be a valid measure to assess the OHL of Brazilian parents.
Collapse
Affiliation(s)
- Ramon Targino Firmino
- Universidade Federal de Minas Gerais - UFMG, School of Dentistry, Department of Child and Adolescent Health, Belo Horizonte, MG, Brazil
| | | | - Cristiane Baccin Bendo
- Universidade Federal de Minas Gerais - UFMG, School of Dentistry, Department of Child and Adolescent Health, Belo Horizonte, MG, Brazil
| | - Fernanda Morais Ferreira
- Universidade Federal de Minas Gerais - UFMG, School of Dentistry, Department of Child and Adolescent Health, Belo Horizonte, MG, Brazil
| | - Fernanda Ruffo Ortiz
- Universidade Federal de Minas Gerais - UFMG, School of Dentistry, Department of Child and Adolescent Health, Belo Horizonte, MG, Brazil
| | - Colman Patrick Mcgrath
- University of Hong Kong, School of Dentistry, Department of Dental Public Health, Hong Kong, China
| | - Saul Martins Paiva
- Universidade Federal de Minas Gerais - UFMG, School of Dentistry, Department of Child and Adolescent Health, Belo Horizonte, MG, Brazil
| |
Collapse
|
5
|
Praveen S, Parmar J, Chandio N, Arora A. A Systematic Review of Cross-Cultural Adaptation and Psychometric Properties of Oral Health Literacy Tools. INTERNATIONAL JOURNAL OF ENVIRONMENTAL RESEARCH AND PUBLIC HEALTH 2021; 18:10422. [PMID: 34639729 PMCID: PMC8508111 DOI: 10.3390/ijerph181910422] [Citation(s) in RCA: 6] [Impact Index Per Article: 2.0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Download PDF] [Figures] [Subscribe] [Scholar Register] [Received: 07/28/2021] [Revised: 09/22/2021] [Accepted: 09/29/2021] [Indexed: 12/21/2022]
Abstract
The aims of this systematic review were to critically appraise the quality of the cross-cultural adaptation and the psychometric properties of the translated versions of oral health literacy assessment tools. CINAHL (EBSCO), Medline (EBSCO), EMBASE (Ovid), and ProQuest Dissertation and Thesis were searched systematically. Studies focusing on cross-cultural adaptation and psychometric properties of oral health literacy tools were included. The methodological quality of included studies was assessed according to the COSMIN Risk of Bias checklist. Sixteen oral health literacy instruments in 11 different languages were included in this systematic review. However, only seven instruments met the criteria for an accurate cross-cultural adaptation process, while the remaining tools failed to meet at least one criterion for suitable quality of cross-cultural adaptation process. None of the studies evaluated all the aspects of psychometric properties. Most of the studies reported internal consistency, reliability, structural validity, and construct validity. Despite adequate ratings for some reported psychometric properties, the methodological quality of studies on translated versions of oral health literacy tools was mostly doubtful to inadequate. Researchers and clinicians should follow standard guidelines for cross-cultural adaptation and assess all aspects of psychometric properties for using oral health literacy tools in cross-cultural settings.
Collapse
Affiliation(s)
- Sobiya Praveen
- School of Health Sciences, Western Sydney University, Campbelltown Campus, Locked Bag 1797, Penrith, NSW 2751, Australia; (S.P.); (J.P.); (N.C.)
- Health Equity Laboratory, Campbelltown, NSW 2560, Australia
| | - Jinal Parmar
- School of Health Sciences, Western Sydney University, Campbelltown Campus, Locked Bag 1797, Penrith, NSW 2751, Australia; (S.P.); (J.P.); (N.C.)
- Health Equity Laboratory, Campbelltown, NSW 2560, Australia
| | - Navira Chandio
- School of Health Sciences, Western Sydney University, Campbelltown Campus, Locked Bag 1797, Penrith, NSW 2751, Australia; (S.P.); (J.P.); (N.C.)
