PMID- 38326830
OWN - NLM
STAT- MEDLINE
DCOM- 20240214
LR  - 20240214
IS  - 1472-6831 (Electronic)
IS  - 1472-6831 (Linking)
VI  - 24
IP  - 1
DP  - 2024 Feb 7
TI  - The transcultural adaptation and validation of the Chinese version of the Oral 
      Health Literacy Scale for Diabetic Patients.
PG  - 198
LID - 10.1186/s12903-024-03965-9 [doi]
LID - 198
AB  - BACKGROUND: Diabetic patients' oral health concerns are a reality for every 
      diabetic patient in China. The attitudes of diabetic patients toward early 
      identification of oral literacy influence oral literacy in diabetes patients. 
      Diabetes patients' oral health literacy is critical for providing focused 
      education and therapies. However, no instrument exists to measure oral health 
      literacy in Chinese diabetic patients. In this study, the English version of the 
      oral health literacy among people living with diabetes (OHLD) scale was 
      cross-culturally validated to provide a reliable tool for assessing the oral 
      health literacy of diabetic patients in China. OBJECTIVE: The oral literacy among 
      people living with diabetes (OHLD) scale was Chineseized and its reliability and 
      validity tested, and the OHLD scale was revised to test the reliability and 
      validity of the Chinese version of the OHLD scale and to provide a tool for 
      assessing the oral health literacy of diabetic patients in China. METHODS: A 
      modified version of the Brislin translation model was used, cross-cultural 
      adaptation was performed through expert consultation and pre-survey, and expert 
      opinion was used to assess content validity to form the Chinese version of the 
      Oral Health Literacy Scale for Diabetic Patients, which was administered to 420 
      diabetic patients in two tertiary hospitals in Liaoning Province from March to 
      August 2023. The reliability of the scale was tested. SPSS 25.0 and AMOS 23.0 
      were used to analyze the data. RESULTS: The Chinese version of the OHLD scale 
      consisted of three dimensions and 10 entries. Structure of the validity analysis: 
      three factors were extracted from the exploratory factors with a cumulative 
      variance contribution of 79.794%; Content validity results:An item's content 
      validity index (I-CVI) was 0.857 to 1 at the entry level, and the content 
      validity index of the scale (S-CVI) was 0.928 at the scale level. The results of 
      the reliability analyses were: the Cronbach's alpha coefficient for the total 
      scale was 0.908; the Cronbach's alpha coefficients for the factors and dimensions 
      were 0.853 to 0.922; the split-half reliability was 0.827; and the test-retest 
      reliability was 0.848. The results of the validation factor analysis showed that 
      (chi(2)/df) was 1.430, the root mean square of the error of approximation (RMSEA) 
      was 0.045, the comparative fit index (CFI) was 0.989, and the Tucker Lewis index 
      (TLI) was 0.985, which showed that the model had an overall good fit. CONCLUSION: 
      The Chinese version of the OHLD scale has good reliability and validity and can 
      be used as a valid tool for assessing diabetes mellitus patients in China.
CI  - (c) 2024. The Author(s).
FAU - Zhao, Ying
AU  - Zhao Y
AD  - Department of Nursing, Jinzhou Medical University, Jinzhou, China.
FAU - Zhao, Hang
AU  - Zhao H
AD  - Department of Rehabilitation Medicine, General Hospital of Northern Theater 
      Command, Shenyang, China.
FAU - Yu, Hongyu
AU  - Yu H
AD  - Department of Nursing, Jinzhou Medical University, Jinzhou, China. 
      15840365295@163.com.
LA  - eng
PT  - Journal Article
DEP - 20240207
PL  - England
TA  - BMC Oral Health
JT  - BMC oral health
JID - 101088684
SB  - IM
MH  - Humans
MH  - *Health Literacy
MH  - Reproducibility of Results
MH  - Oral Health
MH  - Psychometrics
MH  - China
MH  - Surveys and Questionnaires
MH  - *Diabetes Mellitus
PMC - PMC10848351
OTO - NOTNLM
OT  - Cross-cultural adaptation
OT  - Factor analysis
OT  - Oral health literacy
OT  - Psychometric validation
OT  - Reliability
OT  - Validity
COIS- The authors declare no competing interests.
EDAT- 2024/02/08 00:42
MHDA- 2024/02/09 00:42
PMCR- 2024/02/07
CRDT- 2024/02/07 23:48
PHST- 2023/11/04 00:00 [received]
PHST- 2024/02/01 00:00 [accepted]
PHST- 2024/02/09 00:42 [medline]
PHST- 2024/02/08 00:42 [pubmed]
PHST- 2024/02/07 23:48 [entrez]
PHST- 2024/02/07 00:00 [pmc-release]
AID - 10.1186/s12903-024-03965-9 [pii]
AID - 3965 [pii]
AID - 10.1186/s12903-024-03965-9 [doi]
PST - epublish
SO  - BMC Oral Health. 2024 Feb 7;24(1):198. doi: 10.1186/s12903-024-03965-9.