Validation and evaluation of the Mandarin version of the oral health literacy adult questionnaire in Taiwan

Ho, Mu‐Hsing; Montayre, Jed; Chang, Hui‐Chen; Joo, Jee Young; Sistani, Mohammad Mehdi Naghibi; Lin, Yen‐Kuang; Traynor, Victoria; Chang, Chia‐Chi; Liu, Megan F.

doi:10.1111/phn.12688

Cited by 7 publications

(7 citation statements)

References 28 publications

(34 reference statements)

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“…Ours is the first study to evaluate measurement properties of OHL-AQ using IRT-based methods compared to previous studies [13][14][15][16] that have used classical testing methods. More specifically, our study is unique in its assessment of OHL-AQ's measurement precision.…”

Section: Discussionmentioning

confidence: 99%

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Item and scale properties of the Oral Health Literacy Adults Questionnaire assessed by item response theory

Pattanaik

John

Kohli

et al. 2020

J Public Health Dent

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Objectives: a) To evaluate the item and scale properties of the Oral Health Literacy Adults Questionnaire (OHL-AQ) in an adult general population. b) To determine precision or accuracy of the respondents' estimated scores along the Oral Health Literacy (OHL) spectrum using item response theory (IRT) modeling. Methods: Survey data were collected from a convenience sample of 405 adult attendees of the 2014 Minnesota State Fair. We used the two-parameter logistic (2PL) model for the item response theory (IRT) analyses of OHL-AQ data and calibrated items to estimate model-based item difficulty and discrimination parameters. Item and scale properties were also assessed by plotting and interpreting item characteristic curves (ICCs), test characteristic curve (TCC), and test information function (TIF). Results: Based on interpretation of model coefficients, statistical testing, and model fit criteria, we deemed the 2PL model superior and selected this model to examine item and scale properties. Scale reliability was shown to be good through the test information function (TIF). TIF from our analysis showed that higher levels of OHL were measured less precisely than lower levels of OHL. Conclusion:We demonstrated OHL-AQ as a whole has promising psychometric properties. However, for equiprecise measurement across the scale range, the scale needs more items for measuring higher levels of OHL.

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Section: Discussionmentioning

confidence: 99%

“…13 Since then, psychometric soundness of OHL-AQ has been supported in other cultures. [14][15][16] Yet, OHL-AQ is still a relatively new instrument and its use has been limited. OHL-AQ was designed to assess OHL in communityor population-based studies.…”

Section: Assessment Instruments For Ohl; a Multidimensional Constructmentioning

confidence: 99%

Item and scale properties of the Oral Health Literacy Adults Questionnaire assessed by item response theory

Pattanaik

John

Kohli

et al. 2020

J Public Health Dent

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“…We used the Mandarin version of the Oral Health Literacy Adult Questionnaire (OHL-AQ), which was translated by Ho et al (2020) [ 35 ] from the original version, which was developed by Naghibi Sistani et al (2014) [ 36 ]. The expert content validity index (CVI) for all items was > 0.90.…”

Section: Methodsmentioning

confidence: 99%

Gender differences in the association between oral health literacy and oral health-related quality of life in older adults

Lee

Joo

et al. 2022

BMC Oral Health

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Background Poor oral health affects quality of life; oral health literacy studies are increasing as it plays an essential role in promoting oral health. However, little is known regarding the gender differences in oral health literacy and oral health-related quality of life (OHRQoL) among older adults. This study aimed to explore the gender differences in oral health literacy and OHRQoL among community-dwelling older adults in Taiwan. Methods A cross-sectional study design with convenience sampling was undertaken to recruit participants at two community service centres. Data were collected using a structured survey consisted of the demographic characteristics, instrumental activities of daily living, nutrition assessment, oral health literacy and OHRQoL. The logistic regression was used to examine the gender differences in the relationship between oral health literacy and OHRQoL. Results A total of 202 participants completed the survey. Of which 56.4% (n = 114) were female. Logistic regression analyses showed that after controlling for age, instrumental activities of daily living, nutrition, education level, and average monthly income, better oral health literacy was associated with better oral health quality of life (p = 0.006) in men. Conclusions The relationship between oral health literacy and OHRQoL was only significant for men. No significant relationship between women’s oral health literacy and their OHRQoL. However, good OHRQoL is an integral part of overall health, but it is affected by differences in oral health and the accessibility of healthcare services. We suggest that gender-specific oral health literacy education should be offered through community health-education programs.

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“…The MOHL-AQ was published by Ho et al (2019) [14]. The overall content validity is 95%; inter-rater reliability is 98%, and Cronbach's α coefficient value is 0.77.…”

Section: The Mandarin Version Of the Oral Health Literacy Adult Questionnaire (Mohl-aq)mentioning

confidence: 99%

Easy to Read Health Education Material Improves Oral Health Literacy of Older Adults in Rural Community-Based Care Centers: A Quasi-Experimental Study

et al. 2021

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Health education increases older adults’ health knowledge and affects their health outcomes. Older adults have physical changes with aging, such as blurred vision and cognitive decline. Therefore, health education materials must be legible in their case. This study, following the “easy (EZ) to read” concept, designed oral health education material and tested the learning effectiveness of older adults in rural community-based care centers in central Taiwan. Three of the communities were provided EZ to read health education material (n = 72), while three were given general text material (n = 57) as the control group. We collected pre-test and post-test scores using the Mandarin version of the oral health literacy adult questionnaire (MOHL-AQ). The demographic background of the EZ to read and general text groups showed no significant difference (p > 0.05). Analysis of covariance (ANCOVA) showed that the EZ to read material significantly improved total scores of oral health literacy (p < 0.001). The chi-square test showed a significant improvement in oral health literacy levels (p < 0.001). We suggest applying EZ to read concepts to widen the field of older adult education and to reduce illegibility-induced health knowledge disparities.

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Validation and evaluation of the Mandarin version of the oral health literacy adult questionnaire in Taiwan

Cited by 7 publications

References 28 publications

Item and scale properties of the Oral Health Literacy Adults Questionnaire assessed by item response theory

Item and scale properties of the Oral Health Literacy Adults Questionnaire assessed by item response theory

Gender differences in the association between oral health literacy and oral health-related quality of life in older adults

Easy to Read Health Education Material Improves Oral Health Literacy of Older Adults in Rural Community-Based Care Centers: A Quasi-Experimental Study

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