scholarly journals Validity and Reliability of the Portuguese Version of the Rapid Estimate of Adult Literacy in Dentistry - REALD-29 PT

2022 ◽  
Author(s):  
Helder Costa ◽  
Odete Amaral ◽  
João Duarte ◽  
Maria José Correia ◽  
Nélio Veiga ◽  
...  
Keyword(s):  
Oral Health ◽  
Health Literacy ◽  
Internal Consistency ◽  
Adult Literacy ◽  
Cultural Adaptation ◽  
Functional Health ◽  
Oral Health Literacy ◽  
Internal Reliability ◽  
Portuguese Version ◽  
Acceptable Internal Consistency

Abstract Background Health literacy is a main factor in health for its improvement, allowing the individuals to have a greater capacity to engage and participate in collective health promotion actions. The assessment of functional health literacy to determine the ability that each individual has to understand basic health information is essential. The aim of the present study was to translate and perform the cross-cultural adaptation of the Rapid Estimate of Adult Literacy in Dentistry (REALD-30) to Portuguese language and test the reliability and validity of this version. Methods The REALD-30 in the Portuguese language (REALD-29 PT) was applied to a group of individuals that participate in the program Atividade Senior, developed by the municipality of Viseu, Portugal. The final sample was composed by 206 participants that accepted responding to the questionnaire and to the REALD-30 Portuguese version (REALD-29 PT). Translation and cultural adaptation of the questionnaire and the statistical validation was accomplished in order to complete the process and obtain the REALD-29 PT. Results The REALD-29 PT presented good internal reliability. Cronbach’s alpha ranged from 0.89 to 0.90 when words were deleted individually. The analysis of test-retest reliability revealed excellent reproducibility. We can verify that the REALD-30 scale for assessment of oral health literacy among older adults presents an acceptable internal consistency, with a global Cronbach´s alpha of 0.894. Conclusions The REALD-29 PT scale can be applied to assess oral health literacy among older Portuguese adults, presenting an acceptable internal consistency and is validated to assess oral health literacy and is crucial in epidemiological studies.

scholarly journals Cross-Cultural Adaptation and Validation of Oral Health Literacy Instrument (OHLI) for Malaysian Adults

2020 ◽  
Vol 17 (15) ◽  
pp. 5407
Author(s):  
Muhammad Zulkefli Ramlay ◽  
Norkhafizah Saddki ◽  
Mon Mon Tin-Oo ◽  
Wan Nor Arifin
Keyword(s):  
Reading Comprehension ◽  
Oral Health ◽  
Health Literacy ◽  
Cultural Adaptation ◽  
Cross Cultural ◽  
Dental Visit ◽  
Oral Health Literacy ◽  
Retest Reliability ◽  
Cross Cultural Adaptation ◽  
Test Retest Reliability

Currently, the availability of a functional oral health literacy instrument in the Malay language is limited. This study aimed to cross-culturally adapt Oral Health Literacy Instrument (OHLI) into the Malay language and to determine its psychometric properties in Malaysian adults. Cross-cultural adaptation of the OHLI into the Malay version (OHLI-M) was conducted according to a guideline, followed by a cross-sectional study among outpatients in a selected health clinic. The psychometric evaluations were the comparison of the OHLI-M scores by education levels and last dental visits, the correlation of the reading comprehension section of OHLI-M with the Malay version of the Short Test of Functional Health Literacy in Adults (S-TOFHLA-M), the correlation of OHLI-M with decayed, missing, and filled teeth (DMFT) and Community Periodontal Index (CPI), and the test-retest reliability of OHLI-M. A total of 195 outpatients participated in this study. The OHLI-M scores were significantly different between participants with different levels of education and timing since last dental visit. Participants with lower secondary school qualification and below, and those whose last dental visit was more than two years ago or never, had significantly lower OHLI-M scores. There was a positive correlation between the reading comprehension scores of the OHLI-M and the S-TOFHLA-M (Spearman’s rho = 0.37, p < 0.001). There was no significant correlation between the OHLI-M scores and the DMFT index scores or the CPI scores. The internal consistency was good (Cronbach’s alpha = 0.83 to 0.88). The test-retest reliability was excellent (intraclass correlation = 0.80 to 0.86). The OHLI-M showed good validity and reliability among adults in Malaysia.

scholarly journals Psychometric properties of BREALD-30 for assessing adolescents’ oral health literacy

2019 ◽  
Vol 53 ◽  
pp. 53 ◽  
Author(s):  
Larissa Chaves Morais de Lima ◽  
Érick Tássio Barbosa Neves ◽  
Laio Da Costa Dutra ◽  
Ramon Targino Firmino ◽  
Luiza Jordânia Serafim de Araújo ◽  
...  
Keyword(s):  
Oral Health ◽  
Health Literacy ◽  
Psychometric Properties ◽  
Internal Consistency ◽  
Convergent Validity ◽  
Divergent Validity ◽  
Oral Health Literacy ◽  
Functional Literacy ◽  
Carious Lesions ◽  
Test Retest Reliability

