Development and Validation of an Oral Health Literacy Measurement for Primary School Children in Thailand

Background. Oral health promotion programs have been implemented in primary schools for many years in Thailand. Oral health literacy has been introduced as a health promotion outcome; however, no assessment tool has been developed for this age group. The objective of this study was to develop and va...

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Main Authors: Pinpinut Wanichsaithong, Piyada Prasertsom
Format: Article
Language:English
Published: Wiley 2022-01-01
Series:International Journal of Dentistry
Online Access:http://dx.doi.org/10.1155/2022/9161619
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author Pinpinut Wanichsaithong
Piyada Prasertsom
author_facet Pinpinut Wanichsaithong
Piyada Prasertsom
author_sort Pinpinut Wanichsaithong
collection DOAJ
description Background. Oral health promotion programs have been implemented in primary schools for many years in Thailand. Oral health literacy has been introduced as a health promotion outcome; however, no assessment tool has been developed for this age group. The objective of this study was to develop and validate the Test of Functional Health Literacy in Dentistry for Primary School Children (P-TOFHLiD). Materials and Methods. The P-TOFHLiD was developed by modifying contents and outlines using a previously validated tool for older adults, then verified by two experts for face validity. A cross-sectional study was conducted with samples collected from 118 grade-six students from two government schools in Chiang Mai Province, Thailand. The P-TOFHLiD and a previously validated word recognition test were administered, followed by oral examination to assess reliability, concurrent validity, convergent validity, and predictive validity and establish the cut-off score of the tool. The statistical analysis was performed using SPSS version 25. Results. The internal reliability of P-TOFHLiD was good (α = 0.808). The correlation coefficient between the P-TOFHLiD and grade point average was 0.478 (p value <0.001), which is the represented concurrent validity of the tool. Coefficients between P-TOFHLiD and a word recognition test was 0.422 (p-value <0.001) for convergent validity. P-TOFHLiD was significantly correlated with the number of missing teeth from tooth decay (p-value <0.05), but the correlation coefficient was poor (r = −0.100). The cut-off scores for adequate oral health literacy were set at ≥21 out of the total scores of 26. Conclusion. P-TOFHLiD presented good validity and reliability and was ready to use for oral health promotion program evaluation. However, the predictive validity of the P-TOFHLiD in predicting oral health status was questionable only.
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spelling doaj-art-5abcc05bec61406ea2efbc8b0ac6ce892025-08-20T03:34:57ZengWileyInternational Journal of Dentistry1687-87362022-01-01202210.1155/2022/9161619Development and Validation of an Oral Health Literacy Measurement for Primary School Children in ThailandPinpinut Wanichsaithong0Piyada Prasertsom1Division of Community DentistryBureau of Dental HealthBackground. Oral health promotion programs have been implemented in primary schools for many years in Thailand. Oral health literacy has been introduced as a health promotion outcome; however, no assessment tool has been developed for this age group. The objective of this study was to develop and validate the Test of Functional Health Literacy in Dentistry for Primary School Children (P-TOFHLiD). Materials and Methods. The P-TOFHLiD was developed by modifying contents and outlines using a previously validated tool for older adults, then verified by two experts for face validity. A cross-sectional study was conducted with samples collected from 118 grade-six students from two government schools in Chiang Mai Province, Thailand. The P-TOFHLiD and a previously validated word recognition test were administered, followed by oral examination to assess reliability, concurrent validity, convergent validity, and predictive validity and establish the cut-off score of the tool. The statistical analysis was performed using SPSS version 25. Results. The internal reliability of P-TOFHLiD was good (α = 0.808). The correlation coefficient between the P-TOFHLiD and grade point average was 0.478 (p value <0.001), which is the represented concurrent validity of the tool. Coefficients between P-TOFHLiD and a word recognition test was 0.422 (p-value <0.001) for convergent validity. P-TOFHLiD was significantly correlated with the number of missing teeth from tooth decay (p-value <0.05), but the correlation coefficient was poor (r = −0.100). The cut-off scores for adequate oral health literacy were set at ≥21 out of the total scores of 26. Conclusion. P-TOFHLiD presented good validity and reliability and was ready to use for oral health promotion program evaluation. However, the predictive validity of the P-TOFHLiD in predicting oral health status was questionable only.http://dx.doi.org/10.1155/2022/9161619
spellingShingle Pinpinut Wanichsaithong
Piyada Prasertsom
Development and Validation of an Oral Health Literacy Measurement for Primary School Children in Thailand
International Journal of Dentistry
title Development and Validation of an Oral Health Literacy Measurement for Primary School Children in Thailand
title_full Development and Validation of an Oral Health Literacy Measurement for Primary School Children in Thailand
title_fullStr Development and Validation of an Oral Health Literacy Measurement for Primary School Children in Thailand
title_full_unstemmed Development and Validation of an Oral Health Literacy Measurement for Primary School Children in Thailand
title_short Development and Validation of an Oral Health Literacy Measurement for Primary School Children in Thailand
title_sort development and validation of an oral health literacy measurement for primary school children in thailand
url http://dx.doi.org/10.1155/2022/9161619
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