Abstract：Objective To construct an evaluation index system of oral health literacy for children's parents, so as to provide an index system for the evaluation of oral health literacy for children's parents in China. Methods The evaluation index system of oral health literacy for children's parents was designed based on literature review and semi-structured interview. Experts from oral prevention and pediatric oral medicine were invited to participate in two-round Delphi consultations. The indicators were scored and screened according to the importance, and the weight determined using analytic hierarchy process. The effectiveness of the consultation was evaluated by positive coefficient, authority coefficient and coordination coefficient. Results Twenty-four experts participated in the consultation, including 6 males and 18 females. There were 21 experts with a master degree, 3 experts with a doctor degree, and 20 experts with vice senior professional titles and above. The recovery rates of the two rounds of consultations were 96.00% and 100.00%, the authority coefficients were 0.866 and 0.917, the Kendall's coefficient of concordance were 0.120 and 0.156 (both P<0.05), and the coefficient of variation was 0.15-0.38 and 0.03-0.17, respectively. The final evaluation index system included 3 primary indicators, 11 secondary indicators and 40 tertiary indicators. The primary indicators were basic knowledge and concepts related to oral health, promoting lifestyle and behaviors related to oral health, and maintaining basic skills related to oral health. Conclusion The evaluation index system of oral health literacy for children's parents has been established in this study and needs to be further applied and evaluated.
[1] 翁清清,张颖.儿童口腔健康管理模式——牙科之家[J].中国实用口腔科杂志,2019,12(8):464-468. [2] 李小兵,叶全富,贺红,等.中国儿童错牙合畸形早期矫治专家共识[J].华西口腔医学杂志,2021,39(4):369-376. [3] 王新艳,咏梅.家庭环境对儿童口腔健康相关生活质量影响的研究概况[J].医学综述,2017,23(21):4267-4270,4275. [4] 岑琼. 儿童父母口腔健康素养研究进展[J].中华现代护理杂志,2023,29(21):2934-2940. [5] NEELIMA M,CHANDRASHEKAR B R,THETAKALA R K,et al.Rapid estimate of adult literacy in medicine and dentistry-20 and oral health status among adolescents,India:a cross-sectional study[J/OL].J Educ Health Promot,2018,7[2024-02-03].https://doi.10.4103/jehp.jehp_57_18. [6] SUN Y,SUN J,ZHAO Y,et al.A new comprehensive oral health literacy scale:development and psychometric evaluation[J/OL].BMC Oral Health,2021,21[2024-02-03].https://doi.org/10.1186/s12903-021-01795-7. [7] 柳岚钟,尚少梅,董旭,等.牙周炎患者口腔健康素养量表的修订及信效度评价[J].护理学杂志,2022,37(10):92-95. [8] CHAROPHASRAT S,THITASOMAKUL S,TIANVIWAT S.Development and validation of oral health literacy questionnaire for Thai adults[J].J Int Soc Prev Community Dent,2021,11(6):685-694. [9] VYAS S,NAGARAJAPPA S,DASAR P L,et al.Linguistic adaptation and psychometric evaluation of original Oral Health Literacy-Adult Questionnaire(OHL-AQ)[J].J Adv Med Educ Prof,2016,4(4):163-169. [10] KHODADADI E,NIKNAHAD A,SISTANI M M,et al.Parents' oral health literacy and its impact on their children's dental health status[J]. Electron Physician,2016,8(12):3421-3425. [11] 高丽娟,井淇,郑文贵,等.县级疾病预防控制中心突发公共卫生事件应急准备能力评价指标体系构建[J].预防医学,2023,35(8):659-664. [12] 陈银炜,周洋,刘珍,等.流动人口HIV感染孕产妇健康综合评价指标体系研究[J].预防医学,2023,35(3):210-214. [13] NYE R.Oral health literacy in parents and care providers of young children[D].Marquette:Northern Michigan University,2018. [14] SUPARABHA B,SHENOY R,KARUNA Y,et al.Dietary practices among children with early childhood caries and the associated factors:a qualitative study[J].Int J Paediatr Dent,2022,32(2):176-184. [15] 赵静,张利珍.儿童口腔健康行为与龋齿发生状况的相关性分析[J].中国医药导报,2021,18(3):136-139. [16] 周婕,李大威,刘日辉.母乳喂养与儿童口腔不良习惯关系的Meta分析[J].中国儿童保健杂志,2022,30(1):67-71. [17] 秦满. 国际牙外伤学会牙外伤治疗指南(2020版)解读[J].中华口腔医学杂志,2021,56(9):833-839.