- Health Equity Laboratory, Campbelltown, NSW 2560, Australia
- Translational Health Research Institute, Western Sydney University, Locked Bag 1797, Penrith, NSW 2751, Australia
| | - Amit Arora
- School of Health Sciences, Western Sydney University, Campbelltown Campus, Locked Bag 1797, Penrith, NSW 2751, Australia; (S.P.); (J.P.); (N.C.)
- Health Equity Laboratory, Campbelltown, NSW 2560, Australia
- Translational Health Research Institute, Western Sydney University, Locked Bag 1797, Penrith, NSW 2751, Australia
- Clinical School Child and Adolescent Health, The Children’s Hospital at Westmead Clinical School, Faculty of Medicine and Health, The University of Sydney, Westmead, NSW 2145, Australia
- Oral Health Services, Sydney Local Health District and Sydney Dental Hospital, NSW Health, Surry Hills, NSW 2010, Australia
| |
Collapse
|
6
|
Ghaffari M, Rakhshanderou S, Ramezankhani A, Mehrabi Y, Safari-Moradabadi A. Systematic review of the tools of oral and dental health literacy: assessment of conceptual dimensions and psychometric properties. BMC Oral Health 2020; 20:186. [PMID: 32620108 PMCID: PMC7333397 DOI: 10.1186/s12903-020-01170-y] [Citation(s) in RCA: 8] [Impact Index Per Article: 2.0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/20/2020] [Accepted: 06/19/2020] [Indexed: 11/18/2022] Open
Abstract
BACKGROUND This article aims to provide a description of conceptual dimensions and psychometric properties of the tools of oral and dental health literacy. METHODS Two authors in this study conducted electronic searches in the Medline (via PubMed), and Embase databases to find relevant articles from 1990 to present day. Evaluation of the tools was carried out in two parts; general evaluation of the tools using skills introduced by Sørensen et al., and qualitative assessment of psychometric properties using COSMIN checklist. RESULTS After reviewing 1839 articles on oral and dental health literacy and evaluating 33 full text articles for eligibility, 21 articles entered the study. The sample size varied from 20 to 1405 subjects and the items of each tool ranged from 11 to 99 items. Of the 21 tools examined, 16 tools were evaluated for word recognition. For the studies examined, the evaluation of COSMIN scores was often fair or good. Of the 21 tools examined, 9 tools at least in one dimension were in the category of "poor", 19 tools were in the category of "fair", 20 tools were in the category of "good", and 4 tools were in the category of "excellent" in at least one dimension. CONCLUSION The findings of this study showed that some aspects of oral and dental health literacy are being ignored in the existing tools. Therefore, the authors of present study emphasize on the necessity to design and develop a comprehensive tool and take into account two characteristics of simplicity and briefness for international use.
