Translation and psychometric properties of the Arabic version of the ageism scale for dental students (ASDS-Ar): A multi-institutional validation.

ageism dental care geriatric dentistry older adults

Journal

Gerodontology
ISSN: 1741-2358
Titre abrégé: Gerodontology
Pays: England
ID NLM: 8215850

Informations de publication

Date de publication:
17 Jul 2024
Historique:
accepted: 03 07 2024
medline: 17 7 2024
pubmed: 17 7 2024
entrez: 17 7 2024
Statut: aheadofprint

Résumé

Ageism represents an important barrier to high-quality healthcare for older adults. The present study sought to translate and validate the Arabic version of the Ageism Scale for Dental Students (ASDS-Arabic). The 27-item ASDS tool was translated from English into Arabic following recommended cross-sectional forward and backward translation guidelines. The translated version was subjected to the content validity ratio (CVR) and sent to dental students in 21 institutes from 10 different Arab countries. Principal components analysis (PCA) was used to assess the dimensionality of the scale, and Cronbach's alpha was used to determine internal consistency reliability. The discriminant validity of the scale was assessed using the independent t-test. Confirmatory factor analysis (CFA) was also undertaken. Based on CVR, three items were removed. The 24-item Arabic version was completed by 3284 dental students. PCA and CFA retained 17 items in six components, explaining 50.3% of the total variance, with acceptable reliability, validity and discrimination. The first component "Adherence of older patients with dental treatment and instructions," included four items with a Cronbach α of 0.64 and scored 4.3 ± 0.8. The second component "Feasibility of the treatment plan," included three items with a Cronbach α of 0.66 and scored from 2.6 ± 1.2 to 2.9 ± 1.1. The third component "Cost of and responsibility for the dental treatment" included four items with a Cronbach α of 0.47 and scored 4.4 ± 0.8 to 4.5 ± 0.8. The fourth component "Medical history of older patients" included two items with a Cronbach α of 0.70 and scored 4.0 ± 1.0 to 4.1 ± 1.0. The fifth Component "Feeling towards older patients" included two items with a Cronbach α of 0.672 and scored 2.6 ± 1.2 to 2.0 ± 1.4. The sixth Component "Confidence and experience in treating older patients" included two items with a Cronbach α of 0.33 and scored 4.4 ± 1 to 4.6 ± 1. This preliminary validation of the ASDS-Ar resulted in a new 17-item scale with six components with acceptable validity, reliability and discrimination.

Sections du résumé

BACKGROUND AND OBJECTIVE OBJECTIVE
Ageism represents an important barrier to high-quality healthcare for older adults. The present study sought to translate and validate the Arabic version of the Ageism Scale for Dental Students (ASDS-Arabic).
MATERIALS AND METHODS METHODS
The 27-item ASDS tool was translated from English into Arabic following recommended cross-sectional forward and backward translation guidelines. The translated version was subjected to the content validity ratio (CVR) and sent to dental students in 21 institutes from 10 different Arab countries. Principal components analysis (PCA) was used to assess the dimensionality of the scale, and Cronbach's alpha was used to determine internal consistency reliability. The discriminant validity of the scale was assessed using the independent t-test. Confirmatory factor analysis (CFA) was also undertaken.
RESULTS RESULTS
Based on CVR, three items were removed. The 24-item Arabic version was completed by 3284 dental students. PCA and CFA retained 17 items in six components, explaining 50.3% of the total variance, with acceptable reliability, validity and discrimination. The first component "Adherence of older patients with dental treatment and instructions," included four items with a Cronbach α of 0.64 and scored 4.3 ± 0.8. The second component "Feasibility of the treatment plan," included three items with a Cronbach α of 0.66 and scored from 2.6 ± 1.2 to 2.9 ± 1.1. The third component "Cost of and responsibility for the dental treatment" included four items with a Cronbach α of 0.47 and scored 4.4 ± 0.8 to 4.5 ± 0.8. The fourth component "Medical history of older patients" included two items with a Cronbach α of 0.70 and scored 4.0 ± 1.0 to 4.1 ± 1.0. The fifth Component "Feeling towards older patients" included two items with a Cronbach α of 0.672 and scored 2.6 ± 1.2 to 2.0 ± 1.4. The sixth Component "Confidence and experience in treating older patients" included two items with a Cronbach α of 0.33 and scored 4.4 ± 1 to 4.6 ± 1.
CONCLUSION CONCLUSIONS
This preliminary validation of the ASDS-Ar resulted in a new 17-item scale with six components with acceptable validity, reliability and discrimination.

Identifiants

pubmed: 39016458
doi: 10.1111/ger.12779
doi:

Types de publication

Journal Article

Langues

eng

Sous-ensembles de citation

IM

Informations de copyright

© 2024 Gerodontology Association and John Wiley & Sons Ltd.

