AĞIZ VE DİŞ SAĞLIĞI OKURYAZARLIĞI ÖLÇEĞİ KISA FORMUNUN TÜRK DİLİNE UYARLANMASI

Öz

“Health Literacy Dentistry Scale-Short Form (HeLD-14))” ölçeğini Türk diline uyarlamak amacıyla uygulanan metodolojik bir çalışmadır. Analizlerde SPSS ve AMOS paket programları kullanılmıştır. Dil geçerliliğinde 30, tekrar test güvenilirliğinde 50 katılımcıya ulaşılmıştır. Kaiser-Meyer-Olkin (KMO) değeri 0,875, Barlett küresellik testi ki-kare değeri 3715,076 bulunmuştur (p<0.001). AFA’da öz değeri 1’in üstünde, toplam varyansın %71,211’ini açıklayan dört faktörlü yapı elde edilmiştir. Dört boyut 12 maddeden oluşan modelin χ2 /sd, RMSEA, GFI değerleri kabul edilebilir; AGFI, SRMR ve CFI değerleri mükemmel uyumda bulunmuştur. Ölçeğin Cronbach alfa değeri AFA’da 0,910, DFA’da 0,860, Spearman-Brown değeri 0,801, Guttman Split-half değeri 0,799 hesaplanmıştır. Yakınsak ve ıraksak geçerlilik değerlendirmelerinde kavrama, anlama boyutu ile ilgili AVE değerinin 0,50’nin altında, destek boyutunun güvenirlik değerinin 0,70’in altında olması dışında tüm koşulların sağlandığı görülmüştür. Tekrar test güvenilirliğinde ölçek puanları arasında olumlu yönde çok güçlü ilişki bulunmuştur (r=0,803, p<0,001). Kriter geçerliliğinde Türkiye Sağlık Okuryazarlığı Ölçeği (TSOY-32) puanı ile olumlu yönde orta düzeyde ilişki bulunmuştur (r=0,687, p<0,001). Kavrama/Anlama, Destek, Ekonomik engeller ve Hizmet kullanımı alt boyutlarından oluşan ADSOY-12 ölçeğinin Türk kültüründe yetişkinlerde ağız ve diş sağlığı okuryazarlığını ölçmek için geçerli ve güvenilir bir ölçüm aracı olduğu gösterilmiştir.

Anahtar Kelimeler

• Halk sağlığı
• Sağlık okuryazarlığı
• Diş hekimliği
• Ağız sağlığı
• Geçerlilik ve Güvenilirlilik

Destekleyen Kurum

Bulunmamaktadır.

ADAPTATION OF SHORT FORM OF THE ORAL AND DENTAL HEALTH LITERACY SCALE TO THE TURKISH LANGUAGE

Öz

This is a methodological study for the adaptation of the "Health Literacy Dentistry Scale-Short Form (HeLD-14)" in Turkish . 30 participants were reached in language validity and 50 participants in retest reliability. The SPSS and AMOS programs were used to analyze. Kaiser-Meyer-Olkin (KMO) was 0.875, the Barlett Spherical Test chi-square was 3715.076 (p<0.001). In EFA, a four-factor structure was obtained, which explained 71.211% of the total variance, with an eigenvalue above one. In CFA, χ2 /DF, RMSEA, GFI values of the model consisting of four dimensions and 12 items are acceptable; AGFI, SRMR and CFI values were in perfect agreement. Cronbach's alpha was calculated as 0.910 for EFA, 0.860 for CFA, the Spearman-Brown was 0.801 and the Guttman Split-half value was 0.799. In convergent and divergent validity assessments, it was observed that all conditions were met, except that the AVE value for the comprehension dimension was below 0.50 and the reliability value for the support dimension was below 0.70. A very strong positive correlation was found between scale scores in retest reliability (r=0.803, p<0.001). In terms of validity of the criteria, there was a moderate positive correlation to the TSOY-32 score (r=0.687, p<0.001). Consisting of the sub-dimensions of Comprehension/Understanding, Support, Economic barriers and Service use the ADSOY-12 scale has been seen as a valid and reliable tool for measuring oral and dental literacy in adults in Turkish culture.

Anahtar Kelimeler

• Halk sağlığı
• sağlık okuryazarlığı
• diş hekimliği
• ağız sağlığı
• geçerlilik ve güvenilirlilik

