Validity and Reliability of the Brazilian Version of the Rapid Estimate of Adult Literacy in Dentistry – BREALD-30

Junkes, Mônica Carmem; Fraiz, Fabián Calixto; Sardenberg, Fernanda; Lee, Jessica Y.; Paiva, Saul Martins; Ferreira, Fernanda Morais

doi:10.1371/journal.pone.0131600

Cited by 64 publications

(146 citation statements)

References 31 publications

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“…Testes de rastreamento podem ser utilizados para aferição da literacia em saúde , são necessários para tomadas de decisões (SMITH et al, 2013) e se fazem importantes para mensurar condições específicas de saúde como por exemplo asma, diabetes, hipertensão (BAKER, 2006 (BAKER, 2006;DE OLIVEIRA et al, 2014) DE CASTRO et al, 2014;SOUZA et al, 2014;JUNKES et al, 2015;SANTOS & PORTELLA, 2016;VILELLA et al, 2016a;VILELLA et al, 2016b). Esses instrumentos validados são fundamentais, pois possibilitam a realização de pesquisas com a finalidade de conhecer o nível da literacia em saúde da população brasileira, nas diversas áreas.…”

Section: Resultsunclassified

LITERACIA EM SAÚDE no Brasil: ESTUDO CIENCIOMÉTRICO

Peres¹,

Pessôa²,

Bernuci³

et al. 2017

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RESUMOA literacia em saúde é um tema pouco abordado no Brasil, é uma construção individual, envolve habilidades interativas e críticas fundamentais para o empoderamento. Relaciona-se diretamente com a Promoção da Saúde. O objetivo desta pesquisa foi identificar a produção científica sobre o tema Literacia em Saúde no Brasil por meio da cienciometria. Para isto foi realizado um estudo cienciométrico da literatura científica internacional e nacional, nos meses de fevereiro e março de 2017 utilizando os termos em português "literacia" e "alfabetização em saúde" na base de dados Scielo, e na língua inglesa "Brazil Health Literacy" no PubMed. Os artigos identificados foram selecionados e classificados por meio da análise dos títulos e resumos. Inicialmente foram identificadas 287 publicações científicas referentes ao tema. Após avaliação dos títulos e resumos, com exclusão dos artigos que não atenderam aos critérios de inclusão, resultaram 83 artigos para análise. O presente estudo identificou que publicações científicas abordando literacia em saúde surgiram efetivamente como tema de interesse dos pesquisadores brasileiros após a implementação da Política Nacional de Promoção da Saúde. A literacia em saúde mental destacou-se como tema de maior interesse, seguido dos estudos sobre os instrumentos de avaliação da literacia em saúde. O número de pesquisas sobre os instrumentos de avaliação permite inferir que haverá no futuro tendência de aumento de estudos sobre o nível da literacia em saúde no Brasil. A partir dos resultados das pesquisas vindouras, ações efetivas, relacionadas à educação em saúde da população poderão ser implementadas para a promoção da saúde. PALAVRAS-CHAVE: Alfabetização em saúde, educação em saúde, promoção da saúde. HEALTH LITERACY IN BRAZIL: SCIENTOMETRIC STUDYABSTRACT Health literacy is a subject rarely addressed in Brazil, it is an individual construction, it involves interactive skills and fundamental critics for empowerment. Relates directly to Health Promotion. It is directly related to Health Promotion. The objective of this

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Section: Resultsunclassified

LITERACIA EM SAÚDE no Brasil: ESTUDO CIENCIOMÉTRICO

Peres¹,

Pessôa²,

Bernuci³

et al. 2017

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“…7 This is the only instrument to measure oral health literacy that has been translated, cross-culturally adapted, and validated into Brazilian Portuguese (BREALD-30). 8 The BREALD-30 has adequate psychometric properties and proved to be reliable to measure the levels of oral health literacy in Brazilian Portuguese-speaking adults. 8 This instrument consists of 30 words related to oral health arranged in increasing order of reading difficulty.…”

Section: Introductionmentioning

confidence: 99%

“…8 The BREALD-30 has adequate psychometric properties and proved to be reliable to measure the levels of oral health literacy in Brazilian Portuguese-speaking adults. 8 This instrument consists of 30 words related to oral health arranged in increasing order of reading difficulty. The BREALD-30 is aimed at providing a rapid estimate in adults and shows a positive and significant correlation with the instruments used to evaluate functional literacy, educational level, and oral health knowledge.…”

