PMID- 32881604 OWN - NLM STAT- MEDLINE DCOM- 20210303 LR - 20220420 IS - 1502-3850 (Electronic) IS - 0001-6357 (Linking) VI - 79 IP - 2 DP - 2021 Mar TI - The reliability and validity of the Romanian rapid estimate of adult literacy in dentistry (RREALD-30). PG - 132-138 LID - 10.1080/00016357.2020.1814405 [doi] AB - OBJECTIVES: This study aimed to translate and adapt the Rapid Estimate of Adult Literacy in Dentistry (RREALD-30) instrument for Romanian urban adults and to test its reliability and validity for oral health literacy studies. MATERIAL AND METHODS: The study examined urban adult patients (n = 224) who attended the dental school clinic at the Faculty of Dental Medicine, Bucharest. We collected data through face-to-face interviews utilising the REALD-30 instrument. The interviews enquired about the Oral Health Impact Profile (OHIP-14), background characteristics, oral health-related knowledge, visits to dentists and self-rated oral health status. We applied principal component analysis for factor structure and Item Response Theory models to discriminate ability. A structural equation model (SEM) evaluated whether knowledge, perceived oral health, and visits to the dentist mediate the effect of RREALD on OHIP-14. RESULTS: Of the 224 participants, 113 (50.4%) were males. The internal consistency of the RREALD-30 measured by Cronbach's alpha was 0.88. The test-retest reliability was excellent (Spearman's correlation coefficient 0.98, ICC 0.90). RREALD-30 exhibited good concurrent and predictive validity. SEM demonstrated that RREALD mediated the effect of visits to dentist on OHIP-14. CONCLUSION: The RREALD-30 proved satisfactory psychometric properties and may serve to evaluate dental health literacy among Romanian adults. FAU - Sfeatcu, R AU - Sfeatcu R AD - Oral Health and Community Dentistry Department, Faculty of Dental Medicine, Carol Davila University, Bucharest, Romania. FAU - Lie, S A AU - Lie SA AD - Department of Clinical Dentistry, Faculty of Medicine, University of Bergen, Bergen, Norway. FAU - Funieru, C AU - Funieru C AD - Preventive Dentistry Department, Faculty of Dental Medicine, Carol Davila University, Bucharest, Romania. FAU - Astrom, A N AU - Astrom AN AD - Department of Clinical Dentistry, Faculty of Medicine, University of Bergen, Bergen, Norway. FAU - Virtanen, J I AU - Virtanen JI AD - Department of Clinical Dentistry, Faculty of Medicine, University of Bergen, Bergen, Norway. AD - Institute of Dentistry, University of Turku, Turku, Finland. LA - eng PT - Journal Article DEP - 20200903 PL - Sweden TA - Acta Odontol Scand JT - Acta odontologica Scandinavica JID - 0370344 SB - IM MH - Adult MH - Dentistry MH - *Health Literacy MH - Humans MH - Male MH - Oral Health MH - Psychometrics MH - Quality of Life MH - Reproducibility of Results MH - Romania MH - Surveys and Questionnaires OTO - NOTNLM OT - RREALD-30 OT - Reliability OT - Romanian OT - adult literacy OT - validity EDAT- 2020/09/04 06:00 MHDA- 2021/03/04 06:00 CRDT- 2020/09/04 06:00 PHST- 2020/09/04 06:00 [pubmed] PHST- 2021/03/04 06:00 [medline] PHST- 2020/09/04 06:00 [entrez] AID - 10.1080/00016357.2020.1814405 [doi] PST - ppublish SO - Acta Odontol Scand. 2021 Mar;79(2):132-138. doi: 10.1080/00016357.2020.1814405. Epub 2020 Sep 3.