PMID- 32187306 OWN - NLM STAT- MEDLINE DCOM- 20200330 LR - 20200330 IS - 1807-3107 (Electronic) IS - 1806-8324 (Linking) VI - 34 DP - 2020 TI - Psychometric properties of Health Literacy in Dentistry scale in an elderly Brazilian population. PG - e021 LID - S1806-83242020000100219 [pii] LID - 10.1590/1807-3107bor-2020.vol34.0021 [doi] AB - This study aimed to assess the reliability and validity of Brazilian-Portuguese versions of the Health Literacy in Dentistry (HeLD) scale in a sample of elderly Brazilian participants. HeLD was initially translated into and cross-culturally adapted to the Brazilian Portuguese language. The reliability and validity of HeLD were then assessed in a sample of 535 non-institutionalized older persons who also completed a questionnaire containing sociodemographic and health information. Data were then randomly separated into two sub-datasets, and Confirmatory Factor Analysis was performed through structural equation modelling, with a maximum likelihood estimate to test the fit of the data to the factor structure of the long-and short-form HeLD (HeLD-29 and HeLD-14) versions of the instrument. The models were compared using the Akaike Information Criterion to assess goodness-of-fit and to determine which models were preferred. Internal consistency of HeLD was evaluated using Cronbach s coefficient alpha. Both versions of HeLD were observed to demonstrate high internal reliability (Cronbach s alpha >/= 0.87 for all seven subscales), acceptable convergent (estimates of >/= 0.50 for AVE and >/= 0.70 for CR) and discriminant validity. However, the goodness-of-fit of the confirmatory factor analysis models demonstrated satisfactory results only for HeLD-14 subsamples (x2/df = 1.8-2.3; CFI = 0.97-0.98; GFI/NFI = 0.98-0.99; RMSEA = 0.05 and SRMR = 0.03). In conclusion, HeLD-14 was shown to be a reliable and valid instrument to measure oral health literacy in elderly Brazilian participants. FAU - Mialhe, Fabio Luiz AU - Mialhe FL AUID- ORCID: 0000-0001-6465-0959 AD - Universidade Estadual de Campinas - Unicamp, Piracicaba Dental School , Department of Health Science and Pediatric Dentistry , Piracicaba , SP , Brazil . FAU - Tenani, Carla Fabiana AU - Tenani CF AUID- ORCID: 0000-0001-7203-2763 AD - Universidade Estadual de Campinas - Unicamp, Piracicaba Dental School , Department of Health Science and Pediatric Dentistry , Piracicaba , SP , Brazil . FAU - DE Checchi, Maria Helena Ribeiro AU - DE Checchi MHR AUID- ORCID: 0000-0002-8431-6533 AD - Universidade Estadual de Campinas - Unicamp, Piracicaba Dental School , Department of Health Science and Pediatric Dentistry , Piracicaba , SP , Brazil . FAU - Jamieson, Lisa AU - Jamieson L AUID- ORCID: 0000-0001-9839-9280 AD - University of Adelaide , Adelaide Dental School , Australian Research Centre for Population Oral Health , Adelaide , South Australia , Australia . FAU - Ju, Xiangqun AU - Ju X AUID- ORCID: 0000-0003-4759-3918 AD - University of Adelaide , Adelaide Dental School , Australian Research Centre for Population Oral Health , Adelaide , South Australia , Australia . LA - eng PT - Evaluation Study PT - Journal Article PT - Validation Study DEP - 20200316 PL - Brazil TA - Braz Oral Res JT - Brazilian oral research JID - 101307187 SB - IM MH - Aged MH - Aged, 80 and over MH - Brazil MH - Cross-Cultural Comparison MH - Cross-Sectional Studies MH - *Dentistry MH - Factor Analysis, Statistical MH - Female MH - Health Literacy/*standards MH - Humans MH - Male MH - Psychometrics MH - Reference Standards MH - Reproducibility of Results MH - Socioeconomic Factors MH - Surveys and Questionnaires/*standards MH - Translations EDAT- 2020/03/19 06:00 MHDA- 2020/03/31 06:00 CRDT- 2020/03/19 06:00 PHST- 2019/09/04 00:00 [received] PHST- 2019/12/27 00:00 [accepted] PHST- 2020/03/19 06:00 [entrez] PHST- 2020/03/19 06:00 [pubmed] PHST- 2020/03/31 06:00 [medline] AID - S1806-83242020000100219 [pii] AID - 10.1590/1807-3107bor-2020.vol34.0021 [doi] PST - epublish SO - Braz Oral Res. 2020 Mar 16;34:e021. doi: 10.1590/1807-3107bor-2020.vol34.0021. eCollection 2020.