Development, judgment of the validity and reliability of an instrument of assessment of Oral Health Literacy among diabetics

Abstract

Objective The study purposed to perform content validation and verification of the reliability of an instrument in the form of a questionnaire, called “ Oral Health Literacy for Diabetics “. It was designed to investigate whether there was access, understanding, appraise and practice of information related to oral health among diabetics. Methods This is a methodological research that was carried out through the application of the Oral Health Literacy for Diabetics between 109 diabetic patients, since at least 60 participants should be considered in studies using test/retest. The research complied with the ethical principles of research. The content validation was performed by dentists, acknowledging the relevance and the ability to measure the levels of literacy of each item of the Oral Health Literacy for Diabetics. The reliability/reproducibility was estimated by the test/retest in an interval of seven to fifteen days by Kappa, using the SPSS®. Results The results showed that the content of the Oral Health Literacy for Diabetics presented relevance and ability to measure the levels of literacy in oral health among diabetics. The results of the Kappa ranged from -0.09 to 1. Only 16 of the 150 questions did not have satisfactory levels of agreement, i.e., Kappa smaller or equal to 0.60. We chose to synthesize the Oral Health Literacy for Diabetics initially with 150 questions, for a version with 30 questions. Conclusion It is concluded that the Oral Health Literacy for Diabetics was considered valid with respect to the content and that a general form its reliability was satisfactory. It is recommended to use the Oral Health Literacy for Diabetics in academia and in health services aiming to improve the quality of life of diabetic patients.

Psychometric properties of an oral health literacy scale for people living with diabetes

“…The values of the standardized factorial loads of the items in the three-dimensional model were adequate. 19 The model presented a good fit and should be applied to measure the construct "Literacy in Oral Health among People Living with Diabetes". Acceptable values of internal consistency were obtained for the tested model, and, therefore, this methodological proposal 26 is suitable to measure the theoretical concept with the best quality.…”

“…The results were found to range from -0.09 to 1. 19 The following inclusion criteria were considered: having a diagnosis of diabetes, being 18 years old or older, and being registered in the Family Health Strategy system. All users of the two randomly selected health units were invited to participate, and those who accepted were interviewed by trained researchers.…”

“…16 To evaluate the oral health literacy among people living with diabetes (OHLD) a questionnaire/scale was developed. 19 The tool is applied in an interview, and it has 10 questions that are answered on a Likert-type scale. The quality of this instrument was previously assessed using content validity and reliability (internal consistency and reproducibility) parameters.…”

“…The quality of this instrument was previously assessed using content validity and reliability (internal consistency and reproducibility) parameters. 19 The OHLD questionnaire was developed to measure the ability to access, understand, assess, and apply oral self-care to minimize complications and compensate for insulin resistance. However, the dimensional structure of the instrument must be evaluated to verify its construct validity and improve its understanding in different settings and populations.…”