Références

Chang AY, Skirbekk VF, Tyrovolas S, Kassebaum NJ, Dieleman JL. Measuring population ageing: an analysis of the global burden of disease study 2017. Lancet Public Health. 2019;4(3):e159‐e167.
United Nations. World population ageing 2020 highlights. https://www.un.org/development/desa/pd/news/world‐population‐ageing‐2020‐highlights. Accessed September 19, 2023
Hajjar RR, Atli T, Al‐Mandhari Z, Oudrhiri M, Balducci L, Silbermann M. Prevalence of aging population in the Middle East and its implications on cancer incidence and care. Ann Oncol. 2013;24(Suppl 7):vii11‐vii24.
Wyman MF, Shiovitz‐Ezra S, Bengel J. Ageism in the health care system: providers, patients, and systems. Contemporary Perspectives on Ageism. Springer Nature; 2018:193‐212.
Iversen TN, Larsen L, Solem PE. A conceptual analysis of ageism. Nord Psychol. 2009;61(3):4‐22.
Ibrahim CN, Bayen UJ. Attitudes toward aging and older adults in Arab culture: a literature review. Z Gerontol Geriatr. 2019;52(Suppl 3):180‐187.
Charoosaee A, Dehghannejad M, Fakheran O, Marchini L. Translation and validation of the ageism scale for dental students in Iran (ASDS‐Persian). Spec Care Dentist. 2023;44:550‐555.
Michalopoulou E, Bornstein MM, Schimmel M, et al. Translation and validation of an ageism scale for dental students in Switzerland. J Oral Sci. 2022;64(1):74‐79.
Piaton S, Barlow P, Kossioni A, Tubert‐Jeannin S, Marchini L. Translation and preliminary validation of a French version of an ageism scale for dental students. Gerodontology. 2022;39(3):291‐296.
Rucker R, Barlow PB, Bertolini Fernandes dos Santos M, Carrera Malhao E, Kossioni A, Marchini L. Translation and preliminary validation of an ageism scale for dental students in Brazil (ASDS‐Braz). Gerodontology. 2020;37(1):87–92.
Rucker R, Barlow PB, Hartshorn J, et al. Development and preliminary validation of an ageism scale for dental students. Spec Care Dentist. 2018;38(1):31‐35.
Rucker R, Barlow PB, Hartshorn J, et al. Dual institution validation of an ageism scale for dental students. Spec Care Dentist. 2019;39(1):28‐33.
Veenstra L, Barlow P, Kossioni A, et al. Translation and validation of the ageism scale for dental students in Romanian (ASDS‐rom). Eur J Dent Educ. 2021;25(1):12‐17.
Voultsos P, Tsiantou D, Chatzinikolaou F, Papana A, Deliligka A. Ageism among dentists who are Facebook users in Greece. Cuad Bioet. 2023;34(110):51‐71.
World Medical Association. World medical association declaration of Helsinki: ethical principles for medical research involving human subjects. JAMA. 2013;310(20):2191‐2194.
Kossioni AE, Ioannidou K, Kalyva D, et al. Translation and validation of the Greek version of an ageism scale for dental students (ASDS_Gr). Gerodontology. 2019;36(3):251‐257.
Popovac A, Pficer JK, Stančić I, Vuković A, Marchini L, Kossioni A. Translation and preliminary validation of the Serbian version of an ageism scale for dental students (ASDS‐Serb). Spec Care Dentist. 2022;42(2):160‐169.
Maneesriwongul W, Dixon JK. Instrument translation process: a methods review. J Adv Nurs. 2004;48(2):175‐186.
Acquadro C, Conway K, Hareendran A, Aaronson N. Literature review of methods to translate health‐related quality of life questionnaires for use in multinational clinical trials. Value Health. 2008;11(3):509‐521.
Lawshe CH. A quantitative approach to content validity. Pers Psychol. 1975;28(4):563‐575.
Ayre C, Scally AJ. Critical values for Lawshe's content validity ratio. Meas Eval Couns Dev. 2014;47(1):79‐86.
Youssef N, Alharbi H. Validity and reliability of the English version of the student evidence‐based practice questionnaire among Arabic‐speaking undergraduate students at health sciences colleges: a cross‐sectional study. Nurse Educ Today. 2022;118:105525.

Auteurs

Mohammed Nasser Alhajj (MN)

Department of Prosthodontics, Faculty of Dentistry, Thamar University, Dhamar, Yemen.

Ridwaan Omar (R)

Division of Prosthodontics, Department of Restorative Sciences, College of Dentistry, Kuwait University, Safat, Kuwait.

Sadeq Ali Al-Maweri (SA)

College of Dental Medicine, QU Health, Qatar University, Doha, Qatar.

