中文版口腔健康素养量表简版(HeLD-14)在学龄前儿童家长中应用的信度和效度评价

doi:10.19723/j.issn.1671-167X.2024.05.012

Abstract

Abstract:

Objective: To assess the reliability, and validity of the Chinese version of a short-form of Health Literacy Dental scale (HeLD-14) in 3-6 years old preschool children's parents. Methods: The study population consisted of those eligible 3-6 years old preschool children's parents in Yanqing District, Beijing, China in 2021. A total of 1 479 preschool children's parents were surveyed by questionnaire to understand the general situation of parents and oral health literacy related content. SPSS 21.0 and Mplus 7.4 were used for statistical analysis. Through Cronbach's α coefficient, confirmatory factor analysis, Pearson correlation calculation, Student's t test and other methods, the internal consistency reliability, structure validity, calibration validity and discrimination validity of the scale were evaluated. Results: The Cronbach's α coefficient of Chinese version HeLD-14 scale was 0.958, and Cronbach's α coefficient of different constructs ranged from 0.778 to 0.963. The confirmatory factor analysis showed that the factor loadings of each item of the Chinese version HeLD-14 scale were between 0.719 and 0.977 (P < 0.001), root-mean-square error of approximation (RMSEA)=0.04, comparative fix index (CFI)=0.992, Tucker-Lewis index (TLI)=0.988, and the model had good goodness of fit. The total score of the Chinese version HeLD-14 scale and the scores of the dimension of concerning, understanding, supporting, financial burden, medical treatment, communication, and application were all positively correlated with general self-efficacy, and the correlation coefficients were 0.439, 0.406, 0.370, 0.344, 0.346, 0.367, 0.373, 0.390, respectively (P all < 0.05). For parents in the high group with the top 27% HeLD-14 score, the average HeLD-14 score was 69.27±1.06, which was higher than the low group with the bottom 27% HeLD-14 score, 41.29±11.09 (t=48.13, P < 0.01). Conclusion: The Chinese version HeLD-14 scale has good reliability and validity in the 3-6 years old preschool children's parents, and can be used as a tool to assess the oral health literacy of parents of preschool children.

Key words: Oral health, Health literacy, Parents, Preschool child, Reproducibility of results

CLC Number:

R174

Shuangyun ZHAO, Siyu ZOU, Xueying LI, Lijuan SHEN, Hong ZHOU. Evaluation of reliability and validity of Chinese version of a short-form of Health Literacy Dental scale (HeLD-14) in the application among parents of preschool children[J].Journal of Peking University (Health Sciences), 2024, 56(5): 828-832.

Figures/Tables 3

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References 19

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Characteristics	n	%
Family role
Mother	1 120	84.9
Father	198	15.0
Ethnicity
Han	1 237	93.8
Minority	81	6.1
Highest educational level
Primary school or below	11	0.8
Junior school	109	8.2
Technical secondary school or high school	303	22.9
College or university	860	65.2
Master degree or above	35	2.6
Annual income(Chinese 10 000 yuan)
< 5	301	22.8
≥5 & < 20	794	60.2
≥20 & < 50	201	15.2
≥50	22	1.6

Items	χ²	df	χ²/df	P	CFI	TLI	RMSEA
Reference standard			< 5	< 0.001	>0.9	>0.9	< 0.08
Seven-factor model	128.325	56	2.291	< 0.001	0.992	0.988	0.04

Dimensions	Items	Factor loadings
Concerning	Do you care about your teeth or oral health?	0.874
	Do you spend time doing things that are good for your teeth or oral health?	0.901
Understanding	Are you able to read relevant text information, such as the treatment form given by your dentist?	0.912
	Are you able to read dental or oral health information manuals available in dental clinics and waiting rooms?	0.933
Supporting	Are you able to take your family or friends to the dentist?	0.847
	When you go to the dentist, do you ask other people to go with you?	0.719
Financial burden	Can you afford to the cost of going to the dentist (treatment and tests)?	0.961
	Can you afford your medication for dental or oral care?	0.961
Medical treatment	Do you know how to go to the dentist?	0.900
	Do you know what you need to do to see a dentist?	0.854
Communication	Do you seek advice from a dental professional about your teeth or oral health care?	0.935
	Can you use the information given by your dentist to make decisions about your teeth or oral health care?	0.968
Application	Are you able to carry out the dentist’s orders?	0.977
	Can you take advice from your dentist to make decisions about your teeth or oral health?	0.904

Evaluation of reliability and validity of Chinese version of a short-form of Health Literacy Dental scale (HeLD-14) in the application among parents of preschool children

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