Supporting health education policies: translation, cross-cultural adaptation and validation of a health literacy instrument, in French
Résumé
Background: Oral health is a fundamental human right and is inseparable and
indivisible from overall health and well-being. Oral Health Literacy (OHL) has
been proved to be fundamental to promoting oral health and reducing oral
health inequalities. To our knowledge, no OHL instrument to evaluate OHL level
is currently validated in French language despite the fact it is the fifth most widely
spoken languages on the planet. The Oral health literacy Instrument (OHLI)
appears to be the most interesting OHL instrument to adapt into French because
it is already available in English, Spanish, Russian, Malaysian, and it contains both
reading comprehension and numeracy sections. Its psychometric properties
have been rated as adequate.
Objective: The aim of this study was to translate and adapt cross-culturally the
OHLI into French, to evaluate its psychometric properties and to compare its
results to oral health knowledge.
Method: This study followed and applied well-established processes of translation,
cross-cultural adaptation and validation, based on the recommendations of the
World Health Organization guidelines and on the Consensus-Based Standards
for the Selection of Health Measurement Instruments (COSMIN) study design
checklist for patient-reported outcomes. Two psychometric assessments were
planned, the comparison of OHLI-F scores according to education level and
frequency of dental visits, and the test–retest reliability of the OHLI-F.
Results: A total of 284 participants answered the OHLI-F. The OHLI-F scores
were significantly different between participants with different levels of education
and frequency of dental visits (p < 0.001). Participants with an education level
lower than the baccalaureate, and those who never visit the dentist or only in case
of pain, had significantly lower OHLI-F scores. Internal consistency was excellent
(Cronbach’s alpha = 0.881–0.914). Test–retest reliability was very high (intraclass
correlation = 0.985 to 0.996).
Conclusion: The OHLI-F has demonstrated adequate psychometric properties and
can therefore be used to measure oral health literacy in French-speaking populations.
Domaines
Sciences du Vivant [q-bio]Origine | Fichiers éditeurs autorisés sur une archive ouverte |
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