Development and validation of the oral management self-efficacy scale (OMSES): a cross-sectional psychometric study in adult patients with fixed orthodontic appliances
Abstract Objectives To develop a Self-Efficacy Scale for Oral Management for adult patients with fixed orthodontic appliances and to test its reliability and validity. Methods Guided by self-efficacy theory, the initial version of the scale was formed through literature review and expert consultatio...
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BMC
2025-05-01
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| Series: | BMC Oral Health |
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| Online Access: | https://doi.org/10.1186/s12903-025-06198-6 |
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| author | Wanying Su Xiaowen Feng Anqi Cai Wei Xiao Fang Shen Cuiyin Peng Ziwen Ye Xiaolv Zhong |
| author_facet | Wanying Su Xiaowen Feng Anqi Cai Wei Xiao Fang Shen Cuiyin Peng Ziwen Ye Xiaolv Zhong |
| author_sort | Wanying Su |
| collection | DOAJ |
| description | Abstract Objectives To develop a Self-Efficacy Scale for Oral Management for adult patients with fixed orthodontic appliances and to test its reliability and validity. Methods Guided by self-efficacy theory, the initial version of the scale was formed through literature review and expert consultations. A convenience sample of 502 adult patients undergoing fixed orthodontic treatment was surveyed. Item analysis was conducted to refine the scale, and its validity was assessed through exploratory factor analysis (EFA) and confirmatory factor analysis (CFA). Reliability was evaluated using Cronbach’s alpha coefficient and test-retest reliability. Results The scale developed in this study comprises four dimensions: supportive behavior, oral care, dietary restrictions, and positive attitude, with a total of 28 items. The overall Cronbach’s alpha coefficient of the scale was 0.92, indicating excellent internal consistency. The test-retest reliability was 0.92, suggesting that the scale is a stable and reliable instrument for assessing oral health self-efficacy in orthodontic patients. The scale also demonstrated good content and construct validity. Conclusion The scale developed in this study demonstrates good reliability and validity and can be used to assess the oral management self-efficacy levels for adult patients with fixed orthodontic appliances. |
| format | Article |
| id | doaj-art-3b9b3d89ff3040e6a99d2f567dc6cc06 |
| institution | DOAJ |
| issn | 1472-6831 |
| language | English |
| publishDate | 2025-05-01 |
| publisher | BMC |
| record_format | Article |
| series | BMC Oral Health |
| spelling | doaj-art-3b9b3d89ff3040e6a99d2f567dc6cc062025-08-20T03:16:47ZengBMCBMC Oral Health1472-68312025-05-012511910.1186/s12903-025-06198-6Development and validation of the oral management self-efficacy scale (OMSES): a cross-sectional psychometric study in adult patients with fixed orthodontic appliancesWanying Su0Xiaowen Feng1Anqi Cai2Wei Xiao3Fang Shen4Cuiyin Peng5Ziwen Ye6Xiaolv Zhong7Department of Orthodontics, School and Hospital of Stomatology, Guangdong Engineering Research Center of Oral Restoration and Reconstruction & Guangzhou Key Laboratory of Basic and Applied Research of Oral Regenerative Medicine, Guangzhou Medical UniversityDepartment of Nursing, School and Hospital of Stomatology, Guangdong Engineering Research Center of Oral Restoration and Reconstruction & Guangzhou Key Laboratory of Basic and Applied Research of Oral Regenerative Medicine, Guangzhou Medical UniversityDepartment of Nursing, School and Hospital of Stomatology, Guangdong Engineering Research Center of Oral Restoration and Reconstruction & Guangzhou Key Laboratory of Basic and Applied Research of Oral Regenerative Medicine, Guangzhou Medical UniversityDepartment of Nursing, School and Hospital of Stomatology, Guangdong Engineering Research Center of Oral Restoration and Reconstruction & Guangzhou Key Laboratory of Basic and Applied Research of Oral Regenerative Medicine, Guangzhou Medical UniversityDepartment of Nursing, School and Hospital of Stomatology, Guangdong Engineering Research Center of Oral Restoration and Reconstruction & Guangzhou Key Laboratory of Basic and Applied Research of Oral Regenerative Medicine, Guangzhou Medical UniversityDepartment of Orthodontics, School and Hospital of Stomatology, Guangdong Engineering Research Center of Oral Restoration and Reconstruction & Guangzhou Key Laboratory of Basic and Applied Research of Oral Regenerative Medicine, Guangzhou Medical UniversityDepartment of Nursing, Guangdong Pharmaceutical UniversityDepartment of Orthodontics, School and Hospital of Stomatology, Guangdong Engineering Research Center of Oral Restoration and Reconstruction & Guangzhou Key Laboratory of Basic and Applied Research of Oral Regenerative Medicine, Guangzhou Medical UniversityAbstract Objectives To develop a Self-Efficacy Scale for Oral Management for adult patients with fixed orthodontic appliances and to test its reliability and validity. Methods Guided by self-efficacy theory, the initial version of the scale was formed through literature review and expert consultations. A convenience sample of 502 adult patients undergoing fixed orthodontic treatment was surveyed. Item analysis was conducted to refine the scale, and its validity was assessed through exploratory factor analysis (EFA) and confirmatory factor analysis (CFA). Reliability was evaluated using Cronbach’s alpha coefficient and test-retest reliability. Results The scale developed in this study comprises four dimensions: supportive behavior, oral care, dietary restrictions, and positive attitude, with a total of 28 items. The overall Cronbach’s alpha coefficient of the scale was 0.92, indicating excellent internal consistency. The test-retest reliability was 0.92, suggesting that the scale is a stable and reliable instrument for assessing oral health self-efficacy in orthodontic patients. The scale also demonstrated good content and construct validity. Conclusion The scale developed in this study demonstrates good reliability and validity and can be used to assess the oral management self-efficacy levels for adult patients with fixed orthodontic appliances.https://doi.org/10.1186/s12903-025-06198-6Adult orthodonticsFixed orthodontic appliancesSelf efficacyScale developmentPsychometric validation |
| spellingShingle | Wanying Su Xiaowen Feng Anqi Cai Wei Xiao Fang Shen Cuiyin Peng Ziwen Ye Xiaolv Zhong Development and validation of the oral management self-efficacy scale (OMSES): a cross-sectional psychometric study in adult patients with fixed orthodontic appliances BMC Oral Health Adult orthodontics Fixed orthodontic appliances Self efficacy Scale development Psychometric validation |
| title | Development and validation of the oral management self-efficacy scale (OMSES): a cross-sectional psychometric study in adult patients with fixed orthodontic appliances |
| title_full | Development and validation of the oral management self-efficacy scale (OMSES): a cross-sectional psychometric study in adult patients with fixed orthodontic appliances |
| title_fullStr | Development and validation of the oral management self-efficacy scale (OMSES): a cross-sectional psychometric study in adult patients with fixed orthodontic appliances |
| title_full_unstemmed | Development and validation of the oral management self-efficacy scale (OMSES): a cross-sectional psychometric study in adult patients with fixed orthodontic appliances |
| title_short | Development and validation of the oral management self-efficacy scale (OMSES): a cross-sectional psychometric study in adult patients with fixed orthodontic appliances |
| title_sort | development and validation of the oral management self efficacy scale omses a cross sectional psychometric study in adult patients with fixed orthodontic appliances |
| topic | Adult orthodontics Fixed orthodontic appliances Self efficacy Scale development Psychometric validation |
| url | https://doi.org/10.1186/s12903-025-06198-6 |
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