Collapse
Affiliation(s)
- Mohtasham Ghaffari
- Department of Public Health, School of Public Health and Safety, Shahid Beheshti University of Medical Sciences, Tehran, Iran
| | - Sakineh Rakhshanderou
- Department of Public Health, School of Public Health and Safety, Shahid Beheshti University of Medical Sciences, Tehran, Iran
| | - Ali Ramezankhani
- Department of Public Health, School of Public Health and Safety, Shahid Beheshti University of Medical Sciences, Tehran, Iran
| | - Yadollah Mehrabi
- Department of Epidemiology, School of Public Health and Safety, Shahid Beheshti University of Medical Sciences, Tehran, Iran
| | - Ali Safari-Moradabadi
- Department of Public Health, School of Public Health and Safety, Shahid Beheshti University of Medical Sciences, Tehran, Iran
| |
Collapse
|
7
|
Bado FMR, De Checchi MHR, Cortellazzi KL, Ju X, Jamieson L, Mialhe FL. Oral health literacy, self‐rated oral health, and oral health‐related quality of life in Brazilian adults. Eur J Oral Sci 2020; 128:218-225. [DOI: 10.1111/eos.12695] [Citation(s) in RCA: 8] [Impact Index Per Article: 2.0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Accepted: 03/22/2020] [Indexed: 12/27/2022]
Affiliation(s)
- Fernanda Maria Rovai Bado
- Departament of Health Sciences and Pediatric Dentistry Piracicaba Dental School University of Campinas São Paulo Brazil
| | | | - Karine Laura Cortellazzi
- Departament of Health Sciences and Pediatric Dentistry Piracicaba Dental School University of Campinas São Paulo Brazil
| | - Xiangqun Ju
- Australian Research Centre for Population Oral Health Adelaide Dental School University of Adelaide Adelaide SA Australia
| | - Lisa Jamieson
- Australian Research Centre for Population Oral Health Adelaide Dental School University of Adelaide Adelaide SA Australia
| | - Fábio Luiz Mialhe
- Departament of Health Sciences and Pediatric Dentistry Piracicaba Dental School University of Campinas São Paulo Brazil
| |
Collapse
|
8
|
Firmino RT, Granville-Garcia AF, McGrath CP, Bendo CB, Ferreira FM, Paiva SM. Validation for Brazilian Portuguese language of the Hong Kong Oral Health Literacy Assessment Task for Paediatric Dentistry (BOHLAT-P). Int J Paediatr Dent 2020; 30:234-243. [PMID: 31628878 DOI: 10.1111/ipd.12585] [Citation(s) in RCA: 8] [Impact Index Per Article: 2.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 04/18/2019] [Revised: 09/19/2019] [Accepted: 10/15/2019] [Indexed: 11/29/2022]
Abstract
BACKGROUND Oral health literacy (OHL) is associated with oral health outcomes. AIM To validate the Brazilian Portuguese version of the Hong Kong OHL Assessment Task for Paediatric Dentistry (HKOHLAT-P). DESIGN We performed cross-cultural adaptation of the HKOHLAT-P. A sample of 200 pre-schoolers and caregivers from Campina Grande, Brazil completed the Brazilian HKOHLAT-P (BOHLAT-P), sociodemographic questionnaire, the Brazilian Early Childhood Oral Health Impact Scale (B-ECOHIS), and the Brazilian Rapid Estimate of Adult Literacy in Dentistry (BREALD-30). Child dental caries was assessed. Instrument reliability was measured by internal consistency (Cronbach's alpha) and test-retest (ICC). Exploratory factor analysis (EFA) and confirmatory factor analysis (CFA) evaluated dimensionality. Regression models tested associations between BOHLAT-P and exploratory variables (P < .05). RESULTS BOHLAT-P demonstrated excellent reliability (Cronbach's alpha = 0.92; ICC = 0.95). BOHLAT-P and BREALD-30 scores (r = .71), number of schooling years (r = .60), and reading hours (r = .34) were positively correlated. BOHLAT-P and B-ECOHIS scores (r = -.22), and BOHLAT-P scores and number of cavitated teeth (r = -.15) were negatively correlated. After controlling for confounding variables, BOHLAT-P scores were not associated with caries or number of teeth with cavitated caries. CONCLUSION BOHLAT-P is a valid and reliable instrument to assess the OHL of Brazilian parents.
