Journal of Oral Health and Community Dentistry

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VOLUME 13 , ISSUE 1 ( January-April, 2019 ) > List of Articles

ORIGINAL ARTICLE

Development of a Tool to Assess Barriers Faced by Children with Special Needs in Utilizing Dental Care Services

Krishnan Lakshmi, Anusha R, Kiran Iyer, Madankumar P Diwakar

Keywords : Barriers, Caregivers, Cross-sectional, Dentist, Disabilities

Citation Information : Lakshmi K, R A, Iyer K, Diwakar MP. Development of a Tool to Assess Barriers Faced by Children with Special Needs in Utilizing Dental Care Services. J Oral Health Comm Dent 2019; 13 (1):1-4.

DOI: 10.5005/jp-journals-10062-0037

License: NA

Published Online: 01-12-2018

Copyright Statement:  NA


Abstract

Aim: To develop and validate a questionnaire based on the Institute of Medicine (IOM) model of healthcare disparities to assess the barriers faced by children with special needs in utilizing dental care services, as perceived by their caregivers and dental professionals, in Chennai city. Materials and methods: Based on the IOM model, two questionnaires were developed to assess barriers to dental care utilization from the dentist and caregiver's perspective. Content, face validation was done. Test-retest reliability was checked. Results: Scale- Content validity index (S-CVI) value of 0.8 was obtained for both the scales. Cronbach's alpha value of 0.52 and 0.62 was obtained cfor the dentist and caregiver questionnaire, respectively. Conclusion: The present study showed that the developed questionnaire was a reliable and valid tool to assess barriers faced by children with special needs in utilizing dental care services in an Indian context. Clinical significance: The present study paves the way for further research on barriers encountered by children with special needs and its myriad implications in developing countries like India.


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  1. Ministry of statistics and program implementation. Disabled population in India: A statistical profile 2016 March: Retrieved from: http://:mospi.nic.in/sites/default/files/publication…/Disabled_persons_in_India_2016.pd.
  2. Dimension of disability in India. (2016) Disabled Persons in India: A statistical profile 2016. [Online]. Ministry of Statistics and Programme. Available from http://mospi.nic.in/sites/default/files/publication_reports/Disabled_persons_in_India_2016.pdf [Last accessed May 2019].
  3. Michelle AM, Elham M, Shoou-Yih L. The intersection of disability and healthcare disparities: a conceptual framework. Disabil Rehabil 2015;37(7):632-641.
  4. Vijay V, James HR, Frederick K. Development of the Barriers to Physical Activity Questionnaire for People with Mobility Impairments. Disabil Rehabil 2015;8(4):547-556.
  5. Yasir IM, Shoaib R, Hamaza HM. Factors that limit access to dental care for person with disabilities. Pak Armed Forces Med J 2016; 66(2): 230-234.
  6. Gerreth K, Lewcika BM. Acess Barriers to Dental Health Care in Children with Disability, A Questionarie Study of parents. JARID 2015; 29:139-145.
  7. Linda NP, Getzin A, Graham D, et al. Unmet Dental Needs and Barriers to Care for Children with Significant Special Health Care Needs, Pediatric dentistry 2011;13(1):29-36.
  8. Sharifa AM. Access to dental care for persons with disabilities in Saudi Arabia (Caregivers' perspective) Journal of Disability and Oral Health 2012;13(2):51-61.
  9. Lawshe CH. A Quantitiative Approach to Content Validity. Personnel Psycology 1975;28:563-575.
  10. Lynn MR. Determination and quantification of content validity. Nursing Research 1996;35:382-385.
  11. Haladyna T. Developing and Validating multiple-choice test items.1999 New Jersey: Lawrence Erlbaum.
  12. Trochim WMK. The Research Methods Knowledge Base 2001 Cincinnati: Atomic Dog.
  13. DeVon HA, Block ME, Moyle-Wright P, et al. A psychometric Toolbox for testing Validity and Reliability. Journal of Nursing scholarship, 2007;39(2):155-164.
  14. Kane M. Current concerns in validity theory. Journal of Educational Measurement 2001;38: 319-342.
  15. Beanland C, Schneider Z, LoBiondo-Wood G, et al. Nursing research: Methods, critical appraisal and utilization. 1999.
  16. Pilot D, Hunger B. Nursing research: principals and method 1999; Philadelphia: Lippincott Williams and Wilkins.
  17. Cronbach LJ, Shavelson RJ. My Current Thoughts on Coefficient Alpha and Successor Procedures Educational and Psychological Measurement 2004;64(3):391-418.
  18. Pavithra R, Lalithambigai G, Junaid M, et al. Content Validity and Reliability of the 13-Item Sense of Coherence Scale among 13.15 Year Old School Children in Chennai City. The International Journal of Indian Psycology 2015;3(1):43-50.
  19. Bhaskar VB, Janakiram C, Joseph J. Access to Dental Care among Differently Disabled Children in Kochi, Journal of Indian Association of Public Health dentistry 2016;14(1):29-34.
  20. Adhyanthaya A, Sreelakshmi N, Ismail S, et al. Barriers to dental care for children with special needs: General dentists' perception in Kerala, India. J Indian Soc Pedod Prev Dent 2017;35:216-222.
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