scholarly journals Validation of the Brazilian version of Primary Care Assessment Tool (PCAT) for Oral Health - PCATool Brazil Oral Health for Professionals

2021 ◽  
Vol 26 (6) ◽  
pp. 2097-2108
Author(s):  
Otávio Pereira D’Avila ◽  
Erno Harzheim ◽  
Lisiane Hauser ◽  
Luiz Felipe Pinto ◽  
Eduardo Dickie de Castilhos ◽  
...  
Keyword(s):  
Factor Analysis ◽  
Oral Health ◽  
Internal Consistency ◽  
Assessment Tool ◽  
Principal Component ◽  
Dental Services ◽  
Community Orientation ◽  
Rotation Method ◽  
Brazilian Version ◽  
Care Assessment

Abstract This study verified the internal consistency and reliability of an instrument to evaluate dental services in Primary Health Care (PHC). In order to verify the factor validity, a factor analysis with principal component extraction and varimax orthogonal rotation method was used. Factors with three or more items with factor loadings greater than 0,35 were selected. This instrument’s reliability was verified using internal consistency (total item correlation >0,30 and Cronbach alpha = or >0,70)). 562 dentists participated in the study. In the factor analysis, ten factors were kept, which explain 40,95% of the total variation. Regarding the internal consistency, only 3 items presented insufficient correlation. Also on internal consistency, using Cronbach’s alpha, the following values of the coefficients were identified: Access (0.55), Continuity (0,74), Care Coordination (0,55), Coordination - Information System (0.21), Comprehensiveness of Services Available (0,91), Comprehensiveness of Services Provided (0,79), Family Orientation (0.66), Community Orientation (0,87), Cultural Competence (0,81). For the success ratio of the scale, all results were higher than 88%, less the “Information Systems” component (21%).

scholarly journals Validity and reliability of the Brazilian Primary Care Assessment Tool: Oral Health of Adults

2020 ◽  
Vol 23 ◽  
Author(s):  
Débora Deus Cardozo ◽  
Caroline Stein ◽  
Lisiane Hauser ◽  
Liége Teixeira Fontanive ◽  
Erno Harzheim ◽  
...  
Keyword(s):  
Primary Care ◽  
Health Care ◽  
Primary Health Care ◽  
Oral Health ◽  
Assessment Tool ◽  
Validity And Reliability ◽  
Dental Services ◽  
Primary Health ◽  
Care Assessment ◽  
Primary Care Assessment Tool

ABSTRACT: Objective: To test the factorial validity and reliability of the Primary Care Assessment Tool adapted to Oral Health, adult patient version, an instrument used to verify the presence and extent of attributes in Primary Health Care services. Methods: Population-based cross-sectional study using conglomerate random sample carried out in Primary Health Care Dental services in Porto Alegre between 2011 and 2013. We interviewed 407 adult patients who used Primary Health Care Dental services. Construct validity was tested through factorial validity and reliability of the Primary Care Assessment Tool, that comprises 81 items distributed throughout Primary Health Care attributes. Equamax orthogonal rotation method was used in the factorial analysis; and, in order to assess reliability of each component, we used the item-total correlation and the ratio of success of the scale. Results: In the factorial analysis, 10 factors were retained, explaining 53.3% of the total variation. This result demonstrates the multidimensional structure of the instrument. The reliability assessment showed Cronbach’s alpha values ranging from 0.39 to 0.89. For the success of the scale most of the results (eight of nine attributes) were greater than 85%. Conclusions: The instrument is valid for the assessment of oral health services in Primary Health Care from the perspective of adult patients, as well as for monitoring and evaluation of oral health services in Primary Health Care attributes and comparative studies.

scholarly journals The PUFFinCA scale: development of an instrument for evaluating the primary care functions of family physicians in childhood asthma

2018 ◽  
Vol 20 ◽  
Author(s):  
Ayşe Nur Usturali Mut ◽  
Zeliha Aslı Öcek ◽  
Meltem Çiçeklioğlu ◽  
Şafak Taner ◽  
Esen Demir
Keyword(s):  
Primary Care ◽  
Childhood Asthma ◽  
Assessment Tool ◽  
Asthma Management ◽  
Correlation Coefficients ◽  
Family Physicians ◽  
Principal Component ◽  
Care Assessment ◽  
Provision Of Services ◽  
Children With Asthma