Abdullah M Alsoghier (AM)

Department of Oral Medicine and Diagnostic Sciences, College of Dentistry, King Saud University Riyadh, Riyadh, Saudi Arabia.

Maha El Tantawi (M)

Department of Pediatric Dentistry and Dental Public Health, Faculty of Dentistry, Alexandria University, Alexandria, Egypt.

Yousef Khader (Y)

Department of Community Medicine, Public Health and Family Medicine, Faculty of Medicine, Jordan University of Science and Technology, Irbid, Jordan.

Asim Al-Ansari (A)

Department of Preventive Dental Sciences, College of Dentistry, Imam Abdulrahman Bin Faisal University, Dammam, Saudi Arabia.

Abdulrahman Aseri (A)

Department of Preventive Dental Sciences, Faculty of Dentistry, Najran University, Najran, Saudi Arabia.

Abdullah G Amran (AG)

Department of Periodontics, Faculty of Dentistry, Thamar University, Dhamar, Yemen.

Ola B AlBatayneh (OB)

Department of Orthodontics, Pediatric and Community Dentistry, University of Sharjah, Sharjah, United Arab Emirates.
Department of Preventive Dentistry, Faculty of Dentistry, Jordan University of Science and Technology, Irbid, Jordan.

Abdulaziz Samran (A)

Department of Restorative and Prosthetic Dental Sciences, College of Dentistry, Dar A1-Uloom University, Riyadh, Saudi Arabia.
Department of Prosthodontics, College of Dentistry, Ibb University, Ibb, Yemen.

Ahmed Yaseen Alqutaibi (AY)

Department of Prosthodontics, College of Dentistry, Ibb University, Ibb, Yemen.
Department of Substitutive Science, College of Dentistry, Taibah University, Al Madinah, Saudi Arabia.

Ahmed Shaher Alqahtani (AS)

Department of Maxillofacial Surgery and Diagnostic Sciences, College of Dentistry, Jazan University, Jazan, Saudi Arabia.

Thiyezen Abdullah AlDhelai (TA)

Department of Orthodontic and Pediatric Dentistry, College of Dentistry, Qassim University, Buraydah, Saudi Arabia.
Department of Orthodontics and Pediatric Dentistry, Faculty of Dentistry, Ibb University, Ibb, Yemen.

Muhammad Faheemuddin (M)

Department of Prosthodontics and Implantology, College of Dentistry, King Faisal University, Al-Ahsa, Saudi Arabia.

Muhammad Farooq Umer (MF)

Department of Preventive Dental Sciences, College of Dentistry, King Faisal University, Al Ahsa, Saudi Arabia.

Mounzer Assad (M)

Department of Oral and Maxillofacial Surgery, Faculty of Dentistry, University ofTishreen, Lattakia, Syria.

Imad Barngkgei (I)

Department of Oral Medicine, Faculty of Dentistry, Al-Wataniya Private University (WPU), Hama, Syria.

Tarek Abou Agwa (TA)

Department of Oral and Maxillofacial Surgery, Faculty of Dentistry, Al-Wataniya Private University (WPU), Hama, Syria.

Ali H Murad (AH)

Department of Oral Diagnosis, College of Dentistry, University of Al-Qadisiyah, Al-Diwaniya, Iraq.

Joseph E Makzoumé (JE)

Department of Removable Prosthodontics, Faculty of Dental Medicine, Saint-Joseph University of Beirut, Beirut, Lebanon.

Arheiam Arheiam (A)

Department of Dental Public Health and Preventive Dentistry, Faculty of Dentistry, University of Benghazi, Benghazi, Libya.

Lamis Ballo (L)

Department of Dental Public Health and Preventive Dentistry, Faculty of Dentistry, University of Benghazi, Benghazi, Libya.

Abdulbaset A Mufadhal (AA)

Department of Conservative Dentistry, Faculty of Dentistry, Sana'a University, Sana'a, Yemen.

Mohammed A Al-Wesabi (MA)

Department of Dentistry, Faculty of Medicine and Health Science, University of Science and Technology, Aden, Yemen.

Wadhah A Alhajj (WA)

Department of Periodontics, Faculty of Dentistry, Thamar University, Dhamar, Yemen.
Department of Dentistry, Faculty of Medical Sciences, Civilization University, Sana'a, Yemen.

Sahar Elkholy (S)

Department of Removable Prosthodontics, Delta University For Science and Technology, Dakahlia, Egypt.

Sarah M Osman (SM)

Department of Prosthodontist, Faculty of Oral and Dental Medicine, International University of Africa, Khartoum, Sudan.

Esam Halboub (E)

Department of Maxillofacial Surgery and Diagnostic Sciences, College of Dentistry, Jazan University, Jazan, Saudi Arabia.

Classifications MeSH