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Instrument Development and Validation to Assess Care Barriers for Patients in Saudi Arabia with Oral Clefts

The study objective was to construct and validate a tool to assess, measure, and evaluate the barriers and obstacles that patients with orofacial clefts (OFCs), and their families, face during treatment. The Effective Accessibility and Accommodation subscale, based on the translated Primary Care Ass...

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Autores principales: Khogeer, Layla, Helal, Narmin, Basri, Osama, Madani, Sara, Basri, Abeer, El-Houseiny, Azza A.
Formato: Online Artículo Texto
Lenguaje:English
Publicado: MDPI 2021
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8036310/
https://www.ncbi.nlm.nih.gov/pubmed/33805977
http://dx.doi.org/10.3390/ijerph18073399
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author Khogeer, Layla
Helal, Narmin
Basri, Osama
Madani, Sara
Basri, Abeer
El-Houseiny, Azza A.
author_facet Khogeer, Layla
Helal, Narmin
Basri, Osama
Madani, Sara
Basri, Abeer
El-Houseiny, Azza A.
author_sort Khogeer, Layla
collection PubMed
description The study objective was to construct and validate a tool to assess, measure, and evaluate the barriers and obstacles that patients with orofacial clefts (OFCs), and their families, face during treatment. The Effective Accessibility and Accommodation subscale, based on the translated Primary Care Assessment Survey and Primary Care Assessment Tool scales, was used as a reference for the questionnaire. A total of 165 parents from three main cleft referral centers in Saudi Arabia were interviewed. Questionnaire content validity was conducted by calculation of a content validity index for each item (I-CVI) as well as for the total scale (S-CVI). Reliability was tested using Cronbach’s alpha. Factor analysis and principal components analysis were performed to determine the factor structure of the instrument. The final questionnaire had nine items. Rating results showed both I-CVI and S-CVI scores of 1 and Cronbach’s alpha was 0.86. There were three factors (geographic accessibility, appointment availability and accessibility, and scheduling-related barriers) with eigenvalues above 1.00, which collectively accounted for 73% of the variance. In conclusion, this tool is valid and reliable to evaluate accessibility and barriers to care of patients with OFCs in Saudi Arabia.
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spelling pubmed-80363102021-04-12 Instrument Development and Validation to Assess Care Barriers for Patients in Saudi Arabia with Oral Clefts Khogeer, Layla Helal, Narmin Basri, Osama Madani, Sara Basri, Abeer El-Houseiny, Azza A. Int J Environ Res Public Health Article The study objective was to construct and validate a tool to assess, measure, and evaluate the barriers and obstacles that patients with orofacial clefts (OFCs), and their families, face during treatment. The Effective Accessibility and Accommodation subscale, based on the translated Primary Care Assessment Survey and Primary Care Assessment Tool scales, was used as a reference for the questionnaire. A total of 165 parents from three main cleft referral centers in Saudi Arabia were interviewed. Questionnaire content validity was conducted by calculation of a content validity index for each item (I-CVI) as well as for the total scale (S-CVI). Reliability was tested using Cronbach’s alpha. Factor analysis and principal components analysis were performed to determine the factor structure of the instrument. The final questionnaire had nine items. Rating results showed both I-CVI and S-CVI scores of 1 and Cronbach’s alpha was 0.86. There were three factors (geographic accessibility, appointment availability and accessibility, and scheduling-related barriers) with eigenvalues above 1.00, which collectively accounted for 73% of the variance. In conclusion, this tool is valid and reliable to evaluate accessibility and barriers to care of patients with OFCs in Saudi Arabia. MDPI 2021-03-25 /pmc/articles/PMC8036310/ /pubmed/33805977 http://dx.doi.org/10.3390/ijerph18073399 Text en © 2021 by the authors. https://creativecommons.org/licenses/by/4.0/Licensee MDPI, Basel, Switzerland. This article is an open access article distributed under the terms and conditions of the Creative Commons Attribution (CC BY) license (http://creativecommons.org/licenses/by/4.0/ (https://creativecommons.org/licenses/by/4.0/) ).
spellingShingle Article
Khogeer, Layla
Helal, Narmin
Basri, Osama
Madani, Sara
Basri, Abeer
El-Houseiny, Azza A.
Instrument Development and Validation to Assess Care Barriers for Patients in Saudi Arabia with Oral Clefts
title Instrument Development and Validation to Assess Care Barriers for Patients in Saudi Arabia with Oral Clefts
title_full Instrument Development and Validation to Assess Care Barriers for Patients in Saudi Arabia with Oral Clefts
title_fullStr Instrument Development and Validation to Assess Care Barriers for Patients in Saudi Arabia with Oral Clefts
title_full_unstemmed Instrument Development and Validation to Assess Care Barriers for Patients in Saudi Arabia with Oral Clefts
title_short Instrument Development and Validation to Assess Care Barriers for Patients in Saudi Arabia with Oral Clefts
title_sort instrument development and validation to assess care barriers for patients in saudi arabia with oral clefts
topic Article
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8036310/
https://www.ncbi.nlm.nih.gov/pubmed/33805977
http://dx.doi.org/10.3390/ijerph18073399
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