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Testing the validity and reliability of an assessment tool for dental hygienists' consideration of patients with mild disabilities

치과위생사의 경증 장애인 환자 진료 고려사항에 대한 지식 측정 도구의 타당도와 신뢰도 검증

  • Ye-Ji Kim (Department of Dental Hygiene, Yonsei University) ;
  • Hie-Jin Noh (Department of Dental Hygiene, Yonsei University) ;
  • So-Jung Mun (Department of Dental Hygiene, Yonsei University) ;
  • Sun-Young Han (Department of Dental Hygiene, Yonsei University)
  • Received : 2022.12.14
  • Accepted : 2023.01.21
  • Published : 2023.02.28

Abstract

Objectives: The purpose of this study was to test the reliability and validity of an assessment tool for dental hygienists' consideration of patients with mild disabilities. Methods: Thirty-seven preliminary questions were compiled through literature review, and thirty-two questions were selected through content validity testing by eight experts. Two hundred and three dental hygienists completed the assessment tool as an online survey. The construct validity, internal consistency, and test-retest reliability of the tool were investigated using the SPSS 26.0 program. The construct validity was assessed using exploratory factor analysis. The internal consistency was assessed using Cronbach's alpha. The intraclass correlation coefficient (ICC) value with 95% confidence intervals was calculated for test-retest reliability. Results: Ten items and four factors were selected through exploratory factor analysis. The internal consistency reliability of the tool was found to be Cronbach's alpha=0.658, and test-retest reliability was found to be ICC=0.812. Conclusions: An assessment tool of care for patients with mild disabilities by dental hygienists is a reliable and valid tool suitable for the job characteristics of dental hygienists. It can be used in clinical practice and research.

