Instrument Development and Validation to Assess Care Barriers for Patients in Saudi Arabia with Oral Clefts

Layla Khogeer, Narmin Helal, Osama Basri, Sara Madani, Abeer Basri and Azza A. El-Houseiny
Additional contact information
Layla Khogeer: Department of Pediatric Dentistry, King Abdulaziz University, Jeddah 21589, Saudi Arabia
Narmin Helal: Department of Pediatric Dentistry, King Abdulaziz University, Jeddah 21589, Saudi Arabia
Osama Basri: Dentistry Department, King Faisal Hospital and Research Center, Jeddah 21499, Saudi Arabia
Sara Madani: Dentistry Department, Vision College, Jeddah 23643, Saudi Arabia
Abeer Basri: Dentistry Department, National Guard Hospital, Jeddah 21423, Saudi Arabia
Azza A. El-Houseiny: Department of Pediatric Dentistry, King Abdulaziz University, Jeddah 21589, Saudi Arabia

IJERPH, 2021, vol. 18, issue 7, 1-8

Abstract: The study objective was to construct and validate a tool to assess, measure, and evaluate the barriers and obstacles that patients with orofacial clefts (OFCs), and their families, face during treatment. The Effective Accessibility and Accommodation subscale, based on the translated Primary Care Assessment Survey and Primary Care Assessment Tool scales, was used as a reference for the questionnaire. A total of 165 parents from three main cleft referral centers in Saudi Arabia were interviewed. Questionnaire content validity was conducted by calculation of a content validity index for each item (I-CVI) as well as for the total scale (S-CVI). Reliability was tested using Cronbach’s alpha. Factor analysis and principal components analysis were performed to determine the factor structure of the instrument. The final questionnaire had nine items. Rating results showed both I-CVI and S-CVI scores of 1 and Cronbach’s alpha was 0.86. There were three factors (geographic accessibility, appointment availability and accessibility, and scheduling-related barriers) with eigenvalues above 1.00, which collectively accounted for 73% of the variance. In conclusion, this tool is valid and reliable to evaluate accessibility and barriers to care of patients with OFCs in Saudi Arabia.

Keywords: validation; cleft lip and palate; barriers (search for similar items in EconPapers)
JEL-codes: I I1 I3 Q Q5 (search for similar items in EconPapers)
Date: 2021
References: View references in EconPapers View complete reference list from CitEc
Citations:

Downloads: (external link)
https://www.mdpi.com/1660-4601/18/7/3399/pdf (application/pdf)
https://www.mdpi.com/1660-4601/18/7/3399/ (text/html)

Related works:
This item may be available elsewhere in EconPapers: Search for items with the same title.

Export reference: BibTeX RIS (EndNote, ProCite, RefMan) HTML/Text

Persistent link: https://EconPapers.repec.org/RePEc:gam:jijerp:v:18:y:2021:i:7:p:3399-:d:523884

Access Statistics for this article

IJERPH is currently edited by Ms. Jenna Liu

More articles in IJERPH from MDPI
Bibliographic data for series maintained by MDPI Indexing Manager ().