Collapse
Affiliation(s)
- Ramon Targino Firmino
- Department of Paediatric Dentistry and Orthodontics, Faculty of Dentistry, Universidade Federal de Minas Gerais, Belo Horizonte, Brazil
| | | | - Colman P McGrath
- Department of Dental Public Health, Faculty of Dentistry, The University of Hong Kong, Hong Kong, Hong Kong
| | - Cristiane Baccin Bendo
- Department of Paediatric Dentistry and Orthodontics, Faculty of Dentistry, Universidade Federal de Minas Gerais, Belo Horizonte, Brazil
| | - Fernanda Morais Ferreira
- Department of Paediatric Dentistry and Orthodontics, Faculty of Dentistry, Universidade Federal de Minas Gerais, Belo Horizonte, Brazil
| | - Saul Martins Paiva
- Department of Paediatric Dentistry and Orthodontics, Faculty of Dentistry, Universidade Federal de Minas Gerais, Belo Horizonte, Brazil
| |
Collapse
|
9
|
Ghaffari M, Rakhshanderou S, Ramezankhani A, Mehrabi Y, Safari-Moradabadi A. Protocol of the TOHLA instrument: A Test of Oral Health Literacy in Adults. JOURNAL OF EDUCATION AND HEALTH PROMOTION 2020; 9:11. [PMID: 32154306 PMCID: PMC7034161 DOI: 10.4103/jehp.jehp_413_19] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Abstract] [Key Words] [Subscribe] [Scholar Register] [Received: 07/24/2019] [Accepted: 10/22/2019] [Indexed: 05/13/2023]
Abstract
BACKGROUND A proper measurement instrument is selected based on the suggested use of the instrument, the target concept of measurement, and features of measurement (e.g. internal consistency, reproducibility, content and construct validity, responsiveness, and interpretability). Concerning the design and features of measurement, there are not any adequately specific standards for instrumentation to measure oral health literacy (OHL). The present study proposes a protocol that attempts to fill this gap by introducing the psychometrics of a standard questionnaire which measures OHL. MATERIALS AND METHODS The present research employs a methodological design and is carried out in Tehran, with data collected through interviews that are held face to face. The data collection procedure involves a review of the related literature, cognitive interviews, fuzzy Delphi Method, and focal groups with participants with OHL work experience for item generation. The target participants of this research are the Iranian adult population and experts working professionally in different health domains. For qualitative data analysis, the content analysis strategy and in the instrument Psychometrics COSMIN checklist will use. CONCLUSIONS Achievement of the present research will be used to evaluate the capability of the Iranian adult population in searching, processing, and deciding on healthcare services. This instrument will focus on evaluating both clinical and nonclinical settings. The present research can vastly improve our knowledge of the state of OHL in the Iranian adult population.
Collapse
Affiliation(s)
- Mohtasham Ghaffari
- Department of Public Health, School of Public Health and Safety, Shahid Beheshti University of Medical Sciences, Tehran, Iran
| | - Sakineh Rakhshanderou
- Department of Public Health, School of Public Health and Safety, Shahid Beheshti University of Medical Sciences, Tehran, Iran
| | - Ali Ramezankhani
- Department of Public Health, School of Public Health and Safety, Shahid Beheshti University of Medical Sciences, Tehran, Iran
| | - Yadollah Mehrabi
- Department of Public Health, School of Public Health and Safety, Shahid Beheshti University of Medical Sciences, Tehran, Iran
| | - Ali Safari-Moradabadi
- Department of Public Health, School of Public Health and Safety, Shahid Beheshti University of Medical Sciences, Tehran, Iran
- Address for correspondence: Mr. Ali Safari-Moradabadi, Department of Public Health, School of Public Health and Safety, Shahid Beheshti University of Medical Sciences, Tehran, Iran. E-mail:
| |
Collapse
|
10
|
MIALHE FL, TENANI CF, DE CHECCHI MHR, JAMIESON L, Xiangqun JU. Psychometric properties of Health Literacy in Dentistry scale in an elderly Brazilian population. Braz Oral Res 2020; 34:e021. [DOI: 10.1590/1807-3107bor-2020.vol34.0021] [Citation(s) in RCA: 4] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/04/2019] [Accepted: 12/27/2019] [Indexed: 11/22/2022] Open
|
11
|
Mialhe FL, Bado FMR, Ju X, Brennan DS, Jamieson L. Validation of the Health Literacy in Dentistry scale in Brazilian adults. Int Dent J 2019; 70:116-126. [PMID: 31792976 DOI: 10.1111/idj.12531] [Citation(s) in RCA: 7] [Impact Index Per Article: 1.4] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/30/2022] Open
Abstract