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.

scholarly journals Applicability of the Spoken Knowledge in Low Literacy Patients with Diabetes in Brazilian elderly

2016 ◽  
Vol 14 (4) ◽  
pp. 513-519 ◽  
Author(s):  
Jonas Gordilho Souza ◽  
◽  
Daniel Apolinario ◽  
José Marcelo Farfel ◽  
Omar Jaluul ◽  
...  
Keyword(s):  
Health Literacy ◽  
Internal Consistency ◽  
Functional Health ◽  
Public Healthcare ◽  
Diabetic Patients ◽  
Diabetes Knowledge ◽  
Low Literacy ◽  
Portuguese Version ◽  
Patients With Diabetes

ABSTRACT Objective To translate, adapt and evaluate the properties of a Brazilian Portuguese version of the Spoken Knowledge in Low Literacy Patients with Diabetes, which is a questionnaire that evaluate diabetes knowledge. Methods A cross-sectional study with type 2 diabetes patients aged ≥60 years, seen at a public healthcare organization in the city of Sao Paulo (SP). After the development of the Portuguese version, we evaluated the psychometrics properties and the association with sociodemographic and clinical variables. The regression models were adjusted for sociodemographic data, functional health literacy, duration of disease, use of insulin, and glycemic control. Results We evaluated 129 type 2 diabetic patients, with mean age of 75.9 (±6.2) years, mean scholling of 5.2 (±4.4) years, mean glycosylated hemoglobin of 7.2% (±1.4), and mean score on Spoken Knowledge in Low Literacy Patients with Diabetes of 42.1% (±25.8). In the regression model, the variables independently associated to Spoken Knowledge in Low Literacy Patients with Diabetes were schooling (B=0.193; p=0.003), use of insulin (B=1.326; p=0.004), duration of diabetes (B=0.053; p=0.022) and health literacy (B=0.108; p=0.021). The determination coefficient was 0.273. The Cronbach a was 0.75, demonstrating appropriate internal consistency. Conclusion This translated version of the Spoken Knowledge in Low Literacy Patients with Diabetes showed to be adequate to evaluate diabetes knowledge in elderly patients with low schooling levels. It presented normal distribution, adequate internal consistency, with no ceiling or floor effect. The tool is easy to be used, can be quickly applied and does not depend on reading skills.

scholarly journals Caregiver’s oral health literacy is associated with prevalence of untreated dental caries in preschool children

2019 ◽  
Vol 24 (7) ◽  
pp. 2737-2744 ◽  
Author(s):  
Gisele Ristow Montes ◽  
Danielle Veiga Bonotto ◽  
Fernanda Morais Ferreira ◽  
José Vitor Nogara Borges Menezes ◽  
Fabian Calixto Fraiz
Keyword(s):  
Preschool Children ◽  
Oral Health ◽  
Health Literacy ◽  
Dental Caries ◽  
Adult Literacy ◽  
Oral Health Literacy ◽  
Cross Sectional ◽  
Low Degree ◽  
Untreated Caries ◽  
Untreated Dental Caries

Abstract The aim of this study was to evaluate the relationship between oral health literacy (OHL) among caregivers and untreated dental caries among preschoolers. A cross-sectional study was conducted involving 415 preschool children and their caregivers from Curitiba, Brazil. The children were examined for dental caries and dental plaque. The caregivers’ OHL was evaluated using an instrument translated and validated for Brazilian Portuguese: the Brazilian Rapid Estimate of Adult Literacy in Dentistry-30. The prevalence of children with untreated caries was 42.9% (95%CI: 38.1-47.7%). A low degree of OHL was found among 15.7% (95%CI: 12.2-19.2) of caregivers. The multivariable Poisson regression analysis indicated a higher prevalence of untreated caries among children whose caregivers had a low OHL (PR = 1.35; 95% CI: 1.01-1.79), those with visible plaque (PR = 1.28; 95% CI: 1.01-1.62) and those who never or only occasionally had their teeth brushed by their caregivers (PR = 1.48; 95% CI: 1.16-1.91) in comparison to those without these conditions. In conclusion, a higher prevalence of untreated dental caries was found among preschool children whose caregivers had a low degree of OHL.

scholarly journals Evaluation of an eBook for Oral Health Literacy© to Promote Child Health: Readability, Suitability, Understandability, Actionability, and Gist-Based Message

2020 ◽  
Vol 3 (1) ◽  
pp. p54
Author(s):  
Valerie A. Ubbes ◽  
Abby M. Witter ◽  
Carly M. Kraska ◽  
Ellen E. Justus
Keyword(s):  
Oral Health ◽  
Health Literacy ◽  
Child Health ◽  
Functional Health ◽  
Oral Health Literacy ◽  
Learning To Read ◽  
Design Elements ◽  
Health Curriculum ◽  
Reading To Learn ◽  
Design Characteristics