Section: Introductionmentioning

confidence: 99%

“…The BREALD-30 is aimed at providing a rapid estimate in adults and shows a positive and significant correlation with the instruments used to evaluate functional literacy, educational level, and oral health knowledge. 8 During the administration of the BREALD-30, the interviewee reads each word aloud for the examiner. The words are read only once.…”

Section: Introductionmentioning

confidence: 99%

“…The words of the BREALD-30 are arranged in increasing order of reading difficulty based on the average word length, number of syllables, and difficulty of combining sounds. 8 Not surprisingly, therefore, the lowest ag reement rates were associated with the last words of the instrument, such as "hipoplasia". For this particular case, there was probably more frequent mispronunciation and, consequently, the interviewers were more insecure about the score assignment.…”

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confidence: 97%

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Training and calibration of interviewers for oral health literacy using the BREALD-30 in epidemiological studies

et al. 2016

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The objective of this study was to describe an interviewer training and calibration method to evaluate oral health literacy using the Brazilian Rapid Estimate of Adult Literacy in Dentistry (BREALD-30) in epidemiological studies. An experienced researcher (gold standard) conducted all training sessions. The interviewer training and calibration sessions included three different phases: theoretical training, practical training, and calibration. In the calibration phase, six interviewers (dentists) independently assessed 15 videos of individuals who had different levels of oral health literacy. Accuracy and reproducibility were evaluated using the kappa coefficient and the intraclass correlation coefficient (ICC). The percentage of agreement for each word in the instrument was also calculated. After training, the kappa values were higher than 0.911 and 0.893 for intra-and inter-rater agreement, respectively. When the results were analyzed separately for the different levels of literacy, the lowest agreement rate was found when evaluating the videos of individuals with low literacy (K = 0.871), but still within the range considered to be near-perfect agreement. The ICC values were higher than 0.990 and 0.975 for intra-and inter-rater agreement, respectively. The lowest percentage of agreement was 86.6% for the word "hipoplasia" (hypoplasia). This interviewer training and calibration method proved to be feasible and effective. Therefore, it can be used as a methodological tool in studies assessing oral health literacy using the BREALD-30.

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The Association of Oral Health Literacy and Oral Health Knowledge with Social Determinants in Pregnant Brazilian Women

et al. 2016

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The aim of the present study was to assess oral health literacy (OHL) in pregnant women and its association with social determinants and knowledge regarding eating habits and oral hygiene in infants. This cross-sectional study assessed 175 pregnant women in a hospital in southern Brazil. Socioeconomic and demographic data were obtained using a questionnaire, and OHL was determined by the Brazilian Rapid Estimate of Adult Literacy in Dentistry (BREALD-30). Eating habits and oral hygiene knowledge were assessed by statements on a 3-point Likert scale. The data were analyzed using Spearman correlations and the Mann-Whitney U test (α = 0.05). The mean (SD) age was 26.2 (6.17) years. Most of the participants had up to 8 years of education (60.0 %) and belonged to socioeconomic class "C" or lower (56.0 %). The mean (SD) score on the BREALD-30 was 22.4 (4.66). A positive correlation was found between BREALD-30 scores and knowledge (r s = 0.370, p < 0.001), income (r s = 0.374, p < 0.001), and the age at which infants first consumed sugar in their diets (r s = 0.370, p < 0.001). A negative correlation was found between BREALD-30 scores and domicile agglomeration (r s = -0.237, p = 0.020). BREALD-30 scores were higher among pregnant women who had more than 8 years of education (p < 0.001), who belonged to higher socioeconomic classes (p < 0.001), and who were employed (p = 0.025). A significant correlation was found between OHL and knowledge. Lower social determinants were associated with lower OHL. Oral health literacy should be considered in health education practices to facilitate adherence to health recommendations in pregnant women.

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Validity and Reliability of the Brazilian Version of the Rapid Estimate of Adult Literacy in Dentistry – BREALD-30

Cited by 64 publications

References 31 publications

LITERACIA EM SAÚDE no Brasil: ESTUDO CIENCIOMÉTRICO

LITERACIA EM SAÚDE no Brasil: ESTUDO CIENCIOMÉTRICO

Training and calibration of interviewers for oral health literacy using the BREALD-30 in epidemiological studies

The Association of Oral Health Literacy and Oral Health Knowledge with Social Determinants in Pregnant Brazilian Women

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