AbstractAimTo develop the Primary care fUnctions oF Family physicians in Childhood Asthma (PUFFinCA) scale for evaluating the cardinal process functions of primary care services (accessibility, comprehensiveness, continuity and coordination) provided by family physicians (FPs) in the management of childhood asthma.BackgroundIn the literature on the functions of primary care, there is no assessment tool focusing on children with asthma. Primary care assessment scales adapted to various languages are not suitable to adequately address the needs of special patient groups, such as children with asthma.MethodsIn this methodological study, the instrument development process was completed in four stages: establishing the pool of items, evaluating the content validity, applying the scale and statistical analysis. The scale was applied to 320 children who had asthma and received care in the clinic of the Department of Pediatrics, Division of Allergy and Pulmonology at Ege University School of Medicine, Turkey. The Cronbach’s α and Spearman–Brown coefficient were calculated to determine the reliability of the scale. Principal component analysis was used to determine the construct validity of the scale.FindingsThe PUFFinCA scale was found to have four-factor structure and 25 items. Cronbach’s α coefficient was 0.93. It has been determined that the reliability was excellent and the item-total correlation coefficients were >0.30 each. The factors were titled FP’s ‘functions of accessibility, first contact and continuity’, ‘functions of coordination and comprehensiveness of health services related to asthma management’, ‘provision of preventive care related to asthma’ and ‘provision of services for paid vaccinations’.

scholarly journals Oral Impact on Daily Performance (OIDP) scale for use in Sri Lankan Adolescents: a cross sectional modification and validation study

2019 ◽  
Author(s):  
Uttara Amilani ◽  
Prasanna Jayasekara ◽  
Irosha R Perera ◽  
Hannah E Carter ◽  
Sameera Senanayake ◽  
...  
Keyword(s):  
Principal Component Analysis ◽  
Factor Analysis ◽  
Oral Health ◽  
Sri Lanka ◽  
Cultural Adaptation ◽  
Concurrent Validity ◽  
Principal Component ◽  
Sri Lankan ◽  
Oral Impact ◽  
Bartlett’S Test

Abstract Background Oral Health Related Quality of Life (OHRQoL) surveys play an important role in understanding subjective patient experiences in oral health care. The Oral Impact on Daily Performance (OIDP) scale is a validated OHRQoL tool that measures the impact and extent to which an individual’s daily activities may be compromised by their oral health. It is commonly used to facilitate oral health service planning. The aim of this study was to modify and validate a Sinhalese version of the OIDP for use in Sri Lankan adolescents. Methods The stage I involved cultural adaptation of the tool through translation and modification. After translation and cultural adaptation, the modified OIDP was tested on 220, 15-19 year secondary school students in the Gampaha district, Sri Lanka. The adolescents completed the modified OIDP scale along with questions on self-reported perceived oral health problems and treatment need which were used to assesses the concurrent validity of the modified OIDP scale. Stage II and III involved the exploring factor structure, validation and a reliability assessment. Factorability was assessed by inspection of correlation matrix and Kaiser-Meyer-Olkin and Bartlett's Test of Sphericity tests as a measure of sampling adequacy. An exploratory factor analysis was carried out using Principal Component Analysis method and factors were rotated using the oblimin method. Results 220 adolescents participated in factor analysis and validation studies. The most prevalent oral health impact related to chewing and enjoying foods, reported by 36.8% of respondents The Kaiser-Meyer-Olkin measure was 0.87 and Bartlett’s test of Sphericity was significant (p<0.001) Cronbach’s alpha was calculated as 0.88, indicating a high level of internal consistency. The principal component analysis produced two factors with Eigen values ranging from 1.12 to 4.40, explaining 70.0% of total variance. Concurrent validity was satisfactory as the OIDP score increased when the adolescents’ perceived oral health decreased.Conclusion This study showed that the modified OIDP scale is applicable for use among adolescents in Sri Lanka. It has promising psychometric properties but further research is required to use this tool in other cohorts.

scholarly journals Development and validation of the Vietnamese Primary Care Assessment Tool – provider version

2019 ◽  
Vol 20 ◽  
Author(s):  
Nguyen Thi Hoa ◽  
Anselme Derese ◽  
Jeffrey F. Markuns ◽  
Nguyen Minha Tam ◽  
Wim Peersman
Keyword(s):  
Primary Care ◽  
Health Care ◽  
Internal Consistency ◽  
Assessment Tool ◽  
Care Quality ◽  
Quality Of Primary Care ◽  
Care Assessment ◽  
The Impact ◽  
Primary Care Assessment Tool

