Cross-cultural adaptation of the Arabic version of the oral health values scale

Authors

DOI:

https://doi.org/10.2340/aos.v83.41092

Keywords:

Cross-cultural adaptation, oral health value, reliability, validity

Abstract

Aims: The study aimed to adapt the original English-language oral health values scale (OHVS) to the Arabic culture and to test its psychometric properties.

Methods: The original OHVS was translated into Arabic language and pre-tested using cognitive interviewing. The psychometric properties of Arabic OHVS were examined in a sample comprising 416 Libyan adults aged 18–70 years, recruited from the main public and private dental clinics in Benghazi. The participants’ demographic information, oral health behaviour, perceived oral health, the Arabic version of the OHVS (A-OHVS), dental neglect scale, oral health-related quality of life, oral health literacy, simplified oral hygiene index (OHI-S), and decayed, missing, and filled teeth index (DMFT) were collected. Psychometric properties were tested using content validity, construct validity, discriminating validity, internal consistency, test–retest reliability, and floor as well as ceiling effects were examined.

Results: The Arabic OHVS was successfully and smoothly developed. It showed an acceptable level of equivalence to the original version, The A-OHVS presented an overall Cronbach’s Alpha of 0.74 and the average score was 40.02, ranging between 26 and 54. All hypotheses predefined to test construct validity were confirmed. The bivariate correlation between A-OHVS and other health indicators shows a significant positive correlation between A-OHVS and oral health literacy (p = 0.000). On the other hand, statistically significant negative correlations were observed between A-OHVS and dental neglect and quality of life (p ≤ 0.001) as well as DMFT and OHI-S (p ≤ 0.001). Floor or ceiling effects were not observed.

Conclusions: The A-OHVS was shown to be a valid and reliable tool for assessing oral health values in the Arabic-speaking population.

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References

Hescot P. The new definition of oral health and relationship between oral health and quality of life. Chin J Dent Res. 2017;20(4):189–192.

Glick M, Williams DM, Kleinman DV, Vujicic M, Watt RG, Weyant RJ. A new definition for oral health developed by the FDI World Dental Federation opens the door to a universal definition of oral health. J Am Dent Assoc (1939). 2016;147(12):915–917. https://doi.org/10.1016/j.adaj.2016.10.001 DOI: https://doi.org/10.1016/j.adaj.2016.10.001

McNeil DW, Randall CL, Baker S, et al. Consensus statement on future directions for the behavioral and social sciences in oral health. J Dent Res. 2022;101(6):619–622. https://doi.org/10.1177/00220345211068033 DOI: https://doi.org/10.1177/00220345211068033

Sagiv L, Schwartz SH. Value priorities and subjective well‐being: Direct relations and congruity effects. Eur J Soc Psychol. 2000;30(2):177–198. https://doi.org/10.1002/(SICI)1099-0992(200​003/04)30:2%3C177::AID-EJSP982%3E3.0.CO;2-Z DOI: https://doi.org/10.1002/(SICI)1099-0992(200003/04)30:2<177::AID-EJSP982>3.0.CO;2-Z

Schwartz SH, Cieciuch J, Vecchione M, et al. Refining the theory of basic individual values. J Pers Soc Psychol. 2012;103(4):663. https://doi.org/10.1037/a0029393 DOI: https://doi.org/10.1037/a0029393

Fisher-Owens SA, Gansky SA, Platt LJ, et al. Influences on children’s oral health: a conceptual model. Pediatrics. 2007;120(3):e510–e520. https://doi.org/10.1542/peds.2006-3084 DOI: https://doi.org/10.1542/peds.2006-3084

Patrick DL, Lee RSY, Nucci M, Grembowski D, Jolles CZ, Milgrom P. Reducing oral health disparities: a focus on social and cultural determinants. BMC Oral Health. 2006;6(1):S4. https://doi.org/10.1186/1472-6831-6-S1-S4 DOI: https://doi.org/10.1186/1472-6831-6-S1-S4

Ajzen I. The theory of planned behavior. Organ Behav Hum Decision Process. 1991;50(2):179–211. https://doi.org/10.1016/​0749-5978(91)90020-T DOI: https://doi.org/10.1016/0749-5978(91)90020-T

Behling O, Starke FA. The postulates of expectancy theory. Acad Manage J. 1973;16(3):373–388. https://doi.org/10.2307/254999 DOI: https://doi.org/10.5465/254999

McNeil DW. Behavioural and cognitive-behavioural theories in oral health research: current state and future directions. Community Dent Oral Epidemiol. 2023;51(1):6–16. https://doi.org/10.1111/cdoe.12840 DOI: https://doi.org/10.1111/cdoe.12840

Cooke R, French DP. How well do the theory of reasoned action and theory of planned behaviour predict intentions and attendance at screening programmes? A meta-analysis. Psychol Health. 2008;23(7):745–765. https://doi.org/10.1080/08870440701544437 DOI: https://doi.org/10.1080/08870440701544437

Sheiham A, Tsakos G. Oral health needs assessment. New Malden: Quintessence; 2007.

