Validation of the internal structure of the Brazilian Dental Vulnerability Scale
ABSTRACT OBJECTIVE This study aimed to evaluate evidence of validity of internal structure of the Brazilian Dental Vulnerability Scale (EVO-BR) when applied in Brazil. METHODS This is a psychometric study that seeks to validate a scale elaborated by evidence of internal structure. Data collectio...
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| Format: | Article |
| Language: | English |
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Universidade de São Paulo
2024-04-01
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| Series: | Revista de Saúde Pública |
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| Online Access: | http://www.scielo.br/scielo.php?script=sci_arttext&pid=S0034-89102023000400206&lng=en&tlng=en |
| _version_ | 1827281188007444480 |
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| author | Daniele Boina de Oliveira Flávio Rebustini Danielle da Costa Palacio Marcio Cardozo Paresque Ilana Eshriqui Oliveira Wander Barbieri Danielle Viana Ribeiro Debora Heller Daiana Bomfim Tamara Kerber Tedesco |
| author_facet | Daniele Boina de Oliveira Flávio Rebustini Danielle da Costa Palacio Marcio Cardozo Paresque Ilana Eshriqui Oliveira Wander Barbieri Danielle Viana Ribeiro Debora Heller Daiana Bomfim Tamara Kerber Tedesco |
| author_sort | Daniele Boina de Oliveira |
| collection | DOAJ |
| description | ABSTRACT OBJECTIVE This study aimed to evaluate evidence of validity of internal structure of the Brazilian Dental Vulnerability Scale (EVO-BR) when applied in Brazil. METHODS This is a psychometric study that seeks to validate a scale elaborated by evidence of internal structure. Data collection was conducted in 18 basic health units that implement the Brazilian Healthcare Planning (PAS) methodology, across the five regions of Brazil. The initial version of the EVO-BR contained 41 items that measured dental vulnerability and was applied to users of the Brazilian Unified Health System (SUS) aged 18 years or older who were in basic health units for consultation with higher education professionals. To evaluate the evidence, the following statistical analyses were performed: exploratory factor analysis, confirmatory factor analysis, and network analysis. RESULTS A total of 1,753 users participated in the study. To adjust the sample, we considered the factorability obtained from Kaiser-Meyer-Olkin (KMO) test = 0.65, Bartlett sphericity test = 8019.7, and a matrix determinant of 0.008. The initial parallel analysis indicated a four-dimensional model and had the items adjusted according to factor loading (ranging from 0.38 to 0.99), common factors (0.13 to 0.89), and Pratt’s measure, until the model presented congruence in the statistical and interpretative principles simultaneously. The final model contained 15 items, maintaining the four dimensions indicated by the parallel analysis, and held an explained variance of 68.56%. CONCLUSIONS The EVO-BR is a validated scale to measure dental vulnerability and, thus, can contribute to the organization of access to the oral health team in primary health care (PHC) by stratifying the population, as recommended in the Brazilian Healthcare Planning. |
| first_indexed | 2024-04-24T08:55:01Z |
| format | Article |
| id | doaj.art-0b6c04a3279244208e43f035bb398316 |
| institution | Directory Open Access Journal |
| issn | 1518-8787 |
| language | English |
| last_indexed | 2024-04-24T08:55:01Z |
| publishDate | 2024-04-01 |
| publisher | Universidade de São Paulo |
| record_format | Article |
| series | Revista de Saúde Pública |
| spelling | doaj.art-0b6c04a3279244208e43f035bb3983162024-04-16T07:41:42ZengUniversidade de São PauloRevista de Saúde Pública1518-87872024-04-0157suppl 310.11606/s1518-8787.2023057005360Validation of the internal structure of the Brazilian Dental Vulnerability ScaleDaniele Boina de Oliveirahttps://orcid.org/0000-0002-1196-568XFlávio Rebustinihttps://orcid.org/0000-0002-3746-3266Danielle da Costa Palaciohttps://orcid.org/0000-0003-4184-4464Marcio Cardozo Paresquehttps://orcid.org/0000-0001-6539-4395Ilana Eshriqui Oliveirahttps://orcid.org/0000-0001-7010-919XWander Barbierihttps://orcid.org/0000-0001-6124-5771Danielle Viana Ribeirohttps://orcid.org/0000-0001-9485-9577Debora Hellerhttps://orcid.org/0000-0002-5084-8179Daiana Bomfimhttps://orcid.org/0000-0003-0591-0495Tamara Kerber Tedescohttps://orcid.org/0000-0003-0794-1578ABSTRACT OBJECTIVE This study aimed to evaluate evidence of validity of internal structure of the Brazilian Dental Vulnerability Scale (EVO-BR) when applied in Brazil. METHODS This is a psychometric study that seeks to validate a scale elaborated by evidence of internal structure. Data collection was conducted in 18 basic health units that implement the Brazilian Healthcare Planning (PAS) methodology, across the five regions of Brazil. The initial version of the EVO-BR contained 41 items that measured dental vulnerability and was applied to users of the Brazilian Unified Health System (SUS) aged 18 years or older who were in basic health units for consultation with higher education professionals. To evaluate the evidence, the following statistical analyses were performed: exploratory factor analysis, confirmatory factor analysis, and network analysis. RESULTS A total of 1,753 users participated in the study. To adjust the sample, we considered the factorability obtained from Kaiser-Meyer-Olkin (KMO) test = 0.65, Bartlett sphericity test = 8019.7, and a matrix determinant of 0.008. The initial parallel analysis indicated a four-dimensional model and had the items adjusted according to factor loading (ranging from 0.38 to 0.99), common factors (0.13 to 0.89), and Pratt’s measure, until the model presented congruence in the statistical and interpretative principles simultaneously. The final model contained 15 items, maintaining the four dimensions indicated by the parallel analysis, and held an explained variance of 68.56%. CONCLUSIONS The EVO-BR is a validated scale to measure dental vulnerability and, thus, can contribute to the organization of access to the oral health team in primary health care (PHC) by stratifying the population, as recommended in the Brazilian Healthcare Planning.http://www.scielo.br/scielo.php?script=sci_arttext&pid=S0034-89102023000400206&lng=en&tlng=enOral HealthPrimary Health CarePopulation Health Management |
| spellingShingle | Daniele Boina de Oliveira Flávio Rebustini Danielle da Costa Palacio Marcio Cardozo Paresque Ilana Eshriqui Oliveira Wander Barbieri Danielle Viana Ribeiro Debora Heller Daiana Bomfim Tamara Kerber Tedesco Validation of the internal structure of the Brazilian Dental Vulnerability Scale Revista de Saúde Pública Oral Health Primary Health Care Population Health Management |
| title | Validation of the internal structure of the Brazilian Dental Vulnerability Scale |
| title_full | Validation of the internal structure of the Brazilian Dental Vulnerability Scale |
| title_fullStr | Validation of the internal structure of the Brazilian Dental Vulnerability Scale |
| title_full_unstemmed | Validation of the internal structure of the Brazilian Dental Vulnerability Scale |
| title_short | Validation of the internal structure of the Brazilian Dental Vulnerability Scale |
| title_sort | validation of the internal structure of the brazilian dental vulnerability scale |
| topic | Oral Health Primary Health Care Population Health Management |
| url | http://www.scielo.br/scielo.php?script=sci_arttext&pid=S0034-89102023000400206&lng=en&tlng=en |
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