PMID- 24741892
OWN - NLM
STAT- MEDLINE
DCOM- 20140520
LR  - 20211203
IS  - 0265-539X (Print)
IS  - 0265-539X (Linking)
VI  - 31
IP  - 1
DP  - 2014 Mar
TI  - Development and psychometric validation of a Health Literacy in Dentistry scale 
      (HeLD).
PG  - 37-43
AB  - BACKGROUND: Oral health literacy is emerging as a new public health challenge and 
      poor oral health literacy is increasingly seen as an important predictor of poor 
      oral health outcomes. Within Indigenous populations, there may be benefits to 
      research in using a culturally acceptable, internally consistent and valid 
      instrument to assess oral health literacy. We translated a general health 
      literacy measure, the Health Literacy Management (HeLM) scale to make a dentally 
      relevant scale; Health Literacy in Dentistry (HeLD). OBJECTIVE: This study 
      describes the development and assessment of the reliability and validity of the 
      HeLD in an Indigenous Australian population. DESIGN AND METHODS: The 29 item HeLD 
      scale assesses the components of oral health literacy. The reliability and 
      validity of the seven HeLD subscales were evaluated in a convenience sample of 
      209 Indigenous Australians with mean age 35 years (range 17-81) and of which 139 
      were female. RESULTS: The scale was supported by exploratory factor analysis and 
      established seven distinct and internally consistent domains of oral health 
      literacy: Communication, Access, Receptivity, Understanding, Utilisation, Support 
      and Economic Barriers (Cronbach's alpha = 0.91). Discriminative ability was 
      confirmed by HeLD associations with socio-demographic variables and self-reported 
      health ratings in the expected direction. The convergent validity and predictive 
      validity were confirmed by HeLD scores being significantly associated with 
      toothbrush ownership, use of a toothbrush, time since last dental visit and 
      knowledge of the effect of cordial on the teeth. CONCLUSIONS: The HeLD appears to 
      be an internally valid and reliable instrument and can be used for measuring oral 
      health literacy among rural Indigenous Australian adults.
FAU - Jones, K
AU  - Jones K
FAU - Parker, E
AU  - Parker E
FAU - Mills, H
AU  - Mills H
FAU - Brennan, D
AU  - Brennan D
FAU - Jamieson, L M
AU  - Jamieson LM
LA  - eng
PT  - Journal Article
PT  - Research Support, Non-U.S. Gov't
PL  - England
TA  - Community Dent Health
JT  - Community dental health
JID - 8411261
SB  - IM
MH  - Adolescent
MH  - Adult
MH  - Aged
MH  - Aged, 80 and over
MH  - Attitude to Health
MH  - Beverages/adverse effects
MH  - Communication
MH  - Comprehension
MH  - Dental Care/psychology/statistics & numerical data
MH  - Female
MH  - Health Knowledge, Attitudes, Practice
MH  - *Health Literacy/statistics & numerical data
MH  - Health Services Accessibility
MH  - Humans
MH  - Male
MH  - Middle Aged
MH  - *Native Hawaiian or Other Pacific Islander
MH  - *Oral Health/statistics & numerical data
MH  - Predictive Value of Tests
MH  - Psychometrics/statistics & numerical data
MH  - Reproducibility of Results
MH  - Rural Health
MH  - Social Support
MH  - South Australia
MH  - Toothbrushing/instrumentation
MH  - Young Adult
EDAT- 2014/04/20 06:00
MHDA- 2014/05/21 06:00
CRDT- 2014/04/19 06:00
PHST- 2014/04/19 06:00 [entrez]
PHST- 2014/04/20 06:00 [pubmed]
PHST- 2014/05/21 06:00 [medline]
PST - ppublish
SO  - Community Dent Health. 2014 Mar;31(1):37-43.