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Dental vulnerability scale in primary health care: evidence of content and structure internal validity
BACKGROUND: Access to oral health services remains a challenge in the Brazilian healthcare system, especially in the primary health care setting, where the use of a risk stratification tool that could identify individuals with higher dental vulnerability would be extremely valuable. However, there l...
Autores principales: | , , , , , , , , , , , , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
BioMed Central
2021
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Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8400751/ https://www.ncbi.nlm.nih.gov/pubmed/34454449 http://dx.doi.org/10.1186/s12903-021-01742-6 |
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author | da Palacio, Danielle da Costa Rebustini, Flavio de Oliveira, Daniele Boina Neto, João Peres Barbieri, Wander Sanchez, Thais Paragis Mafra, Ana Carolina Cintra Nunes Bonfim, Daiana Monteiro, Camila Nascimento Filho, Valmir Vanderlei Gomes Ribeiro, Danielle Viana Loschiavo, Leandro Marsico Miraglia, João Luiz Pereira, Antonio Carlos |
author_facet | da Palacio, Danielle da Costa Rebustini, Flavio de Oliveira, Daniele Boina Neto, João Peres Barbieri, Wander Sanchez, Thais Paragis Mafra, Ana Carolina Cintra Nunes Bonfim, Daiana Monteiro, Camila Nascimento Filho, Valmir Vanderlei Gomes Ribeiro, Danielle Viana Loschiavo, Leandro Marsico Miraglia, João Luiz Pereira, Antonio Carlos |
author_sort | da Palacio, Danielle da Costa |
collection | PubMed |
description | BACKGROUND: Access to oral health services remains a challenge in the Brazilian healthcare system, especially in the primary health care setting, where the use of a risk stratification tool that could identify individuals with higher dental vulnerability would be extremely valuable. However, there literature on this theme is scarce, and there is no validated instrument in Brazil that is capable of measuring dental vulnerability. Hence, this psychometric study aimed at the development and evaluation of content and internal structure validity of the Dental Vulnerability Scale for Primary Health Care (PHC). METHODS: The items were developed based on a qualitative exploratory analysis. A total of 172 items were prepared and submitted to a panel of specialists, with content validity analyzed with the Content Validity Ratio (CVR), resulting in an the initial version of the instrument composed by 41 items. Internal structure validity was analyzed by Exploratory Factor Analysis (EFA), Confirmatory Factor Analysis (CFA), and by applying 3 reliability indicators (Cronbach’s Alpha, McDonald's Omega and Greatest Lower Bound – GBL), with a sample of 1227 individuals. RESULTS: The final configuration indicated a scale of 15 items divided into 4 dimensions (overall health, oral health, infrastructure, and healthcare services) with explained variance of 72.11%. The factor loads varied from 0.37 to 0.96. The model adjustment indices were set at × 2/df((51)) = 3.23, NNFI = 0.95, CFI = 0.98, GFI = 0.96, AGFI = 0.97, RMSEA = 0.04 and RMSR = 0.03. CONCLUSION: DVS presented satisfactory evidence of validity, indicating its suitability to be used by healthcare professionals, students and managers to plan oral health actions and services at PHC. |
format | Online Article Text |
id | pubmed-8400751 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2021 |
publisher | BioMed Central |
record_format | MEDLINE/PubMed |
spelling | pubmed-84007512021-08-30 Dental vulnerability scale in primary health care: evidence of content and structure internal validity da Palacio, Danielle da Costa Rebustini, Flavio de Oliveira, Daniele Boina Neto, João Peres Barbieri, Wander Sanchez, Thais Paragis Mafra, Ana Carolina Cintra Nunes Bonfim, Daiana Monteiro, Camila Nascimento Filho, Valmir Vanderlei Gomes Ribeiro, Danielle Viana Loschiavo, Leandro Marsico Miraglia, João Luiz Pereira, Antonio Carlos BMC Oral Health Research Article BACKGROUND: Access to oral health services remains a challenge in the Brazilian healthcare system, especially in the primary health care setting, where the use of a risk stratification tool that could identify