Keywords

References

  1. Statistics Korea. Status of the disabled [Internet]. KOSIS; 2021[cited2022Oct 16]. Available from: https://kosis.kr/statHtml/statHtml.do?orgId=117&tblId=DT_11761_N001&conn_path=I2.
  2. Kwon DC, Lee SY, Kim YM. 2020 Announcement of statistics for registered persons with disabilities. Sejong: Ministry of health and Welfare;2021:1-6.
  3. Kim WH. 2019 Health statistics for the disabled. Sejong: Ministry of Health and Welfare National Rehabilitation Center; 2021: 273-96.
  4. The compilation committee of Journal of Korean Academy of Oral Health. Physical disability. In: Textbook of special care of dentistry. 1st ed. The compilation committee of Journal of Korean Academy of Oral Health: Seoul; DeahanNarae Publishers. 2019: 28-65.
  5. Cho HL, Kim YJ, Yoon TY. A study on the satisfaction factors of the disabled when using dental care services. Journal of Korean Association for Disability and Oral Health 2014;10(1):9-21. https://doi.org/10.12655/KADH.2014.10.1.9
  6. Kim YS. A survey of the realities of dental health care for the disabled by dental hygienists in Korea. JKCA 2002;3(1):29-44. https://doi.org/10.16879/jkca.2021.21.1.029
  7. Faizan K. Disability and Healthcare. In: Darby and Walsh dental hygiene theory and practice. 5th ed. Edited by Jennifer A, Denise M: Maryland;Elsevier health sciences. 2020: 929-42.
  8. Lin PY, Wang KW, Tu YK, Chen HM, Chi LY, Lin CP. Dental service use among patients with specific disabilities: a nationwide population-based study. J Formos Med Assoc 2016;115(10):867-75. https://doi.org/10.1016/j.jfma.2015.09.007
  9. Huh JS, Lee HG, Cheong JE, Lee BR, Jung HI. The current status and the future directions of dental services for disabled people. J Korean Acad Adv Gen Dent 2020;9(3):71-6. https://doi.org/10.23034/jkaagd.2020.9.3.71
  10. Dehaitem MJ, Ridley K, Kerschbaum WE, Inglehart MR. Dental hygiene education about patients with special needs: a survey of U.S. programs. J Dent Educ 2008;72(9):1010-9. https://doi.org/10.1002/j.0022-0337.2008.72.9.tb04575.x
  11. Hwang HJ, Kim AH, Kim JH, Seo BR, Lee DH, Hwang SJ. Clinical competency of dental hygiene students to manage disabled patients in some areas. J Dent Hyg Sci 2018;18(6):349-56. https://doi.org/10.17135/jdhs.2018.18.6.349
  12. DeVellis RF. Scale development: Theory and applications. 4th ed. Thousand Oaks: Sage Publication; 2016: 1-280.
  13. Kathryn R. The patient with a disability. In: Clinical practice of the dental hygienist. 11th edition. Edited by Esther M: New York; Lippincott Williams&Wilkins. 2015: 851-72.
  14. WHO. International classification of functioning, disability and health: ICF. 1st ed. Geneva1: WHO; 2001: 1-311.
  15. Korean law information center. Welfare of Disabled Persons Act [Internet]. Korean law information center[cited 2022 Oct 30]. Available from:https://www.law.go.kr/%EB%B2%95%EB%A0%B9/%EC%9E%A5%EC%95%A0%EC%9D%B8%EB%B3%B5%EC%A7%80%EB%B2%95.
  16. Kim YJ. Development of assessment tools for dental hygienists' considerations for patients with mild disabilities[Master's thesis]. Wonju:Yonsei University, 2022.
  17. Lynn MR. Determination and quantification of content validity. Nurs Res 1986;35(6):382-5. https://doi.org/10.1097/00006199-198611000-00017
  18. Floyd FJ, Widman KF. Factor analysis in the development and refinement of clinical assessment instruments. Psychol Assess 1995;7(3):286-99. https://doi.org/10.1037/1040-3590.7.3.286
  19. Healthcare Bigdata Hub. Status of workers [Internet]. Healthcare Bigdata Hub[cited 2022 Oct 30]. Available from: https://opendata.hira.or.kr/op/opc/olapHumanResourceStatInfo.do.
  20. Park MS, Kang KJ, Jang SJ, Lee JY, Chang SJ. Evaluating test-retest reliability in patient-reported outcome measures for older people: a systematic review. Int J Nurs Stud 2018;79:58-69. https://doi.org/10.1016/j.ijnurstu.2017.11.003
  21. Hidden JG. SPSS Statistical analysis practice. In: SPSS method of result tables and interpretation. 1st ed. Edited by Hidden JG: Seoul; HANBIT academy. 2018: 122-414.
  22. Kaiser HF. An index of factorial simplicity. Psychometrika 1974;39(1):31-6. https://doi.org/10.1007/BF02291575
  23. Hair Jr JF, Black WC, Babin BJ, Anderson RE. Exploratory factor analysis. In: Multivariate data analysis. 7th ed. Edited by Hair Jr JF, Black WC, Babin BJ, Anderson RE: Upper Saddle River New Jersey; Pearson. 2010: 91-150.
  24. U.S. Department of education. Reinterview studies: Reliability and validity. In: Measurement error studies at the National Center for Education Statistics. 1st ed. Edited by Sameena S, Elizabeth W, Valerie C, Steven F, Mehrdad S: Washington DC; National Data Resource Center. 1997: 346-78.
  25. Landis JR, Koch GG. The measurement of observer agreement for categorical data. Biometrics 1977;33(1):159-74. https://doi.org/10.2307/2529310
  26. Lee HJ, Song RY, Lee EH, Ahn SH. Tool development and verification. In: Research methods and critical appraisal. 2nd ed. Edited by Lee HJ, Song RY, Lee EH, Ahn SH: Gyeonggi-do; Koonja Publishing. 2017: 294-313.
  27. Lee EH. Psychometric properties of an instrument 2: structural validity, internal consistency, and cross-cultural validity/measurement invariance. Korean J Women Health Nurs 2021;27(2):69-74. https://doi.org/10.4069/kjwhn.2021.05.18
  28. Kang HC. A guide on the use of factor analysis in the assessment of construct validity. J Korean Acad Nurs 2013;43(5):587-94. https://doi.org/10.4040/jkan.2013.43.5.587
  29. Kim SH, Kim JS, Min HH, Shin SH, Cho YS, Kang HG, et al. Measurement. In: Dental hygiene reaserch method. 1st ed. Edited by Kim SH, Kim JS, Min HH, Shin SH, Cho YS, Kang HG, et al: Seoul; DeahanNarae Publishers. 2011: 69-86.