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Type: Journal article
Title: Confirmatory factor analysis of the health literacy in dentistry scale (HeLD) in the Australian population
Author: Ju, X.
Brennan, D.
Parker, E.
Chrisopoulos, S.
Jamieson, L.
Citation: Community Dental Health, 2018; 35(3):140-147
Publisher: BASCD - British Association for the Study of Community Dentistry
Issue Date: 2018
ISSN: 0265-539X
2515-1746
Statement of
Responsibility: 
X Ju, DS Brennan, E Parker, S Chrisopoulos and L Jamieson
Abstract: Objective: To determine the psychometric properties of both the long- and short-form versions of the Health Literacy in Dentistry (HeLD) instrument in a large sample of the Australian adult population. Methods: Data were from a subset of the National Dental Telephone Interview Survey 2013. Both the long (HeLD-29) and short-form (HeLD-14) were utilised, each of which comprises items from 7 conceptual domains: access, understanding, support, utilization, economic barriers, receptivity and communication. Confirmatory Factor Analysis was performed through structural equation modelling to determine factorial validity, where the Χ²/df, comparative fit, goodness of fit and root mean square error of approximation were used as indices of goodness of fit. Convergent validity was estimated from the average variance extracted (AVE) and composite reliability (CR), while internal consistency was estimated by Cronbach standardized alpha. Results: The dataset comprised 2,936 Australian adults aged 18+ years. The kurtosis and skewness values indicated an approximation to a normal distribution. Adequate fit was demonstrated for HeLD-14, but not for HeLD-29. Estimates of ≥ 0.50 for AVE and ≥ 0.70 for CR were demonstrated across all factors for both HeLD-29 and HeLD-14, indicating acceptable convergent validity for both forms. Discriminant validity was also demonstrated for both forms. Internal consistency was adequate in the seven conceptual domains for both HeLD forms, with Cronbach's alpha for all subscales being ≥0.70. Conclusions: The psychometric properties of the HeLD instrument in a large sample of the Australian adult population were confirmed. The short form HeLD-14 was more parsimonious than the long-form (HeLD-29).
Keywords: Oral health literacy; construct validity; discriminative validity; reliability
Rights: © BASCD 2018
RMID: 0030099578
DOI: 10.1922/CDH_4325Ju08
Appears in Collections:Dentistry publications

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