OBJECTIVES To perform cross-cultural adaptation and validation of the Health Literacy Dental scale (HeLD) in Brazilian adults. METHODS The HeLD instrument was translated and cross-culturally adapted to the Brazilian Portuguese language to create longer (HeLD-29) and shorter (HeLD-14) versions. The reliability and validity of these versions were assessed in a sample of 603 adults living near six primary care units in the city of Piracicaba, São Paulo, Brazil. RESULTS Both versions of HeLD demonstrated high internal reliability, acceptable convergent validity and discriminant validity. However, the confirmatory factor analysis showed that only HeLD-14 demonstrated satisfactory goodness of fit. There were associations between HeLD-14 scores and social demographic characteristics, general and oral health and oral health-related behaviours. Higher scores were observed for the total HeLD-14 and/or individual components of HeLD-14 among women, ethnic white subjects, those with high educational attainment, those with higher income, those reporting toothbrushing twice or more daily, regular dental attenders, those who usually attended for dental care for a check-up, those with excellent or very good self-ratings of general health, those with excellent or very good self-ratings of oral health, and those without tooth extraction and oral health impact. CONCLUSION The Brazilian version of HeLD-14 was demonstrated to be a reliable and valid instrument for measuring broad aspects of oral health literacy in the adult Brazilian population.
Collapse
Affiliation(s)
- Fábio Luiz Mialhe
- Department of Community Dentistry, Piracicaba Dental School, University of Campinas, São Paulo, Brazil
| | - Fernanda Maria Rovai Bado
- Department of Community Dentistry, Piracicaba Dental School, University of Campinas, São Paulo, Brazil
| | - Xiangqun Ju
- Adelaide Dental School, Australian Research Centre for Population Oral Health, University of Adelaide, Adelaide, SA, Australia
| | - David S Brennan
- Adelaide Dental School, Australian Research Centre for Population Oral Health, University of Adelaide, Adelaide, SA, Australia
| | - Lisa Jamieson
- Adelaide Dental School, Australian Research Centre for Population Oral Health, University of Adelaide, Adelaide, SA, Australia
| |
Collapse
|
12
|
Lotto M, Aguirre PEA, Strieder AP, Cruvinel AFP, Cruvinel T. Levels of toothache-related interests of Google and YouTube users from developed and developing countries over time. PeerJ 2019; 7:e7706. [PMID: 31616582 PMCID: PMC6790224 DOI: 10.7717/peerj.7706] [Citation(s) in RCA: 13] [Impact Index Per Article: 2.6] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/07/2019] [Accepted: 08/19/2019] [Indexed: 01/06/2023] Open
Abstract
Background The preferences of Web users can be influenced by distinct factors of populations. Hence, hypothetically, source-based patterns of health-related Web searches might differ between individuals from developed and developing countries, due to their distinct educational, social, economic, political, cultural, and psychosocial backgrounds. In this context, this study aimed to determine the trends of toothache-related searches performed on Google Search and YouTube, regarding differences between developed and developing countries. Methods This retrospective longitudinal study analyzed computational metadata on toothache-related interests of Internet users. Google Trends was accessed to obtain the monthly variation of relative search volume (RSV) of the topic “Toothache-Disease” on Google (G) and YouTube (YT) through 2008–2017. Autocorrelation and partial autocorrelation plots, ARIMA models, Kruskal–Wallis, Dunn’s and T tests were performed for evaluating trends, 12-month forecasts and the differences of annual ratios of YT/G searches between developed and developing countries, respectively (P < 0.05). Results Uptrends of RSVs were observed in both country groups over time, although 12-month forecasts tended to plateau.The volumes of searches were higher in developed countries in comparison to developing ones; however, this difference was not observed regarding Google searches performed between 2016 and 2017. Independently of country groups, the ratios YT/G remained relatively constant throughout the period, indicating a greater interest in toothache-related information available on Google. Conclusion In conclusion, toothache-related searches from Google and YouTube increased during the last decade. The preferences of Web users seemed to be influenced by the differences between developed and developing countries, such as the availability and penetration of the Internet, and education levels.
