PSYCHOMETRIC ANALYSIS OF A QUESTIONNAIRE TO ASSESS ACCESS TO ORAL HEALTH INFORMATION AMONG ADOLESCENTS
DOI:
https://doi.org/10.61164/e7pd6f69Keywords:
Health literacy. Oral health. Adolescent. Educational technology. Surveys and questionnaires. Validation study. Access.Abstract
Access to information is an initial and crucial step in Oral Health Literacy (OHL), directly influencing the adoption of preventive and self-care practices among adolescents. Despite advances in communication technologies, previous studies have shown that, although adolescents have access to information about oral health, gaps persist related to the understanding, critical evaluation, and practical application of this content in daily life. In this context, it becomes essential to identify how these young people have received such information and what factors interfere in this process. This study aimed to analyze the initial psychometric properties of the Oral Health Information Access Assessment Questionnaire among Adolescents (AISBA), developed by the coordinator of the SBMoc Project and applied within the same scope. This is a methodological, cross-sectional, and quantitative study, conducted with 679 students aged 12 to 15 from the public school system in Montes Claros (MG). As a result of the psychometric analysis, the confirmatory factor analysis indicated structural adequacy of the instrument after item refinement, resulting in 35 questions organized into two dimensions: (1) sources and means of access and (2) content of the information received. Factor loadings ranged from 0.31 to 0.85, and internal consistency showed satisfactory values (ω = 0.77 and 0.90). The results showed that parents were primarily responsible for transmitting information, while the internet stood out as the most frequent means of searching. The findings reaffirm the importance of strengthening oral health literacy through systematized educational strategies integrated with school, family, and health services. The AISBA demonstrated initial evidence of validity and reliability for assessing adolescents' access to information related to oral health, configuring itself as a useful instrument for situational diagnosis and support for planning health promotion actions directed at the adolescent public.
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BASTOS, Aminne Oliveira da Silva et al. Validade de conteúdo do módulo de qualidade de vida para familiares de pessoas com câncer. Saúde Coletiva (Barueri), v. 14, n. 89, p. 13304-13321, 2024. DOI: https://doi.org/10.36489/saudecoletiva.2024v14i89p13304-13321
BRACH, C. (Ed.). (2024). AHRQ Health Literacy Universal Precautions Toolkit (3ª ed.). Rockville, MD: Agência para Pesquisa e Qualidade em Saúde. Publicação AHRQ nº 23-0075.
BROWN, T. A. Confirmatory factor analysis for applied research. New York: Guilford Press, 2015.
CHEUNG, Gordon W.; e RENSVOLD, Roger B. Evaluating Goodness-of-Fit Indexes for Testing Measurement Invariance. Structural Equation Modeling: A Multidisciplinary Journal, [s. l.], v. 9, n. 2, p. 233–255, 1 abr. 2002. ISSN 1070- DOI: https://doi.org/10.1207/S15328007SEM0902_5
5511. DOI 10.1207/S15328007SEM0902_5.
COCCHI, Simone et al. Content and face validity of the evaluation tool of health information for consumers (ETHIC): getting health information accessible to patients and citizens. In: Healthcare. MDPI, 2023. p. 1154. DOI: https://doi.org/10.3390/healthcare11081154
COHEN, Jacob. CHAPTER 1 - The Concepts of Power Analysis. In: COHEN, Jacob (ed.). Statistical Power Analysis for the Behavioral Sciences. [S. l.]: Academic Press, 1 jan. 1977. p. 1–17. ISBN 978-0-12-179060-8. DOI 10.1016/B978-0-12-179060-8.50006-2. Disponível em: DOI: https://doi.org/10.1016/B978-0-12-179060-8.50006-2
http://www.sciencedirect.com/science/article/pii/B9780121790608500062.
DELACRE, Marie; LAKENS, Daniël; e LEYS, Christophe. Why psychologists should by default use Welch’s t-test instead of student’s t-test. International Review of Social Psychology, United Kingdom, v. 30, 2017. ISSN 2397-8570. DOI: https://doi.org/10.31219/osf.io/sbp6k
DIXON, J. P. The community responsibility for medical care. American journal of public health and the nation's health, 49(1), 76–81, 1959. Disponível em: . Acesso em: 25 jul. 2022. DOI: https://doi.org/10.2105/AJPH.49.1.76
DUNN, Thomas J.; BAGULEY, Thom; e BRUNSDEN, Vivienne. From alpha to omega: A practical solution to the pervasive problem of internal consistency estimation. British Journal of Psychology, [s. l.], v. 105, n. 3, p. 399–412, 2014. ISSN 2044-8295. DOI 10.1111/bjop.12046. DOI: https://doi.org/10.1111/bjop.12046
FRIIS, Karina et al. Low health literacy and mortality in individuals with cardiovascular disease, chronic obstructive pulmonary disease, diabetes, and mental illness: a 6-year population-based follow-up study. International Journal of Environmental Research and Public Health, v. 17, n. 24, p. 9399, 2020. DOI: https://doi.org/10.3390/ijerph17249399
HAIR JR, Joseph F. et al. Análise Multivariada de Dados. 6a edição ed. [S. l.]: Bookman, 13 maio 2009. ISBN 978-85-7780-402-3.
JASP Team; e JASP TEAM. JASP, version 0.17.2.1. [S. l.: s. n.], 2023. Disponível em: https://jasp-stats.org/.
KALKBRENNER, Michael T. Alpha, Omega, and H Internal Consistency Reliability Estimates: Reviewing These Options and When to Use Them. Counseling Outcome Research and Evaluation, [s. l.], p. 1–12, 30 jul. 2021. ISSN 2150-1378. DOI 10.1080/21501378.2021.1940118. DOI: https://doi.org/10.1080/21501378.2021.1940118
KLINE, R. B. Principles and practice of structural equation modeling. 4. ed. New York: Guilford Press, 2016.