Kaynakça

1. Sheiham A. Oral Health, General Health and Quality of Life. Bulletin of the World Health Organization. 2005;83:644.
2. Patrick DL, Lee RSY, Nucci M, Grembowski D, Jolles CZ, Milgrom P. Reducing oral health disparities: a focus on social and cultural determinants. BioMed Central. Bmc Oral Health. 2006; 6(1):1-17.
3. James SL, Abate D, Abate KH, Abay SM, Abbafati C, Abbasi N, et al. Global. Regional. And National Incident. Prevalence. And Years Lived With Disability For 354 Diseases And Injuries For 195 Countries And Territories. 1990–2017: A Systematic Analysis For The Global Burden Of Disease Study 2017. The Lancet. 2018;392 (10159):1789-1858.
4. Ratzan SC, Parker R. National Library of Medicine current bibliographies in medicine: health literacy (introduction). National Institutes of Health. 2000-1.
5. Berkman ND, Sheridan SL, Donahue KE, Halpern DJ, Crotty K. Low Health Literacy And Health Outcomes: An Updated Systematic Review. Annals Of İnternal MediCiNe. 2011;155(2):97-107.
6. Jones K, Brennan D, Parker E, Jamieson L. Development Of A Short - Form Health Literacy Dental Scale (HeLD-14). Community Dentistry And Oral Epidemiology. 2015;43 (2):143-151.
7. Gregoire J. ITC Guidelines for Translating and Adapting Tests. International Journal of Testing. 2018;18(2):101-34.
8. Turkey Ministry of Health. General Directorate of Health Research. Health statistics yearbook [internet]. 2018 [cited 6/20/2020]. Available from: https://dosyasb.saglik.gov.tr/Eklenti/361 34.siy2018trpdf.pdf

9. Seçer I. Psychological Test Development and Adaptation Process: SPSS and LISREL Applications. Memoir Publishing; 2018. pp. 65-76.
10. Ercan I. Kan I. Reliability and validity in scales. Journal of Uludag University Faculty of Medicine. 2004;30(3):211-6.
11. Erkus A. Measurement and Scale Development in Psychology. Ankara: Pegem Academy Publications; 2012. pp. 55-60.
12. Dağ I. Validity and reliability of psychological tests and scales. Journal of Psychiatry. Psychology. Psychopharmacology. 2005;13:17-32.
13. Abacigil F, Harlak H, Okyay P, Kiraz DE, Gursoy Turan S, Saruhan G, et al. Validity and Reliability of the Turkish Version of the European Health Literacy Survey Questionnaire. Health Promotion International. 2019;34(4):658-67.
14. Health literacy in europe: comparative results of the european health literacy survey (hls-eu). The European Journal of Public Health. 2015;25(6):1053-8.
15. Mialhe FL, Bado FMR, Ju X, Brennan DS, Jamieson L. Validation of the Health Literacy in Dentistry Scale in Brazilian Adults. International Dental Journal. 2020;70(2):116-26.
16. Rahardjo A, Wachid MN, Adiatman M, Wimardhani YS, Maharani DA. Health Literacy in Dentistry Among Undergraduate Students in Indonesia. Asian Journal Of Epidemiology. 2016;9(1-3):24-9.
17. Demi E, Saatçioğlu, İmrol F. Investigation of Educational Researches International Journals in Terms of Normality Assumptions Current Research in Education. 2016;2(3):130-48.
18. Zucoloto ML, Maroco J, Campos JADB. Psychometric Properties of the Oral Health Impact Profile and New Methodological Approach. Journal of Dental Research 2014;93:645-50.
19. Aksakoglu G. Research techniques and analysis methods in health. İzmir: Dokuz Eylul University Press; 2001.
20. Aksu G, Eser MT, Güzeller CO. Structural Equation Model Applications with Exploratory and Confirmatory Factor Analysis. Detay publishing. 2017; Ankara. Türkiye.
21. Munro BH. Statistical Methods For Health Care Research. Philadelphia: Lippincott Williams & Wilkins; 2005. pp. 351-76.
22. Wang J, Wang X. Structural Equation Modeling: Applications Using Mplus: methods and applications. West Susex: John Wiley & Sons; 2012. pp. 5-9.
23. Çokluk Ö, Şekercioğlu G, Büyüköztürk Ş. Multivariate Statistics for Social Sciences: Applications of SPSS and LISREL Ankara: Pegem Publishing; 2010.
24. Hu L, Bentler PM. Cutoff criteria for fit ındexes ın covariance structure analysis: conventional criteria versus new alternatives. structural equation modeling: A Multidisciplinary Journal. 1999;6(1):1-55.
25. Saray MT, Hazer O. Turkish Adaptation of Ethical Consumer Scale; A Study on Validity and Reliability: Hacettepe University Sample. İnternational Journal Of Education Technology and Scientific Researches. 2017;2(4):258-83.
26. Eskioglu MM. Factor Analysis and Validity in Social Sciences: Using Exploratory and Confirmatory Factor Analysis. Journal of İstanbul University Faculty of Business. 2017;46:74-85.
27. Terwee CB, Bot SD, De Boer MR, Van Der Windt DA, Knol DL, Dekker J, et al. Quality Criteria were Proposed for Measurement Properties of Health Status Questionnaires. Journal of Clinical Epidemiology. 2007;60(1):34-42.
28. Tavsancil E. Measuring Attitudes and Data Analysis with SPSS. Ankara: Nobel Publishing; 2002.
29. Ju X, Brennan DS, Parker E, Chrisopoulos S, Jamieson L. Confirmatory Factor Analysis of the Health Literacy in Dentistry Scale (HeLD) in The Australian Population. Community Dental Health. 2018;35(3):140-7.
30. Alpar R. Applied Statistics and Examples with Validity-Reliability from Sports. Health And Education Sciences. Ankara: Detay Publishing. 2014:434-85.
31. Eichler K, Wieser S, Brügger U. The Costs of Limited Health Literacy: A Systematic Review. International Journal of Public Health. 2009;54(5):313.