Development and validation of a short form of the BOHLAT-P

Abstract: The authors developed and validated a short form of the Brazilian Oral Health Literacy Assessment Task for Paediatric Dentistry (BOHLAT-P). Data included responses from 200 parents of preschoolers to sociodemographic and oral health service access questions on the BOHLAT-P, the Brazilian R...

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Main Authors: Ramon Targino Firmino, Ana Flávia Granville-Garcia, Cristiane Baccin Bendo, Fernanda Morais Ferreira, Fernanda Ruffo Ortiz, Colman Patrick Mcgrath, Saul Martins Paiva
Format: Article
Language:English
Published: Sociedade Brasileira de Pesquisa Odontológica 2022-05-01
Series:Brazilian Oral Research
Subjects:
Online Access:http://www.scielo.br/scielo.php?script=sci_arttext&pid=S1806-83242022000100265&lng=en&tlng=en
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author Ramon Targino Firmino
Ana Flávia Granville-Garcia
Cristiane Baccin Bendo
Fernanda Morais Ferreira
Fernanda Ruffo Ortiz
Colman Patrick Mcgrath
Saul Martins Paiva
author_facet Ramon Targino Firmino
Ana Flávia Granville-Garcia
Cristiane Baccin Bendo
Fernanda Morais Ferreira
Fernanda Ruffo Ortiz
Colman Patrick Mcgrath
Saul Martins Paiva
author_sort Ramon Targino Firmino
collection DOAJ
description Abstract: The authors developed and validated a short form of the Brazilian Oral Health Literacy Assessment Task for Paediatric Dentistry (BOHLAT-P). Data included responses from 200 parents of preschoolers to sociodemographic and oral health service access questions on the BOHLAT-P, the Brazilian Rapid Estimate of Adult Literacy in Dentistry (BREALD-30), and the Brazilian Early Childhood Oral Health Impact Scale (B-ECOHIS). Data on the preschoolers’ dental caries experience (ICDAS-II) were also included. An item response theory-based approach was employed to develop the short form, while confirmatory factor analysis evaluated the instrument dimensionality. The validity and reliability of the short form were tested by statistical analysis using BREALD-30, B-ECOHIS, and sociodemographic and dental caries experience data. The short form (BOHLAT-P-30) comprises 30 items, is unidimensional, and presents better model fit estimates (TLI = 0.94; CFI = 0.94; RMSEA = 0.05) than those of the BOHLAT-P. Moreover, BOHLAT-P-30 demonstrated excellent reliability (Cronbach's alpha = 0.91; intraclass correlation coefficient [ICC] = 0.95). BOHLAT-P-30 scores were positively correlated with BREALD-30 scores (r = 0.71), with the number of years of schooling (r = 0.60), and with the number of hours spent reading (r = 0.33). BOHLAT-P-30 scores were negatively correlated with B-ECOHIS scores (r = -0.21), and with the number of teeth with cavitated caries (r = -0.18). After controlling for confounding factors, BOHLAT-P-30 scores were not found to be associated with caries presence, or with the number of teeth with cavitated caries. The BOHLAT-P-30 had properties similar to those of the BOHLAT-P, and proved to be a valid measure to assess the OHL of Brazilian parents.
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spelling doaj.art-96785463fa894166b82ed75522fb441a2022-12-22T03:02:03ZengSociedade Brasileira de Pesquisa OdontológicaBrazilian Oral Research1807-31072022-05-013610.1590/1807-3107bor-2022.vol36.0074Development and validation of a short form of the BOHLAT-PRamon Targino Firminohttps://orcid.org/0000-0001-5581-0658Ana Flávia Granville-Garciahttps://orcid.org/0000-0002-6054-8372Cristiane Baccin Bendohttps://orcid.org/0000-0003-4849-8779Fernanda Morais Ferreirahttps://orcid.org/0000-0001-9400-1167Fernanda Ruffo Ortizhttps://orcid.org/0000-0003-0759-9661Colman Patrick Mcgrathhttps://orcid.org/0000-0001-9379-0889Saul Martins Paivahttps://orcid.org/0000-0002-3968-1638Abstract: The authors developed and validated a short form of the Brazilian Oral Health Literacy Assessment Task for Paediatric Dentistry (BOHLAT-P). Data included responses from 200 parents of preschoolers to sociodemographic and oral health service access questions on the BOHLAT-P, the Brazilian Rapid Estimate of Adult Literacy in Dentistry (BREALD-30), and the Brazilian Early Childhood Oral Health Impact Scale (B-ECOHIS). Data on the preschoolers’ dental caries experience (ICDAS-II) were also included. An item response theory-based approach was employed to develop the short form, while confirmatory factor analysis evaluated the instrument dimensionality. The validity and reliability of the short form were tested by statistical analysis using BREALD-30, B-ECOHIS, and sociodemographic and dental caries experience data. The short form (BOHLAT-P-30) comprises 30 items, is unidimensional, and presents better model fit estimates (TLI = 0.94; CFI = 0.94; RMSEA = 0.05) than those of the BOHLAT-P. Moreover, BOHLAT-P-30 demonstrated excellent reliability (Cronbach's alpha = 0.91; intraclass correlation coefficient [ICC] = 0.95). BOHLAT-P-30 scores were positively correlated with BREALD-30 scores (r = 0.71), with the number of years of schooling (r = 0.60), and with the number of hours spent reading (r = 0.33). BOHLAT-P-30 scores were negatively correlated with B-ECOHIS scores (r = -0.21), and with the number of teeth with cavitated caries (r = -0.18). After controlling for confounding factors, BOHLAT-P-30 scores were not found to be associated with caries presence, or with the number of teeth with cavitated caries. The BOHLAT-P-30 had properties similar to those of the BOHLAT-P, and proved to be a valid measure to assess the OHL of Brazilian parents.http://www.scielo.br/scielo.php?script=sci_arttext&pid=S1806-83242022000100265&lng=en&tlng=enDental CariesQuality of LifeValidation Studiy
spellingShingle Ramon Targino Firmino
Ana Flávia Granville-Garcia
Cristiane Baccin Bendo
Fernanda Morais Ferreira
Fernanda Ruffo Ortiz
Colman Patrick Mcgrath
Saul Martins Paiva
Development and validation of a short form of the BOHLAT-P
Brazilian Oral Research
Dental Caries
Quality of Life
Validation Studiy
title Development and validation of a short form of the BOHLAT-P
title_full Development and validation of a short form of the BOHLAT-P
title_fullStr Development and validation of a short form of the BOHLAT-P
title_full_unstemmed Development and validation of a short form of the BOHLAT-P
title_short Development and validation of a short form of the BOHLAT-P
title_sort development and validation of a short form of the bohlat p
topic Dental Caries
Quality of Life
Validation Studiy
url http://www.scielo.br/scielo.php?script=sci_arttext&pid=S1806-83242022000100265&lng=en&tlng=en
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