individuals with higher dental vulnerability would be extremely valuable. However, there literature on this theme is scarce, and there is no validated instrument in Brazil that is capable of measuring dental vulnerability. Hence, this psychometric study aimed at the development and evaluation of content and internal structure validity of the Dental Vulnerability Scale for Primary Health Care (PHC). METHODS: The items were developed based on a qualitative exploratory analysis. A total of 172 items were prepared and submitted to a panel of specialists, with content validity analyzed with the Content Validity Ratio (CVR), resulting in an the initial version of the instrument composed by 41 items. Internal structure validity was analyzed by Exploratory Factor Analysis (EFA), Confirmatory Factor Analysis (CFA), and by applying 3 reliability indicators (Cronbach’s Alpha, McDonald's Omega and Greatest Lower Bound – GBL), with a sample of 1227 individuals. RESULTS: The final configuration indicated a scale of 15 items divided into 4 dimensions (overall health, oral health, infrastructure, and healthcare services) with explained variance of 72.11%. The factor loads varied from 0.37 to 0.96. The model adjustment indices were set at × 2/df((51)) = 3.23, NNFI = 0.95, CFI = 0.98, GFI = 0.96, AGFI = 0.97, RMSEA = 0.04 and RMSR = 0.03. CONCLUSION: DVS presented satisfactory evidence of validity, indicating its suitability to be used by healthcare professionals, students and managers to plan oral health actions and services at PHC. BioMed Central 2021-08-28 /pmc/articles/PMC8400751/ /pubmed/34454449 http://dx.doi.org/10.1186/s12903-021-01742-6 Text en © The Author(s) 2021 https://creativecommons.org/licenses/by/4.0/Open AccessThis article is licensed under a Creative Commons Attribution 4.0 International License, which permits use, sharing, adaptation, distribution and reproduction in any medium or format, as long as you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons licence, and indicate if changes were made. The images or other third party material in this article are included in the article's Creative Commons licence, unless indicated otherwise in a credit line to the material. If material is not included in the article's Creative Commons licence and your intended use is not permitted by statutory regulation or exceeds the permitted use, you will need to obtain permission directly from the copyright holder. To view a copy of this licence, visit http://creativecommons.org/licenses/by/4.0/ (https://creativecommons.org/licenses/by/4.0/) . The Creative Commons Public Domain Dedication waiver (http://creativecommons.org/publicdomain/zero/1.0/ (https://creativecommons.org/publicdomain/zero/1.0/) ) applies to the data made available in this article, unless otherwise stated in a credit line to the data. |
spellingShingle | Research Article da Palacio, Danielle da Costa Rebustini, Flavio de Oliveira, Daniele Boina Neto, João Peres Barbieri, Wander Sanchez, Thais Paragis Mafra, Ana Carolina Cintra Nunes Bonfim, Daiana Monteiro, Camila Nascimento Filho, Valmir Vanderlei Gomes Ribeiro, Danielle Viana Loschiavo, Leandro Marsico Miraglia, João Luiz Pereira, Antonio Carlos Dental vulnerability scale in primary health care: evidence of content and structure internal validity |
title | Dental vulnerability scale in primary health care: evidence of content and structure internal validity |
title_full | Dental vulnerability scale in primary health care: evidence of content and structure internal validity |
title_fullStr | Dental vulnerability scale in primary health care: evidence of content and structure internal validity |
title_full_unstemmed | Dental vulnerability scale in primary health care: evidence of content and structure internal validity |
title_short | Dental vulnerability scale in primary health care: evidence of content and structure internal validity |
title_sort | dental vulnerability scale in primary health care: evidence of content and structure internal validity |
topic | Research Article |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8400751/ https://www.ncbi.nlm.nih.gov/pubmed/34454449 http://dx.doi.org/10.1186/s12903-021-01742-6 |
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