A psychometric network perspective to oral health literacy: Examining the replicability of network properties across the general community and older adults from Brazil

Soares, Gustavo Hermes; Bado, Fernanda Maria Rovai; Tenani, Carla Fabiana; Santiago, Pedro Henrique Ribeiro; Jamieson, Lisa; Mialhe, Fábio Luiz

doi:10.1111/jphd.12539

Cited by 3 publications

(1 citation statement)

References 36 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…The results of this study indicated that the older the patient, the lower their level of oral health literacy. Speci cally, it showed that the mean oral health literacy score of the patients was 45.2 ± 8.2, which is similar to the Brazilian study of 43.6 ± 10.5 [34]. Meanwhile, elderly patients aged 60 years and older scored 40.5 ± 9.1 points, which is almost the same as those of Soares and colleagues: 40.4 ± 11.5 points [34].…”

Section: Discussionsupporting

confidence: 79%

Oral health literacy and patient delays among patients receiving endodontic treatment in stomatological hospitals: a correlation study

Zhou,

Zheng,

Tan

et al. 2023

Preprint

View full text Add to dashboard Cite

Background Oral health literacy is closely related to the oral health-related behaviours of a population, and patient delays greatly influence the oral health of patients. The aim of this study was to investigate the current status of patient delays, oral health literacy, and influencing factors among patients receiving endodontic treatment in a stomatological hospital, and to analyse the correlation between them. In addition, to investigate current treatment delays, oral health literacy, and influencing factors among patients visiting the endodontic department of a stomatological hospital, and to analyse the correlation between them. Methods A cross-sectional survey was conducted among patients who visited the endodontic department of a tertiary stomatological hospital in Changsha, China from March to July 2023. The patients’ responses were gauged via a questionnaire that included general information, patient delay information, and the short-form Health Literacy Dental Scale. The factors influencing patients’ oral health literacy were studied using multiple linear regression analysis, and the correlation between patient delays and oral health literacy was studied using logistic regression analysis. Results A total of 204 subjects were included in this study. Age, education level, location of residence, and frequency of oral examinations affected the level of patients’ oral health literacy. About 43.3% of the patients had patient delays, with a per capita delay of about 90 days. The total score for oral health literacy was negatively correlated with the number of treatment-delay days. Conclusions Older age was associated with lower education level, lower administrative level of the place of residence (i.e., more remote and unpopulated areas), lower frequency of oral examination, and poorer oral health literacy among the patients. Lower oral health literacy scores correlated with a higher number of treatment-delay days. To avoid patient delays, dental nurses should strengthen their assessments of patients’ oral health literacy and develop targeted care measures for key populations.

show abstract

Section: Discussionsupporting

confidence: 79%

Oral health literacy and patient delays among patients receiving endodontic treatment in stomatological hospitals: a correlation study

Zhou,

Zheng,

Tan

et al. 2023

Preprint

View full text Add to dashboard Cite

show abstract

A psychometric network perspective to oral health literacy: Examining the replicability of network properties across the general community and older adults from Brazil

Soares

Bado

Tenani

et al. 2022

J Public Health Dent

View full text Add to dashboard Cite

Objectives To evaluate the replicability of oral health literacy (OHL) network models across the general community and a sample of older adults from Brazil. Methods Data were obtained from two oral health surveys conducted with a total of 1138 participants. OHL was measured using the short form Health Literacy in Dentistry scale (HeLD‐14). A regularized partial correlation network was estimated for each sample. Dimensionality and structural stability were examined via exploratory graph analysis. Network properties compared included global strength, edge weights, and centrality estimates. Model replicability was examined fitting the general community model to the older participants' data. Results Six dimensions with the exact same item composition were detected in both network models. Only the Receptivity domain in the older adults sample yielded low structural stability. Strong correlations were observed between edge weights (τ: 0.68; 95% CI: 0.62–0.74) and between node strength estimates (τ: 0.63; 95% CI: 0.36–0.89). No statistically significant differences were found for global strength. The fit of the older adults sample to the HeLD‐14 network structure of the general community sample was satisfactory. Conclusion Network models OHL replicated across the general community and a sample of older adults. The psychometric network approach is a useful tool to evaluate the measurement equivalence of OHL instruments across populations.

show abstract

Validation of the HeLD-14 functional oral health literacy instrument in a general population

Flynn,

Ingleshwar,

Chen

et al. 2023

PeerJ

View full text Add to dashboard Cite

Background Oral health literacy (OHL) is recognized as an important determinant of oral outcomes. Measuring OHL with a valid and reliable instrument that accurately captures the functional nature of this construct across cultures is needed. The short version of the Health Literacy in Dentistry scale (HeLD-14) shows promise as an appropriate instrument due to its inclusion of comprehensive domains hypothesized to comprise OHL. While studies validating the instrument in several languages have occurred, the number of dimensions in the various analyses range from one to seven. Validation of the HeLD-14 in a general English-speaking population is also lacking. The purpose of this study was to explore and confirm the dimensionality of the HeLD-14 in a general US English-speaking population. Methods The psychometric properties of HeLD-14 were evaluated in a sample of 631 participants attending the Minnesota State Fair. Construct validity was assessed using exploratory factor analysis (EFA) followed by confirmatory factor analysis (CFA) on the data set split into two groups. Internal consistency reliability was assessed using the Cronbach’s alpha coefficient. Concurrent validity was established between the HeLD-14 and the Oral Health Inventory Profile (OHIP-5) using Pearson’s correlation. Results EFA found, and CFA reinforced, a unidimensional structure of the HeLD-14. Cronbach’s alpha was acceptable at 0.92. Fit assessment also supported a unidimensional structure, comparative fit index = 0.992, Tucker-Lewis index = 0.991, root mean square error of approximation = 0.065, and standardized root mean square residual = 0.074. Concurrent validity analyses showed that the HeLD-14 correlated with the OHIP-5. Conclusions The HeLD-14 is a unidimensional reliable and valid instrument for measuring the oral health literacy in the general US English-speaking adult population.

show abstract

A psychometric network perspective to oral health literacy: Examining the replicability of network properties across the general community and older adults from Brazil

Cited by 3 publications

References 36 publications

Oral health literacy and patient delays among patients receiving endodontic treatment in stomatological hospitals: a correlation study

Oral health literacy and patient delays among patients receiving endodontic treatment in stomatological hospitals: a correlation study

A psychometric network perspective to oral health literacy: Examining the replicability of network properties across the general community and older adults from Brazil

Validation of the HeLD-14 functional oral health literacy instrument in a general population

Contact Info

Product

Resources

About