Collapse
Affiliation(s)
- Matheus Lotto
- Department of Pediatric Dentistry, Orthodontics and Public Health, Bauru School of Dentistry, University of São Paulo, Bauru, São Paulo, Brazil
| | - Patricia E A Aguirre
- Department of Pediatric Dentistry, Orthodontics and Public Health, Bauru School of Dentistry, University of São Paulo, Bauru, São Paulo, Brazil
| | - Anna P Strieder
- Department of Pediatric Dentistry, Orthodontics and Public Health, Bauru School of Dentistry, University of São Paulo, Bauru, São Paulo, Brazil
| | - Agnes F P Cruvinel
- Discipline of Public Health, School of Medicine, Federal University of Fronteira Sul, Chapecó, Santa Catarina, Brazil
| | - Thiago Cruvinel
- Department of Pediatric Dentistry, Orthodontics and Public Health, Bauru School of Dentistry, University of São Paulo, Bauru, São Paulo, Brazil
| |
Collapse
|
13
|
Lima LCMD, Neves ÉTB, Dutra LDC, Firmino RT, Araújo LJSD, Paiva SM, Ferreira FM, Granville-Garcia AF. Psychometric properties of BREALD-30 for assessing adolescents' oral health literacy. Rev Saude Publica 2019; 53:53. [PMID: 31432910 PMCID: PMC6703894 DOI: 10.11606/s1518-8787.2019053000999] [Citation(s) in RCA: 14] [Impact Index Per Article: 2.8] [Reference Citation Analysis] [Abstract] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/12/2018] [Accepted: 08/24/2018] [Indexed: 11/21/2022] Open
Abstract
OBJECTIVE To evaluate the psychometric properties of the Brazilian Portuguese version of the Rapid Estimate of Adult Literacy in Dentistry (BREALD-30) administered to adolescents. METHODS The study included 750 adolescents: 375 aged 12 years and 375 aged 15–19 years, attending public and private schools in Campina Grande, state of Paraíba, Brazil, in 2017. Reliability was measured based on internal consistency and test-retest reliability. Convergent validity was measured based on correlations between BREALD-30 and Functional Literacy Indicator scores. Divergent validity was measured by comparing BREALD-30 scores with sociodemographic variables. For predictive validity, the association between BREALD-30 scores and the presence of cavitated carious lesions was tested using a multiple logistic regression model. All statistical tests were performed with a significance level of 5%. RESULTS BREALD-30 showed good internal consistency for the 12 year olds and 15 to19 year olds (Cronbach’s alpha = 0.871 and 0.834, respectively) and good test-retest reliability [intraclass correlation coefficient (ICC) = 0.898 and 0.974; kappa = 0.804 and 0.808, respectively]. Moreover, item-total correlation was satisfactory for all items. BREALD-30 had convergent validity with the Functional Literacy Indicator for 12 year olds (rs = 0.558, p < 0.001) and for 15 to 19 year olds (rs = 0.652, p < 0.001). Participants with higher oral health literacy levels who attended private schools (p < 0.001), belonged to economic classes A and B2 (p < 0.001), and who had parents with higher education levels (p < 0.001) were included, indicating the divergent validity of the BREALD-30. Participants with lower BREALD-30 scores were more likely to have cavitated carious lesions [12 year olds: odds ratio (OR) = 2.37; 95% confidence interval (95%CI): 1.48–3.80; 15 to 19 year olds: OR = 1.96; 95%CI 1.24–3.11]. CONCLUSIONS BREALD-30 shows satisfactory psychometric properties for use on Brazilian adolescents and can be applied as a fast, simple, and reliable measure of oral health literacy.
