Development of the Multidimensional Scale Related to Infectious Diseases in Dentistry.

IF 2.9 3区医学 Q1 DENTISTRY, ORAL SURGERY & MEDICINE Oral diseases Pub Date : 2025-07-01 Epub Date: 2025-03-17 DOI:10.1111/odi.15302

Daniele Sorgatto Faé, Francielle Silvestre Verner, Cleidiel Aparecido Araujo Lemos, Rafael Binato Junqueira, Rodrigo Furtado de Carvalho, Pedro Henrique Berbert de Carvalho, Sibele Nascimento de Aquino

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Abstract

Objective: This study aimed to develop and validate an instrument to assess dentists' adherence to infection control protocols and explore psychological factors related to infectious diseases in dental practice.

Materials and methods: The instrument was developed through phases including context validity, face and semantic analysis, exploratory factor analysis (EFA), and confirmatory factor analysis (CFA). Internal consistency was evaluated using McDonald's Omega coefficient (ω) and Cronbach's Alpha (α).

Results: A total of 405 individuals completed the instrument. EFA (n = 135) revealed a four-factor structure (Work Environmental Protection, Disinfection, Team Training, and Fear and Anxiety) with 23 items with factor loadings above 0.60. The Kaiser-Meyer-Olkin (KMO) value was 0.803, and Bartlett's test of sphericity was significant (χ²: 2501.136, df:253.000, p < 0.001). CFA (n = 270) confirmed an acceptable model fit: χ²/df: 1.75; Comparative Fit Index (CFI): 0.997; Tucker-Lewis Index (TLI): 0.996; Standardized Root Mean Square Residual (SRMR): 0.079; Root Mean Square Error of Approximation (RMSEA): 0.053, supporting the four-factor structure from the EFA. Reliability analysis demonstrated strong internal consistency across all factors (ω and α ≥ 0.70).

Conclusion: The developed instrument exhibited appropriate validity, reliability, and internal consistency, providing a suitable tool to evaluate infection control adherence and psychological aspects among dentists facing infectious diseases.

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牙科传染病多维度量表的研制

目的：本研究旨在开发和验证一种评估牙医对感染控制方案依从性的工具，并探讨牙科实践中与传染病相关的心理因素。材料和方法：该仪器的开发阶段包括上下文效度、面部和语义分析、探索性因素分析（EFA）和验证性因素分析（CFA）。采用McDonald's Omega系数（ω）和Cronbach's Alpha （α）评价内部一致性。结果：共有405人完成了问卷调查。EFA （n = 135）呈现四因素结构（工作环境保护、消毒、团队训练、恐惧与焦虑），其中23个项目的因子负荷大于0.60。Kaiser-Meyer-Olkin （KMO）值为0.803,Bartlett's球形检验具有显著性(χ2: 2501.136, df:253.000, p 2/df: 1.75；比较拟合指数（CFI）： 0.997；Tucker-Lewis指数（TLI）： 0.996；标准化均方根残差（SRMR）： 0.079；均方根近似误差（RMSEA）： 0.053，支持EFA的四因素结构。信度分析显示各因素之间具有较强的内部一致性（ω和α≥0.70）。结论：所开发的仪器具有良好的效度、信度和内部一致性，可作为评估牙科医生感染性疾病感染控制依从性和心理因素的合适工具。

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来源期刊

Oral diseases 医学-牙科与口腔外科

CiteScore

7.60

自引率

5.30%

发文量

325

审稿时长

4-8 weeks

期刊介绍： Oral Diseases is a multidisciplinary and international journal with a focus on head and neck disorders, edited by leaders in the field, Professor Giovanni Lodi (Editor-in-Chief, Milan, Italy), Professor Stefano Petti (Deputy Editor, Rome, Italy) and Associate Professor Gulshan Sunavala-Dossabhoy (Deputy Editor, Shreveport, LA, USA). The journal is pre-eminent in oral medicine. Oral Diseases specifically strives to link often-isolated areas of dentistry and medicine through broad-based scholarship that includes well-designed and controlled clinical research, analytical epidemiology, and the translation of basic science in pre-clinical studies. The journal typically publishes articles relevant to many related medical specialties including especially dermatology, gastroenterology, hematology, immunology, infectious diseases, neuropsychiatry, oncology and otolaryngology. The essential requirement is that all submitted research is hypothesis-driven, with significant positive and negative results both welcomed. Equal publication emphasis is placed on etiology, pathogenesis, diagnosis, prevention and treatment.