Abstract Aim: To adapt the provider version of the Primary Care Assessment Tool (PCAT) for Vietnam and determine its internal consistency and validity. Background: There is a growing need to measure and explore the impact of various characteristics of health care systems on the quality of primary care. It would provide the best evidence for policy makers if these evaluations come from both the demand and supply sides of the health care sector. Comparatively more researchers have studied primary care quality from the consumer perspective than from the provider’s perspective. This study aims at the latter. Method: Our study translated and adapted the PCAT provider version (PCAT PE) into a Vietnamese version, after which a cross-sectional survey was conducted to examine the feasibility, internal consistency and validity of the Vietnamese PCAT provider version (VN PCAT PE). All general doctors working at 152 commune health centres in Thua Thien Hue province had been selected to participate in the survey. Findings: The VN PCAT PE is an instrument for evaluation of primary care in Vietnam with 116 items comprising six scales representing four core primary care domains, and three additional scales representing three derivative domains. From the translation and cultural adaptation stage, two items were combined, two items were removed and one item was added. Six other items were excluded due to problems in item-total correlations. All items have a low non-response or ‘don’t know/don’t remember’ response rate, and there were no floor or ceiling effects. All scales had a Cronbach’s alpha above 0.80, except for the Coordination scale, which still was above the minimum level of 0.70. Conclusion: The VN PCAT PE demonstrates adequate internal consistency and validity to be used as an effective tool for measuring the quality of primary care in Vietnam from the provider perspective.

scholarly journals Barriers in Access to Dental Services Hindering the Treatment of People with Disabilities: A Systematic Review

2020 ◽  
Vol 2020 ◽  
pp. 1-17
Author(s):  
Saulo V. da Rosa ◽  
Samuel J. Moysés ◽  
Laís C. Theis ◽  
Renata C. Soares ◽  
Simone T. Moysés ◽  
...  
Keyword(s):  
Systematic Review ◽  
Oral Health ◽  
Latin American ◽  
Assessment Tool ◽  
Dental Treatment ◽  
People With Disabilities ◽  
Legal Framework ◽  
Dental Services ◽  
Persons With Disabilities ◽  
Structural Problems

Background. People with disabilities tend to have greater oral health problems compared to those without disabilities. This may be due to barriers they come across in accessing dental services. Objectives. The objective of this systematic review was to provide a critical digest of the scientific literature concerning barriers and facilitators of access to oral health services for people with disabilities. Methods. The electronic databases PubMed, Scopus, Web of Science, Latin American and Caribbean Health Sciences Literature (LILACS), and Brazilian Library of Dentistry (BBO) were searched using keywords relevant to the subject. The search was not restricted to specific languages or years of publication; all relevant studies were translated and reviewed. Results. Sixteen studies including 14 articles, a doctoral thesis, and a monograph were selected, and their quality was analysed using the Downs and Black assessment tool. Barriers to dental services were divided into physical or nonphysical based on the dentist’s perspective, as per the perception of parents/guardians or by the persons with disabilities. The barriers that emerged included the dentist’s lack of preparation to assist people with disabilities, structural problems of access to dental offices, communication difficulties, and lack of awareness regarding the need for dental treatment for the disabled person. Conclusion. It is concluded that people with disabilities continue to run into complex physical, behavioural, or multidimensional barriers in accessing dental services. Improved training of dentists for the care of this population is hereby emphasized. The legal framework enabling access to dental care for people with disabilities must also be respected in each country.

scholarly journals Psychometric Validation of the Short Form of the Smoking Consequences Questionnaire (S-SCQ) for Brazil

2018 ◽  
Vol 23 (11) ◽  
pp. 3947-3955
Author(s):  
Marília Silva de Souza ◽  
Jaciana Marlova Gonçalves Araújo ◽  
Luciano Dias de Mattos Souza
Keyword(s):  
Factor Analysis ◽  
Short Form ◽  
Smoking Behavior ◽  
Principal Component ◽  
Psychometric Validation ◽  
Years Of Life Lost ◽  
Good Reliability ◽  
Reliability Indices ◽  
Brazilian Version ◽  
Semantic Adaptation

