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Oral Health Literacy Instrument for Malaysian Adults

Characteristics

Domains assessed: Comprehension, Numeracy
Specific context: Dental Health, Oral Health
Validation sample population age: Adults: 18 to 64 years
Modes of administration in validation study : Face-to-face
Assessment: Objective

Psychometrics

Number of items: 57
Sample size in validation study: 195
Language of validated version: Malay

Main article reference

Ramlay, M. Z., Saddki, N., Tin-Oo, M. M., & Arifin, W. N. (2020). Cross-Cultural Adaptation and Validation of Oral Health Literacy Instrument (OHLI) for Malaysian Adults. International journal of environmental research and public health, 17(15), 5407. https://doi.org/10.3390/ijerph17155407

Link to article

Corresponding author

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Muhammad Ramlay
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Description

Instrument to measure a person’s ability to understand dental terms and oral health information. Contains both reading comprehension and numeracy sections to measure a person’s ability to perform oral health literacy tasks that require reading comprehension and numeracy skills.

Year Measure first Published: 2020

About This Measure

Measure style: TOFHLA Family
Categorical scoring: Yes
Scoring categories: The OHLI score can be categorized into three oral health literacy levels: Inadequate (0–59) Marginal (60–74) Adequate (75–100)
Reliability: Test-retest correlation: 0.86

About the Validation of this Measure

Country where validated: Malaysia
Content validity: Process of translation, adaptation, and review. Translation - two translators, a dental public health specialist and native language speaker .Both translators were proficient in English and their native language was Malay. Next, the two forward translations were reviewed by a review committee, comprising of two dental public health lecturers and two dental public health doctorate students. All members were fluent in both English and Malay languages.
Criterion validity: In addition to the OHLI-M, the reading comprehension of health literacy was measured by the Malay version of the Short Test of Functional Health Literacy in Adults (S-TOFHLA-M).The correlation between the reading comprehension section of OHLI-M scores and S-TOFHLA-M scores was examined by Spearman’s rank correlation because the variables were not normally distributed. The correlation was positive (Spearman’s rho = 0.37, p < 0.001), in support of convergent validity between the OHLI-M and S-TOFHLA-M. No significant correlation between the OHLI-M scores and DMFT index or CPI scores (Table 4), which showed lack of support for concurrent validity. the numeracy scores of the OHLI-M were not compared to that of the TOHFLA. This was because the S-TOFHLA-M that was utilized in this study lacked the numeracy section.
Reliability (Cronbach Alpha): 0.88
Reliability notes: The OHLI-M showed good reliability among adults in Malaysia
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