LENHARD, Wolfgang; e LENHARD, Alexandra. Computation of Effect Sizes. [S. l.]: Unpublished, 2017. DOI 10.13140/RG.2.2.17823.92329. Disponível em:
http://rgdoi.net/10.13140/RG.2.2.17823.92329. Acesso em: 15 set. 2022.
LIMA, Larissa Chaves Morais de et al. Psychometric properties of BREALD-30 for assessing adolescents’ oral health literacy. Revista de saude publica, v. 53, p. 53, 2019. DOI: https://doi.org/10.11606/S1518-8787.2019053000999
MARTINS, Andréa Maria Eleutério de Barros Lima; et al. Alfabetização em saúde bucal: uma revisão da literatura. Revista da Associação Paulista de Cirurgiões Dentistas. 69. 328-334, 2015.
MARTINS et al. Aspectos metodológicos do levantamento epidemiológico das condições de saúde bucal e qualidade da assistência odontológica entre escolares. Revista Eletrônica Acervo Saúde, v. 13, n. 2, p. e6023-e6023, 2021. DOI: https://doi.org/10.25248/reas.e6023.2021
MARTINS et al. Amostragem do levantamento das condições de saúde bucal durante a pandemia da COVID-19: estudo metodológico. Research, Society and Development, v. 11, n. 1, p. e9611124896-e9611124896, 2022. DOI: https://doi.org/10.33448/rsd-v11i1.24896
MASUWAI, Azwani; ZULKIFLI, Hafizhah; HAMZAH, Mohd Isa. Evaluation of content validity and face validity of secondary school Islamic education teacher self-assessment instrument. Cogent Education, v. 11, n. 1, p. 2308410, 2024. https://www.tandfonline.com/doi/pdf/10.1080/2331186x.2024.2308410 DOI: https://doi.org/10.1080/2331186X.2024.2308410
NAGELKERKE, N. J. D. A note on a general definition of the coefficient of determination. Biometrika, [s. l.], v. 78, n. 3, p. 691–692, 1 set. 1991. ISSN 0006- DOI: https://doi.org/10.1093/biomet/78.3.691
3444. DOI 10.1093/biomet/78.3.691.
NUTBEAM, Don. Health promotion glossary. Health Promotion International. Volume 13, Edição 4, 1998, Páginas 349–364. Disponível em: . Acesso em: 25 DOI: https://doi.org/10.1093/heapro/13.4.349
jul. 2022
OLIVEIRA, Fabíola Belkìss Santos de et al. Instruments validated in Brazil for assessing oral health literacy in adolescents: an integrative literature review. CONTRIBUCIONES A LAS CIENCIAS SOCIALES, v. 16, n. 12, p. 33716-33740, 2023. DOI: https://doi.org/10.55905/revconv.16n.12-276
PASQUALI, Luiz. Psicometria. Revista da Escola de Enfermagem da USP, [s. l.],
v. 43, 2009. ISSN 0080-6234.
PETRILLO, Jennifer; CANO, Stefan J.; MCLEOD, Lori D.; e COON, Cheryl D. Using Classical Test Theory, Item Response Theory, and Rasch Measurement Theory to Evaluate Patient-Reported Outcome Measures: A Comparison of Worked Examples. Value in Health, [s. l.], v. 18, n. 1, p. 25–34, jan. 2015. ISSN 10983015. DOI 10.1016/j.jval.2014.10.005. DOI: https://doi.org/10.1016/j.jval.2014.10.005
POLIT, Denise F.; BECK, Cheryl Tatano. The content validity index: are you sure you know what's being reported? Critique and recommendations. Research in nursing & health, v. 29, n. 5, p. 489-497, 2006. https://ders.es/icerik_gecerliligi_analizi.pdf DOI: https://doi.org/10.1002/nur.20147
RICHARDSON, John T. E. Eta squared and partial eta squared as measures of effect size in educational research. Educational Research Review, [s. l.], v. 6, n. 2, p. 135–147, 1 jan. 2011. ISSN 1747-938X. DOI 10.1016/j.edurev.2010.12.001. DOI: https://doi.org/10.1016/j.edurev.2010.12.001
ROCHA, Poliana Cristina; LEMOS, Stela Maris Aguiar. Aspectos conceituais e fatores associados ao Letramento Funcional em Saúde: revisão de literatura. Revista CEFAC, v. 18, n. 1, p. 214-225, 2016. DOI: https://doi.org/10.1590/1982-021620161819615
SAVALEI, Victoria; e RHEMTULLA, Mijke. The performance of robust test statistics with categorical data. British Journal of Mathematical and Statistical Psychology, [s. l.], v. 66, n. 2, p. 201–223, maio 2013. ISSN 0007-1102, 2044- DOI: https://doi.org/10.1111/j.2044-8317.2012.02049.x
8317. DOI 10.1111/j.2044-8317.2012.02049.x.
SIMONDS, S. K. Health education as social policy. Health Education
Monographs, 2(1_suppl), 1–10, 1974. Disponível em: . Acesso em: 25 jul. 2022
TABACHNICK, B. G.; FIDELL, L. S. Using multivariate statistics. 7. ed. Boston: Pearson, 2019.
VIEIRA, Sonia Sônia. Bioestatística. 4a edição ed. [S. l.]: GEN Guanabara Koogan, 10 jul. 2018. ISBN 978-85-352-8981-7.
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Copyright (c) 2026 Fabíola Belkiss Santos de Oliveira, Élida Lúcia Ferreira Assunção, Pedro Eleutério dos Santos Neto, Júlia Maria Moreira Santos, Andréa Maria Eleutério de Barros Lima Martins
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