Collapse
Affiliation(s)
| | | | - Laio da Costa Dutra
- Universidade Estadual da Paraíba. Programa de Pós-Graduação em Odontologia. Campina Grande, PB, Brasil
| | - Ramon Targino Firmino
- Universidade Federal de Minas Gerais. Faculdade de Odontologia. Programa de Pós-Graduação em Odontologia. Belo Horizonte, MG, Brasil
| | | | - Saul Martins Paiva
- Universidade Federal de Minas Gerais. Faculdade de Odontologia. Departamento de Odontopediatria e Ortodontia. Belo Horizonte, MG, Brasil
| | - Fernanda Morais Ferreira
- Universidade Federal de Minas Gerais. Faculdade de Odontologia. Departamento de Odontopediatria e Ortodontia. Belo Horizonte, MG, Brasil
| | | |
Collapse
|
14
|
Bado FMR, Rebustini F, Jamieson L, Cortellazzi KL, Mialhe FL. Evaluation of the psychometric properties of the Brazilian version of the Oral Health Literacy Assessment in Spanish and development of a shortened form of the instrument. PLoS One 2018; 13:e0207989. [PMID: 30496226 PMCID: PMC6264477 DOI: 10.1371/journal.pone.0207989] [Citation(s) in RCA: 13] [Impact Index Per Article: 2.2] [Reference Citation Analysis] [Abstract] [MESH Headings] [Grants] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/30/2017] [Accepted: 11/10/2018] [Indexed: 11/18/2022] Open
Abstract
OBJECTIVE The objective of this study was to investigate the psychometric properties of the Oral Health Literacy Assessment in Spanish (OHLA-S) for the Brazilian-Portuguese language using robust analysis and with the results disclose possibilities to develop a shorter and more valid instrument. METHODS OHLA-S is an oral health literacy instrument comprising a word recognition section and a comprehension section. It consists of 24 dental words. It was translated into the Brazilian-Portuguese language (OHLA-B) and its psychometric properties were evaluated in a random sample of 250 adults aged 20-59 years. To assess the dimensionality and factor structure were tested by means of Exploratory Factor Analysis (EFA) and Confirmatory Factor Analysis (CFA). Reliability was assessed using two indicators: Cronbach's alpha and McDonald's Omega. RESULTS EFA and CFA demonstrated that the OHLA-B with 24 items did not present an adequate adjustment of the model, compromising its validity. In addition, reliability values at 0.50 for Cronbach's alpha and 0.67 for McDonald's omega were below the minimum acceptable rate of 0.70. As no support was found for the original structure, we decided to proceed with the withdrawal of individual items and successive reanalysis of the model until the indicators were adjusted in a shorter instrument. A new structure with 15 items produced an instrument with two dimensions and a better goodness of fit than the original instrument. The Alpha and Omega reliability index values increased to 0.83 and 0.80, respectively, and all scores were better in the OLHA-B with 15 items than in the instrument with 24 items. CONCLUSION OLHA-B with the original structure composed by 24 items did not show acceptable construct validity. The shorter version with 15 items showed more promising results for assessing oral health literacy levels in the Brazilian population.
Collapse
Affiliation(s)
- Fernanda Maria Rovai Bado
- Department of Community Dentistry, University of Campinas, Piracicaba Dental School, Piracicaba, São Paulo, Brazil
| | - Flávio Rebustini
- Department of Gerontology (EACH), University of São Paulo, São Paulo, Brazil
| | - Lisa Jamieson
- Indigenous Oral Health Unit, The University of Adelaide, Adelaide, South Australia, Australia
| | - Karine Laura Cortellazzi
- Department of Community Dentistry, University of Campinas, Piracicaba Dental School, Piracicaba, São Paulo, Brazil
| | - Fábio Luiz Mialhe
- Department of Community Dentistry, University of Campinas, Piracicaba Dental School, Piracicaba, São Paulo, Brazil
- * E-mail:
| |
Collapse
|