Sischo L, Broder HL. Oral health-related quality of life: what, why, how, and future implications. J Dent Res. 2011;90(11):1264–1270. https://doi.org/10.1177/0022034511399918 DOI: https://doi.org/10.1177/0022034511399918

Edwards CB, Randall CL, McNeil DW. Development and validation of the oral health values scale. Community Dent Oral Epidemiol. 2021;49(5):454–463. https://doi.org/10.1111/cdoe.12621 DOI: https://doi.org/10.1111/cdoe.12621

Machado V, Mendonça A, Proença L, et al. Cross-cultural adaptation and validation of the oral health values scale for the Portuguese population. J Pers Med. 2022;12(5):672. https://doi.org/10.3390/jpm12050672 DOI: https://doi.org/10.3390/jpm12050672

Balgiu BA, Sfeatcu R, Mihai C, Lupușoru M, Bucur MV, Tribus L. Romanian version of the oral health values scale: adaptation and validation. Medicina. 2022;58(4):544. https://doi.org/10.3390/medicina58040544 DOI: https://doi.org/10.3390/medicina58040544

Beaton DE, Bombardier C, Guillemin F, Ferraz MB. Guidelines for the process of cross-cultural adaptation of self-report measures. Spine. 2000;25(24):3186–3191. https://doi.org/10.1097/00007632-20001​2150-00014 DOI: https://doi.org/10.1097/00007632-200012150-00014

Herdman M, Fox-Rushby J, Badia X. A model of equivalence in the cultural adaptation of HRQoL instruments: the universalist approach. Qual Life Res. 1998;7(4):323–335. https://doi.org/10.1023/A:1008846618880 DOI: https://doi.org/10.1023/A:1008846618880

Guillemin F, Bombardier C, Beaton D. Cross-cultural adaptation of health-related quality of life measures: literature review and proposed guidelines. J Clin Epidemiol. 1993;46(12):1417–1432. https://doi.org/10.1016/0895-4356(93)90142-N DOI: https://doi.org/10.1016/0895-4356(93)90142-N

Charter RA. Sample size requirements for precise estimates of reliability, generalizability, and validity coefficients. J Clin Exp Neuropsychol. 1999;21(4):559–566. https://doi.org/10.1076/jcen.21.4.559.889 DOI: https://doi.org/10.5555/jcen.21.4.559.889

Coolidge T, Heima M, Johnson EK, Weinstein P. The dental neglect scale in adolescents. BMC Oral Health. 2009;9(1):1–7. https://doi.org/10.1186/1472-6831-9-2 DOI: https://doi.org/10.1186/1472-6831-9-2

Alhajj MN, Halboub E, Khalifa N, et al. Translation and validation of the Arabic version of the 5-item Oral health impact profile: OHIP5-Ar. Health Qual Life Outcomes. 2018;16(1):1–11. https://doi.org/10.1186/s12955-018-1046-0 DOI: https://doi.org/10.1186/s12955-018-1046-0

Jones K, Brennan D, Parker E, Jamieson L. Development of a short-form Health Literacy Dental Scale (HeLD-14). Community Dent Oral Epidemiol. 2015;43(2):143–151. https://doi.org/10.1111/cdoe.12133 DOI: https://doi.org/10.1111/cdoe.12133

World Health Organization. Oral health surveys: basic methods. World Health Organization; 2013. Geneva, Switzerland.

Greene JG, Vermillion JR. The simplified oral hygiene index. J Am Dent Assoc. 1964;68(1):7–13. https://doi.org/10.14219/jada.archive.1964.0034 DOI: https://doi.org/10.14219/jada.archive.1964.0034

Terwee CB, Bot SDM, de Boer MR, et al. Quality criteria were proposed for measurement properties of health status questionnaires. J Clin Epidemiol. 2007;60(1):34–42. https://doi.org/10.1016/j.jclinepi.2006.03.012 DOI: https://doi.org/10.1016/j.jclinepi.2006.03.012

Locker D, Slade G. Oral health and the quality of life among older adults: the oral health impact profile. J Can Dent Assoc. 1993;59(10):830–833, 7–8, 44.

Gilchrist F, Rodd H, Deery C, Marshman Z. Assessment of the quality of measures of child oral health-related quality of life. BMC Oral Health. 2014;14(1):40. https://doi.org/10.1186/1472-6831-14-40 DOI: https://doi.org/10.1186/1472-6831-14-40

Broder HL, Wilson‐Genderson M, Sischo L. Reliability and validity testing for the Child Oral Health Impact Profile‐Reduced (COHIP‐SF 19). J Public Health Dent. 2012;72(4):302–312. https://doi.org/10.1111/j.1752-7325.2012.00338.x DOI: https://doi.org/10.1111/j.1752-7325.2012.00338.x

Osborne JW, Costello AB. Best practices in exploratory factor analysis: four recommendations for getting the most from your analysis. Pan-Pacific Manage Rev. 2009;12(2):131–146.

Hajjar SJIJoQ, Methods QR. Statistical analysis: internal-consistency reliability and construct validity. Int J Quant Qual Res Methods. 2018;6(1):27–38.

Tavakol M, Dennick R. Making sense of Cronbach’s alpha. Int J Med Educ. 2011;2:53–55. https://doi.org/10.5116/ijme.4dfb.8dfd DOI: https://doi.org/10.5116/ijme.4dfb.8dfd

Nunnally JC, Bernstein I. The assessment of reliability. Psychometr Theor. 1994;3(1):248–292.

Shea JA, Guerra CE, Ravenell KL, McDonald VJ, Henry CA, Asch DA. Health literacy weakly but consistently predicts primary care patient dissatisfaction. Int J Qual Health Care. 2007;19(1):45–9. https://doi.org/10.1093/intqhc/mzl068 DOI: https://doi.org/10.1093/intqhc/mzl068

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Published

2024-08-26