Abstract Smoking accounts for 24% of deaths in the general population and is also the factor that explains the biggest amount of years of life lost. It is important to understand the expectations regarding smoking behavior. The present study aimed to validate the Short Form of the Smoking Consequences Questionnaire (S-SCQ) for a Brazilian version. The Researchers did the process of semantic adaptation to language and national context. The S-SCQ was applied in a sample of 129 people. The next step was to perform psychometric analyses for the set of 21 items. Exploratory Factor Analysis, with pairwise treatment for missing cases, was used to achieve construct validity. To carry out Factor Analysis, the method of Principal Component Analysis (PCA) was used initially. Afterwards, Principal Axis Factoring (PAF) using Varimax rotation with Kaiser normalization was applied. The reliability of the total scale (21 items) showed a Cronbach alpha index of 0.851 and a 0.870 Lambda2 of Gutmann. Quite satisfactory rates were also observed in the subscales. Similarly, the item-overall correlation values also confirmed the scale’s good reliability indices.

Psychometric properties of the self-efficacy for therapeutic mode use tool in a mixed sample of occupational therapists: a pilot study

2019 ◽  
Vol 26 (6) ◽  
pp. 1-8
Author(s):  
Farzaneh Yazdani ◽  
Tore Bonsaksen
Keyword(s):  
Internal Consistency ◽  
Self Efficacy ◽  
Assessment Tool ◽  
Principal Component ◽  
Occupational Therapists ◽  
The Self ◽  
Parallel Analysis ◽  
Therapeutic Practice ◽  
Scale Scores ◽  
The Uk

Background/A Skills that enable the maintenance of productive relationships with clients are an essential aspect of therapeutic practice and include the use of therapeutic modes appropriate to clients' needs. The therapist requires a certain level of self-efficacy in order to use therapeutic modes in client–therapist interactions. Recently, a tool was developed to assess therapists' self-efficacy in the use of therapeutic modes. The structure of factors within and internal consistency of the self-efficacy for therapeutic mode use tool was examined. Methods Occupational therapists (n=51) from the UK and Iran completed the self-efficacy for therapeutic mode use assessment tool and provided sociodemographic information. The structure of factors was examined using principal component analysis and parallel analysis; internal consistency was assessed using Cronbach's α and inter-item correlation. Results Parallel analysis suggested that the preferred structure has only one factor, explaining 55.2% of data variance. The items' factor loadings ranged between 0.67 and 0.80, and the scale had a Chronbach α of 0.83. Conclusions The sum of the scale scores can be useful in occupational therapy research and audits focusing on self-efficacy in the use of therapeutic modes in practice.

Cross-cultural adaptation and clinical evaluation of a Korean version of the Work, Osteoarthritis or joint-Replacement Questionnaire

2019 ◽  
Vol 26 (5) ◽  
pp. 1-8
Author(s):  
Gyu-wan Lee ◽  
Chung-hwi Yi ◽  
Gyoung-mo Kim ◽  
Young-jung Lee ◽  
Jang-whon Yoon
Keyword(s):  
Factor Analysis ◽  
Internal Consistency ◽  
Joint Replacement ◽  
Cultural Adaptation ◽  
Assessment Tool ◽  
Correlation Coefficients ◽  
Cross Cultural ◽  
Strong Positive Correlation ◽  
Intra Class Correlation ◽  
Cross Cultural Adaptation

Background and aim The Work Osteoarthritis or joint-Replacement Questionnaire (WORQ) is a new assessment tool developed in the Netherlands. It needs translation and cross-cultural adaptation for use in each country. The aim of this study was to translate the Work Osteoarthritis or joint-Replacement Questionnaire into Korean and to verify its reliability and validity. Methods To evaluate the clinimetric quality of the Korean-WORQ, we performed tests for internal consistency (Cronbach's alpha), reliability (intra-class correlation coefficients) and concurrent validity (Spearman's correlation coefficient). Factor analysis was carried out to identify the principal components of the questionnaire. Findings Both the internal consistency and intra-class correlation coefficients showed the reliability of the Korean-WORQ to be excellent. The Korean-WORQ had a strong positive correlation with the Western Ontario and McMaster Universities Osteoarthritis Index and three components were extracted in factor analysis. Conclusions Based on these results, the Korean-WORQ seems to be a suitable questionnaire for assessing the disability levels of patients with knee injuries.