The purpose of the study was to evaluate an oral health curriculum called an eBook for Oral Health Literacy© to determine its effectiveness for promoting child health. A secondary purpose was to describe and explain the design characteristics of readability, suitability, understandability, and actionability of the 17 chapters of the eBook. A third purpose was to conduct evaluations on verbatim representations (or literal facts) that are presented in the eBook chapters, including the gist representations that are not explicitly presented but inferred by the reader from the chapter information. Results found that the eBook for Oral Health Literacy© had acceptable, and in many cases, favorable scores, for the five design elements of readability, suitability, understandability, actionability, and gist comprehension. Ongoing dissemination of the eBook for Oral Health Literacy© curriculum has the potential to boost children who are “learning to read” and “reading to learn” about oral health hygiene and nutrition. Future studies should use one or more chapters from the curriculum as an intervention to test this educational premise as an explanatory basis for functional health literacy.

scholarly journals A Systematic Review of Cross-Cultural Adaptation and Psychometric Properties of Oral Health Literacy Tools

2021 ◽  
Vol 18 (19) ◽  
pp. 10422
Author(s):  
Sobiya Praveen ◽  
Jinal Parmar ◽  
Navira Chandio ◽  
Amit Arora
Keyword(s):  
Systematic Review ◽  
Oral Health ◽  
Health Literacy ◽  
Psychometric Properties ◽  
Cultural Adaptation ◽  
Methodological Quality ◽  
Cross Cultural ◽  
Oral Health Literacy ◽  
Cross Cultural Adaptation

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.

scholarly journals Oral Health Literacy among Caregivers in Bangalore City, India

2019 ◽  
Vol 3 (3) ◽  
pp. 116-122
Author(s):  
Deepa Prakash ◽  
Archana Krishna Murthy ◽  
Arun Paul ◽  
Khundrakpam Eremba ◽  
Gaurav Gupta ◽  
...  
Keyword(s):  
Oral Health ◽  
Health Literacy ◽  
Adult Literacy ◽  
Sociodemographic Factors ◽  
Cross Sectional Study ◽  
Demographic Variables ◽  
Oral Health Literacy ◽  
Cross Sectional ◽  
Bangalore City ◽  
Child Caregiver

Purpose: To assess caregiver’s oral health literacy of children aged 3-6 years in Bangalore city. Methods: A cross-sectional study was conducted on 635 child/caregiver dyads from a sample of children aged 3-6 years who were selected from anganwadis and preschools in Bangalore city. Demographic details were collected using structured questionnaire. Caregiver literacy was measured using the Rapid Estimate of Adult Literacy in Dentistry (REALD-30). Results: Among 635 child/caregiver dyads, caregiver’s and children’s mean ages were 33.45 years(SD = 3.36) and 5.28 years (SD =0.67), respectively. The mean literacy score was 14.25 (SD= 7.67). The results also indicated that there was an association between socio-demographic variables such as age, education, income, occupation, socioeconomic status and caregivers’ oral health literacy. Conclusion: Caregiver’s oral health literacy is influenced by sociodemographic factors. Oral health literacy is potential determinant and as impact on oral health outcomes in young children.

Perceived Oral Health Literacy, Behaviors, and Oral Health Care among Caregivers to the Homebound Population

2021 ◽  
pp. 108482232110084
Author(s):  
Agata Wilk ◽  
Lisa LaSpina ◽  
Linda D. Boyd ◽  
Jared Vineyard
Keyword(s):  
Health Care ◽  
Oral Health ◽  
Health Literacy ◽  
Oral Care ◽  
Oral Health Care ◽  
The Body ◽  
Current Evidence ◽  
Oral Health Literacy ◽  
Cross Sectional Survey ◽  
Cross Sectional

This study aimed to explore the level of perceived oral health literacy (OHL) among caregivers of the homebound population in the Chicago metropolitan area and how caregivers’ OHL impacts their oral care to the homebound population. The relationships between demographic characteristics, perceived OHL levels, personal oral health behaviors, and oral health care to clients were also assessed. This cross-sectional survey research examined 69 caregivers of the homebound population employed by home health agencies. The OHL was determined by the validated Health Literacy in Dentistry Scale (HeLD-14). Independent t-tests, chi-square tests set at p < .05 significance level, and logistic regressions were used for analysis. The mean age of participants was 43. The HeLD-14 scores indicated a high perceived OHL among this group. Caregivers came from diverse groups, and the majority spoke a second language at home. About 93% performed oral self-care the recommended amount of time or more, while only 57% did it for their clients. Those who cleaned clients’ mouth twice a day had a higher OHL score ( M = 23 compared to M = 19). About 43% did not check for sores in the client’s mouth, and those who checked had a higher OHL score ( M = 25 compared to M = 19). Controlling for OHL, age was a good predictor of oral care frequency to clients. These findings provide current evidence and add to the body of knowledge on OHL among homebound individuals. The results provide insights for designing a preventive approach in oral health care to the homebound population.

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