Training and calibration of interviewers for oral health literacy using the BREALD-30 in epidemiological studies

Abstract The objective of this study was to describe an interviewer training and calibration method to evaluate oral health literacy using the Brazilian Rapid Estimate of Adult Literacy in Dentistry (BREALD-30) in epidemiological studies. An experienced researcher (gold standard) conducted all train...

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Main Authors: Karina Duarte VILELLA, Luciana Reichert da Silva ASSUNÇÃO, Mônica Carmem JUNKES, José Vitor Nogara Borges de MENEZES, Fabian Calixto FRAIZ, Fernanda de Morais FERREIRA
Format: Article
Language:English
Published: Sociedade Brasileira de Pesquisa Odontológica
Series:Brazilian Oral Research
Subjects:
Online Access:http://www.scielo.br/scielo.php?script=sci_arttext&pid=S1806-83242016000100280&lng=en&tlng=en
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author Karina Duarte VILELLA
Luciana Reichert da Silva ASSUNÇÃO
Mônica Carmem JUNKES
José Vitor Nogara Borges de MENEZES
Fabian Calixto FRAIZ
Fernanda de Morais FERREIRA
author_facet Karina Duarte VILELLA
Luciana Reichert da Silva ASSUNÇÃO
Mônica Carmem JUNKES
José Vitor Nogara Borges de MENEZES
Fabian Calixto FRAIZ
Fernanda de Morais FERREIRA
author_sort Karina Duarte VILELLA
collection DOAJ
description Abstract The objective of this study was to describe an interviewer training and calibration method to evaluate oral health literacy using the Brazilian Rapid Estimate of Adult Literacy in Dentistry (BREALD-30) in epidemiological studies. An experienced researcher (gold standard) conducted all training sessions. The interviewer training and calibration sessions included three different phases: theoretical training, practical training, and calibration. In the calibration phase, six interviewers (dentists) independently assessed 15 videos of individuals who had different levels of oral health literacy. Accuracy and reproducibility were evaluated using the kappa coefficient and the intraclass correlation coefficient (ICC). The percentage of agreement for each word in the instrument was also calculated. After training, the kappa values were higher than 0.911 and 0.893 for intra- and inter-rater agreement, respectively. When the results were analyzed separately for the different levels of literacy, the lowest agreement rate was found when evaluating the videos of individuals with low literacy (K = 0.871), but still within the range considered to be near-perfect agreement. The ICC values were higher than 0.990 and 0.975 for intra- and inter-rater agreement, respectively. The lowest percentage of agreement was 86.6% for the word “hipoplasia” (hypoplasia). This interviewer training and calibration method proved to be feasible and effective. Therefore, it can be used as a methodological tool in studies assessing oral health literacy using the BREALD-30.
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spelling doaj.art-f35248ceb39f46a9a0ed91623a3e5e1d2022-12-21T19:52:39ZengSociedade Brasileira de Pesquisa OdontológicaBrazilian Oral Research1807-310730110.1590/1807-3107BOR-2016.vol30.0090S1806-83242016000100280Training and calibration of interviewers for oral health literacy using the BREALD-30 in epidemiological studiesKarina Duarte VILELLALuciana Reichert da Silva ASSUNÇÃOMônica Carmem JUNKESJosé Vitor Nogara Borges de MENEZESFabian Calixto FRAIZFernanda de Morais FERREIRAAbstract The objective of this study was to describe an interviewer training and calibration method to evaluate oral health literacy using the Brazilian Rapid Estimate of Adult Literacy in Dentistry (BREALD-30) in epidemiological studies. An experienced researcher (gold standard) conducted all training sessions. The interviewer training and calibration sessions included three different phases: theoretical training, practical training, and calibration. In the calibration phase, six interviewers (dentists) independently assessed 15 videos of individuals who had different levels of oral health literacy. Accuracy and reproducibility were evaluated using the kappa coefficient and the intraclass correlation coefficient (ICC). The percentage of agreement for each word in the instrument was also calculated. After training, the kappa values were higher than 0.911 and 0.893 for intra- and inter-rater agreement, respectively. When the results were analyzed separately for the different levels of literacy, the lowest agreement rate was found when evaluating the videos of individuals with low literacy (K = 0.871), but still within the range considered to be near-perfect agreement. The ICC values were higher than 0.990 and 0.975 for intra- and inter-rater agreement, respectively. The lowest percentage of agreement was 86.6% for the word “hipoplasia” (hypoplasia). This interviewer training and calibration method proved to be feasible and effective. Therefore, it can be used as a methodological tool in studies assessing oral health literacy using the BREALD-30.http://www.scielo.br/scielo.php?script=sci_arttext&pid=S1806-83242016000100280&lng=en&tlng=enHealth LiteracyEpidemiologic StudiesReproducibility of Results
spellingShingle Karina Duarte VILELLA
Luciana Reichert da Silva ASSUNÇÃO
Mônica Carmem JUNKES
José Vitor Nogara Borges de MENEZES
Fabian Calixto FRAIZ
Fernanda de Morais FERREIRA
Training and calibration of interviewers for oral health literacy using the BREALD-30 in epidemiological studies
Brazilian Oral Research
Health Literacy
Epidemiologic Studies
Reproducibility of Results
title Training and calibration of interviewers for oral health literacy using the BREALD-30 in epidemiological studies
title_full Training and calibration of interviewers for oral health literacy using the BREALD-30 in epidemiological studies
title_fullStr Training and calibration of interviewers for oral health literacy using the BREALD-30 in epidemiological studies
title_full_unstemmed Training and calibration of interviewers for oral health literacy using the BREALD-30 in epidemiological studies
title_short Training and calibration of interviewers for oral health literacy using the BREALD-30 in epidemiological studies
title_sort training and calibration of interviewers for oral health literacy using the breald 30 in epidemiological studies
topic Health Literacy
Epidemiologic Studies
Reproducibility of Results
url http://www.scielo.br/scielo.php?script=sci_arttext&pid=S1806-83242016000100280&lng=en&tlng=en
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