Agnes Fátima Pereira Cruvinel|Daniela Alejandra Cusicanqui Méndez|Juliana Gomes Ramalho de Oliveira|E. Gutierres|Matheus Lotto|Maria Aparecida Andrade Moreira Machado|Thaís Marchini de Oliveira|Thiago Cruvinel
The Brazilian version of the 20-item rapid estimate of adult literacy in medicine and dentistry
Universidade Federal da Fronteira Sul|Universidade de São Paulo|Universidade de São Paulo|Universidade de São Paulo|Universidade de São Paulo|Universidade de São Paulo|Universidade de São Paulo|Universidade de São Paulo
background misunderstanding specific vocabulary may hamper patienthealth provider communication 20item rapid estimate adult literacy medicine dentistry realmd20 constructed screen patients ability reading medicaldental terminologies simple rapid way study aimed perform crosscultural adaptation validation instrument application brazilian dental patients methods crosscultural adaptation performed conceptual equivalence verbatim translation semantic item operational equivalence backtranslation 200 participants responded adapted version realmd20 brazilian version rapid estimate adult literacy dentistry breald30 ten questions brazilian national functional literacy index bnfli questionnaire sociodemographic oral healthrelated questions statistical analysis conducted assess reliability validity realmd20 p lt 005 results sample composed predominantly women 555 whitebrown 76 individuals average age 3902 years old 1528 average realmd20 score 1748 259 range 820 displayed good internal consistency cronbachs alpha 0789 testretest reliability icc 073 95 ci 066 079 exploratory factor analysis six factors extracted according kaisers criterion factor eigenvalue 453 comprised four terms jaundice amalgam periodontitis abscess accounted 2518 total variance factor ii eigenvalue 188 comprised four terms gingivitis instruction osteoporosis constipation accounted 1046 total variance first four factors accounted 521 total variance realmd20 positively correlated breald30 rs 073 p lt 0001 bnfli rs 060 p lt 0001 scores significantly higher among health professionals educated people individuals reported goodexcellent oral health conditions sought preventive dental services distinctly realmd20 scores similar participants visited dentist lt1 year ago 1 year also realmd20 significant predictor selfreported oral health status multivariate logistic regression model considering sociodemographic oral healthrelated confounding variables conclusion brazilian version realmd20 demonstrated adequate psychometric properties screening dental patients relation recognition health specific terms instrument contribute identify individuals important dentalmedical vocabulary limitations order improve health education outcomes personcentered care model