scholarly journals Western Cape Primary Care Assessment Tool (PCAT) study: Measuring primary care organisation and performance in the Western Cape Province, South Africa (2013)

2016 ◽  
Vol 8 (1) ◽  
Author(s):  
Graham F. Bresick ◽  
Abdul-Rauf Sayed ◽  
Cynthia Le Grange ◽  
Susheela Bhagwan ◽  
Nayna Manga ◽  
...  
Keyword(s):  
Primary Care ◽  
Nurse Practitioners ◽  
Assessment Tool ◽  
Health Sector ◽  
Full Time ◽  
Western Cape ◽  
Western Cape Province ◽  
Community Orientation ◽  
Care Assessment ◽  
Comprehensive Services

Background: Major health sector reform and the need for baseline measures of performance to determine impact.Aim: Baseline audit of primary healthcare (PHC) performance.Setting: Cape Town and Cape Winelands (rural) PHC facilities (PCFs) in Western Cape Province, South Africa.Method: The South African cross-culturally validated ZA PCAT to audit PHC performance on 11 subdomains associated with improved health and reduced costs. Adult PCF users systematically sampled. All full-time doctors and nurse practitioners in PCFs sampled and all PCF managers in sub-districts sampled invited into the study.Results: Data from 1432 users, 100 clinicians and 64 managers from 13 PCFs in 10 sub-districts analysed (figures show stakeholder percentages scoring subdomain performance ‘acceptable to good’). 11.5% users scored access ‘acceptable to good’; community orientation and comprehensive services provided 20.8% and 39.9%, respectively. Total PHC score for users 50.2%; for managers and practitioners 82.8% and 88.0%, respectively. Among practitioners access was lowest (33.3%); PHC team (98.0%) and comprehensive services available (100.0%) highest. Among managers, access (13.5%) and family centredness (45.6%) are lowest; PHC team (85.9%) and comprehensive services available (90.6%) highest. Managers scored access, family centredness and cultural competence significantly lower than practitioners. Users scored comprehensive services available, comprehensive services provided and community orientation significantly lower than practitioners and managers.Conclusion: Gaps between users’ experience and providers’ assessments of PHC performance are identified. Features that need strengthening and alignment with best practice, provincial and national, and health policies are highlighted with implications for practitioner and manager training, health policy, and research.

scholarly journals CHOOSING TEACHING AS A PROFESSION: VALIDATION OF AN SMVUP-4-S ASSESSMENT TOOL

2019 ◽  
Vol 77 (4) ◽  
pp. 545-559
Author(s):  
Robert Tomšik
Keyword(s):  
Factor Analysis ◽  
Teacher Development ◽  
Internal Consistency ◽  
Empirical Data ◽  
Extrinsic Motivation ◽  
Assessment Tool ◽  
Factor Model ◽  
Teaching Profession ◽  
Altruistic Motivation ◽  
Three Factor

The aim of the present research was to validate the Scale of motivation for choosing teaching profession (SMVUP-4-S), and to explore its basic psychometric properties on a sample of Slovak teacher trainee students. SMVUP-4-S scale was completed by 1235 respondents with a mean age of 20.1 years. SMVUP-4-S scale consists of 44 items arranged into 11 subscales, which are arranged into three main categories of motivation: intrinsic, extrinsic and altruistic. A latent structure of SMVUP model that consists of two four-factor (intrinsic and extrinsic motivation) and a one three-factor model (altruistic motivation) was tested. Internal consistency was assessed using Cronbach’s alpha. Exploratory factor analysis (EFA) was calculated using the Maximum Likelihood estimation. To evaluate Confirmatory factor analysis (CFA) χ2-test, CFI, RMSEA, SRMR, AIC, BIC and TLI indicators were used. SMVUP-4-S scale showed an acceptable internal consistency. Using EFA two four-factor and one three-factor model were extracted. CFA indicated that four-factor models had a good fit to the empirical data (Intrinsic motivation χ2/df = 4.925, Extrinsic motivation χ2/df = 4.781). Modifying indexes have shown that several items have correlated with residual variances which leads to low fit to the empirical data in three-factor-model. After the implementation of covariants between items this model has also shown a good fit to the empirical data (Altruistic motivation χ2/df = 4.715). Keywords: teacher development, teacher motivation, career choice, psychological assessment.

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