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

Abstract

OBJECTIVES

This study aimed to translate the Oral Health Literacy Adult Questionnaire into a Mandarin version (MOHL-AQ) and to examine its psychometric properties.

METHODS

A methodological research using psychometric testing and evaluation of a translated instrument. A convenience sample of 402 participants from northern Taiwan were recruited for the validation of the MOHL-AQ. Internal consistency reliability, split-half reliability, inter-rater reliability, face validity, content validity, and construct validity were evaluated.

RESULTS

The value of internal consistency and split-half reliability of the MOHL-AQ were 0.77 and 0.78, respectively. Content validity reported a high content validity index (CVI = 95%). Exploratory factor analysis (EFA) and parallel analysis (PA) were used to determine a unidimensional model and confirmatory factor analysis (CFA) was employed to confirm the model. The indices of good fit model were achieved at GFI = 0.93, AGFI = 0.92, RMSEA = 0.04, CFI = 0.90, PGFI = 0.73, χ2 /df = 1.86 (p < .001). Most of the item-total correlations indicated adequate and acceptable convergent validity (r > .30).

CONCLUSION

MOHL-AQ demonstrates adequate psychometric properties for measuring the oral health literacy in Mandarin-speaking population. Public health nurses can use MOHL-AQ to assess oral health literacy in the community settings and further screen potential population with inadequate oral health literacy.

Authors+Show Affiliations

Department of Nursing, Taipei Medical University Hospital, Taipei, Taiwan. School of Nursing, Faculty of Science, Medicine and Health, University of Wollongong, Wollongong, NSW, Australia. Illawarra Health and Medical Research Institute (IHMRI), Wollongong, NSW, Australia.School of Nursing and Midwifery, Western Sydney University, Campbelltown, NSW, Australia. AUT Centre for Active Ageing, Auckland University of Technology, Auckland, New Zealand.School of Nursing, Faculty of Science, Medicine and Health, University of Wollongong, Wollongong, NSW, Australia. Illawarra Health and Medical Research Institute (IHMRI), Wollongong, NSW, Australia.College of Nursing, Gachon University, Incheon, Korea.Oral Health Research Center, Health Research Institute, Babol University of Medical Sciences, Babol, Iran.Research Center of Biostatistics, Taipei Medical University, Taipei, Taiwan. School of Nursing, College of Nursing, Taipei Medical University, Taipei, Taiwan.School of Nursing, Faculty of Science, Medicine and Health, University of Wollongong, Wollongong, NSW, Australia. Illawarra Health and Medical Research Institute (IHMRI), Wollongong, NSW, Australia.School of Gerontology Health Management, College of Nursing, Taipei Medical University, Taipei, Taiwan. College of Interdisciplinary Studies, Taipei Medical University, Taipei, Taiwan.School of Gerontology Health Management, College of Nursing, Taipei Medical University, Taipei, Taiwan.

Pub Type(s)

Journal Article

Language

eng

PubMed ID

31742791

Citation

Ho, Mu-Hsing, et al. "Validation and Evaluation of the Mandarin Version of the Oral Health Literacy Adult Questionnaire in Taiwan." Public Health Nursing (Boston, Mass.), 2019.
Ho MH, Montayre J, Chang HR, et al. Validation and evaluation of the Mandarin version of the oral health literacy adult questionnaire in Taiwan. Public Health Nurs. 2019.
Ho, M. H., Montayre, J., Chang, H. R., Joo, J. Y., Naghibi Sistani, M. M., Lin, Y. K., ... Liu, M. F. (2019). Validation and evaluation of the Mandarin version of the oral health literacy adult questionnaire in Taiwan. Public Health Nursing (Boston, Mass.), doi:10.1111/phn.12688.
Ho MH, et al. Validation and Evaluation of the Mandarin Version of the Oral Health Literacy Adult Questionnaire in Taiwan. Public Health Nurs. 2019 Nov 19; PubMed PMID: 31742791.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Validation and evaluation of the Mandarin version of the oral health literacy adult questionnaire in Taiwan. AU - Ho,Mu-Hsing, AU - Montayre,Jed, AU - Chang,Hui-Chen Rita, AU - Joo,Jee Young, AU - Naghibi Sistani,Mohammad Mehdi, AU - Lin,Yen-Kuang, AU - Traynor,Victoria, AU - Chang,Chia-Chi, AU - Liu,Megan F, Y1 - 2019/11/19/ PY - 2019/07/03/received PY - 2019/10/06/revised PY - 2019/10/17/accepted PY - 2019/11/20/entrez KW - factor analysis KW - health literacy KW - oral health KW - psychometrics JF - Public health nursing (Boston, Mass.) JO - Public Health Nurs N2 - OBJECTIVES: This study aimed to translate the Oral Health Literacy Adult Questionnaire into a Mandarin version (MOHL-AQ) and to examine its psychometric properties. METHODS: A methodological research using psychometric testing and evaluation of a translated instrument. A convenience sample of 402 participants from northern Taiwan were recruited for the validation of the MOHL-AQ. Internal consistency reliability, split-half reliability, inter-rater reliability, face validity, content validity, and construct validity were evaluated. RESULTS: The value of internal consistency and split-half reliability of the MOHL-AQ were 0.77 and 0.78, respectively. Content validity reported a high content validity index (CVI = 95%). Exploratory factor analysis (EFA) and parallel analysis (PA) were used to determine a unidimensional model and confirmatory factor analysis (CFA) was employed to confirm the model. The indices of good fit model were achieved at GFI = 0.93, AGFI = 0.92, RMSEA = 0.04, CFI = 0.90, PGFI = 0.73, χ2 /df = 1.86 (p < .001). Most of the item-total correlations indicated adequate and acceptable convergent validity (r > .30). CONCLUSION: MOHL-AQ demonstrates adequate psychometric properties for measuring the oral health literacy in Mandarin-speaking population. Public health nurses can use MOHL-AQ to assess oral health literacy in the community settings and further screen potential population with inadequate oral health literacy. SN - 1525-1446 UR - https://www.unboundmedicine.com/medline/citation/31742791/Validation_and_evaluation_of_the_Mandarin_version_of_the_oral_health_literacy_adult_questionnaire_in_Taiwan L2 - https://doi.org/10.1111/phn.12688 DB - PRIME DP - Unbound Medicine ER -