PMID- 30130002 OWN - NLM STAT- MEDLINE DCOM- 20181023 LR - 20181023 IS - 0265-539X (Print) IS - 0265-539X (Linking) VI - 35 IP - 3 DP - 2018 Aug 30 TI - Confirmatory factor analysis of the health literacy in dentistry scale (HeLD) in the Australian population. PG - 140-147 LID - 10.1922/CDH_4325Ju08 [doi] AB - OBJECTIVE: To determine the psychometric properties of both the long- and short-form versions of the Health Literacy in Dentistry (HeLD) instrument in a large sample of the Australian adult population. METHODS: Data were from a subset of the National Dental Telephone Interview Survey 2013. Both the long (HeLD-29) and short-form (HeLD-14) were utilised, each of which comprises items from 7 conceptual domains: access, understanding, support, utilization, economic barriers, receptivity and communication. Confirmatory Factor Analysis was performed through structural equation modelling to determine factorial validity, where the Chi(2)/df, comparative fit, goodness of fit and root mean square error of approximation were used as indices of goodness of fit. Convergent validity was estimated from the average variance extracted (AVE) and composite reliability (CR), while internal consistency was estimated by Cronbach standardized alpha. RESULTS: The dataset comprised 2,936 Australian adults aged 18+ years. The kurtosis and skewness values indicated an approximation to a normal distribution. Adequate fit was demonstrated for HeLD-14, but not for HeLD-29. Estimates of >/= 0.50 for AVE and >/= 0.70 for CR were demonstrated across all factors for both HeLD-29 and HeLD-14, indicating acceptable convergent validity for both forms. Discriminant validity was also demonstrated for both forms. Internal consistency was adequate in the seven conceptual domains for both HeLD forms, with Cronbach's alpha for all subscales being >/=0.70. CONCLUSIONS: The psychometric properties of the HeLD instrument in a large sample of the Australian adult population were confirmed. The short form HeLD-14 was more parsimonious than the long-form (HeLD-29). CI - Copyright(c) 2018 Dennis Barber Ltd. FAU - Ju, X AU - Ju X AD - Australian Research Centre for Population Oral Health, Adelaide Dental School, University of Adelaide, Australia. FAU - Brennan, D S AU - Brennan DS AD - Australian Research Centre for Population Oral Health, Adelaide Dental School, University of Adelaide, Australia. FAU - Parker, E AU - Parker E AD - Australian Research Centre for Population Oral Health, Adelaide Dental School, University of Adelaide, Australia. FAU - Chrisopoulos, S AU - Chrisopoulos S AD - Australian Research Centre for Population Oral Health, Adelaide Dental School, University of Adelaide, Australia. FAU - Jamieson, L AU - Jamieson L AD - Australian Research Centre for Population Oral Health, Adelaide Dental School, University of Adelaide, Australia. LA - eng PT - Journal Article DEP - 20180830 PL - England TA - Community Dent Health JT - Community dental health JID - 8411261 SB - IM MH - Australia MH - Factor Analysis, Statistical MH - *Health Literacy MH - Humans MH - *Oral Health MH - Psychometrics MH - Reproducibility of Results MH - *Surveys and Questionnaires OTO - NOTNLM OT - construct validity OT - discriminative validity OT - oral health literacy OT - reliability EDAT- 2018/08/22 06:00 MHDA- 2018/10/24 06:00 CRDT- 2018/08/22 06:00 PHST- 2018/08/22 06:00 [pubmed] PHST- 2018/10/24 06:00 [medline] PHST- 2018/08/22 06:00 [entrez] AID - 10.1922/CDH_4325Ju08 [doi] PST - epublish SO - Community Dent Health. 2018 Aug 30;35(3):140-147. doi: 10.1922/CDH_4325Ju08.