PMID- 34245045
OWN - NLM
STAT- MEDLINE
DCOM- 20211112
LR  - 20211112
IS  - 1600-0528 (Electronic)
IS  - 0301-5661 (Linking)
VI  - 49
IP  - 6
DP  - 2021 Dec
TI  - Validation of the Chinese version of the Short-Form Health Literacy in Dentistry 
      (HeLD) scale.
PG  - 550-556
LID - 10.1111/cdoe.12675 [doi]
AB  - OBJECTIVES: As an important part of health literacy, oral health literacy has 
      been adapted to dental practice and research. The 14-item short version of the 
      Health Literacy in Dentistry (HeLD) scale demonstrated excellent reliability, 
      validity and precision when tested among English-speaking populations. However, 
      an appropriate and reliable assessment of this scale in other language contexts 
      remains lacking. The reliability and validity of the Chinese version of HeLD 
      (HeLD-C) for the Chinese population must therefore be examined. METHODS: The 
      short version of HeLD was translated into Chinese, and one item was deleted 
      because of its unsuitability for the Chinese healthcare system. The psychometric 
      properties of HeLD-C were evaluated in a sample of 404 Chinese participants aged 
      from 19 to 72 years. The item selection analyses were performed by comparing the 
      difference of each item between the high- and low-score groups. The internal 
      consistency reliability was assessed using the Cronbach's alpha coefficient. 
      Construct validity was assessed using exploratory structural equation modelling. 
      For the criterion validity, correlations between the HeLD-C and the criterion 
      validity scales, including the eHealth Literacy Scale (eHEALS), oral hygiene 
      maintenance habits, and oral health status were tested using Pearson's 
      correlation. RESULTS: Results of item selection reveal significant differences 
      among all items between the high- and low-score groups (Ps < .001). The internal 
      consistency reliability of HeLD-C was measured using Cronbach's alpha (0.92), whereas 
      its construct validity was measured using chi(2) [df] (3.30), comparative fit index 
      (0.95), Tucker-Lewis index (0.94), root mean square error of approximation 
      (0.08), and standardized root mean square residual (0.05). The criterion validity 
      analyses show that HeLD-C is correlated with the criterion validity scales, 
      including eHEALS, oral hygiene maintenance habits and oral health status 
      (Ps < .001). CONCLUSIONS: Chinese version of HeLD is a reliable and valid 
      instrument for measuring the oral health literacy of the Chinese adult 
      population.
CI  - (c) 2021 John Wiley & Sons A/S. Published by John Wiley & Sons Ltd.
FAU - Liu, Hong-Zhi
AU  - Liu HZ
AUID- ORCID: 0000-0002-9390-0221
AD  - Computational Social Science Laboratory, Nankai University, Tianjin, China.
AD  - Department of Social Psychology, Zhou Enlai School of Government, Nankai 
      University, Tianjin, China.
FAU - Lyu, Xiaokang
AU  - Lyu X
AUID- ORCID: 0000-0001-7270-7396
AD  - Computational Social Science Laboratory, Nankai University, Tianjin, China.
AD  - Department of Social Psychology, Zhou Enlai School of Government, Nankai 
      University, Tianjin, China.
FAU - Liu, Ying
AU  - Liu Y
AUID- ORCID: 0000-0001-5024-4992
AD  - School of Vocational Education, Tianjin University of Technology and Education, 
      Tianjin, China.
FAU - Han, Zhenming
AU  - Han Z
AUID- ORCID: 0000-0002-0436-1271
AD  - Xiangshan Jiabo Dental Hospital, Ningbo, China.
FAU - Ye, Jingjing
AU  - Ye J
AUID- ORCID: 0000-0002-8560-7746
AD  - Department of Social Psychology, Zhou Enlai School of Government, Nankai 
      University, Tianjin, China.
AD  - Health Supervision Institute of Xiangshan Municipal Health Bureau, Ningbo, China.
LA  - eng
GR  - 20ASH015/National Social Science Foundation of China/
PT  - Journal Article
PT  - Research Support, Non-U.S. Gov't
DEP - 20210709
PL  - Denmark
TA  - Community Dent Oral Epidemiol
JT  - Community dentistry and oral epidemiology
JID - 0410263
SB  - IM
MH  - Adult
MH  - China
MH  - Dentistry
MH  - *Health Literacy
MH  - Humans
MH  - Language
MH  - Psychometrics
MH  - Reproducibility of Results
MH  - Surveys and Questionnaires
OTO - NOTNLM
OT  - oral health
OT  - oral health literacy
OT  - oral health status
OT  - oral hygiene maintenance habits
EDAT- 2021/07/11 06:00
MHDA- 2021/11/16 06:00
CRDT- 2021/07/10 06:31
PHST- 2021/06/22 00:00 [revised]
PHST- 2021/03/30 00:00 [received]
PHST- 2021/06/28 00:00 [accepted]
PHST- 2021/07/11 06:00 [pubmed]
PHST- 2021/11/16 06:00 [medline]
PHST- 2021/07/10 06:31 [entrez]
AID - 10.1111/cdoe.12675 [doi]
PST - ppublish
SO  - Community Dent Oral Epidemiol. 2021 Dec;49(6):550-556. doi: 10.1111/cdoe.12675. 
      Epub 2021 Jul 9.