Validation of an instrument to measure adherence to orthodontic treatment provided in dental clinics of dentistry schools.
Introduction: Adherence to treatment is associated with the quality of health care given to the patient, especially in institutions with a high workload, such as dentistry schools. In these places, treatments are long and high adherence is required for them to be successful. Objective: To validate,...
| Publicado en: | Revista Facultad de Medicina de la Universidad Nacional de Colombia Vol. 69; no. 2; pp. 1 - 16 |
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| Autores principales: | , , , , , , |
| Formato: | Artículo |
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Universidad Nacional de Colombia
abr-jun2021
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| Acceso en línea: | Ver este registro en EBSCOhost |
| fields | @attributes: recordID: 1 pdfLink: plink: https://search.ebscohost.com/login.aspx?direct=true&db=lth&AN=151987926&site=ehost-live header: @attributes: shortDbName: lth uiTerm: 151987926 longDbName: MedicLatina uiTag: AN controlInfo: bkinfo: jinfo: jid: 01200011 78E0 jtl: Revista Facultad de Medicina de la Universidad Nacional de Colombia issn: 01200011 maglogo: N pubinfo: dt: abr-jun2021 vid: 69 iid: 2 pid: 12967 pub: Universidad Nacional de Colombia artinfo: ui: 151987926 10.15446/revfacmed.v69n2.80386 ppf: 1 ppct: 15 formats: fmt: @attributes: type: P size: 2MB tig: atl: Validation of an instrument to measure adherence to orthodontic treatment provided in dental clinics of dentistry schools. aug: au: Jaimes-Monroy, Gustavo Karina Rojas-Rojas, Ingrid Yaneth Vega-Ruiz, Andrea Marcela Franco-Galvis, Claudia Clavijo-Serrato, Nathaly Higuera-Pulido, Carolina Carlos Vesga-Sarmiento, Juan affil: Universidad Antonio Nariño - Faculty of Dentistry - Specialization in Orthodontics - Bogotá D.C. - Colombia Universidad Antonio Nariño - Faculty of Dentistry - Oral Health Research Group - Bogotá D.C. - Colombia su: Corrective orthodontics Dental care Dental clinics Patient compliance Exploratory factor analysis sug: subj: Corrective orthodontics Dental care Dental clinics Patient compliance Exploratory factor analysis keyword: Factor Analysis Orthodontics Statistics Treatment Adherence and Compliance Análisis factorial Cumplimiento y adherencia al tratamiento Estadística Ortodoncia ab: Introduction: Adherence to treatment is associated with the quality of health care given to the patient, especially in institutions with a high workload, such as dentistry schools. In these places, treatments are long and high adherence is required for them to be successful. Objective: To validate, by means of an exploratory factor analysis (EFA) and a confirmatory factor analysis (CFA), an instrument for measuring adherence to orthodontic treatment in dental clinics of dentistry schools, where a large number of patients are treated. Materials and methods: Quantitative study in which an instrument was validated by performing an EFA and a CFA. A 27-item questionnaire (adapted from the original 37-item instrument) was administered to 601 patients treated at a dentistry school of a Colombian university in two different periods: during the second semester of 2018 (n=202) and during the first semester of 2019 (n=399). The EFA and the CFA were performed using the SPSS and the LISREL software, respectively. Results: Factor analysis established that the instrument has six factors and 25 questions suitable for collecting information on adherence to treatment by obtaining the following adjustment values: X²=420.09 with d.f.=260 and p<0.05; X² divided by the degrees of freedom index (X² /d.f.)=1.62; CFI=0.99; RFI=0.98; NNFI= 0.99; RMSEA=0.039 (90%CI 0.032-0.046); and SRMR= 0.057. Conclusions: Based on the results obtained after performing the EFA and the CFA, it is possible to conclude that the instrument is valid and highly reliable to measure orthodontic treatment in this context. Consequently, its use in similar institutions will allow determining the levels of adherence in these patients accurately, and thus, when necessary, develop and implement actions that encourage greater engagement from this population to orthodontic treatment to obtain better outcomes. Introducción. La adherencia al tratamiento está relacionada con la calidad de la atención en salud dada al paciente, especialmente en instituciones con un alto volumen de trabajo, como las facultades de odontología, donde los tratamientos son prolongados y se requiere de una alta adherencia para que estos sean exitosos. Objetivo. Validar, mediante un análisis factorial exploratorio (AFE) y un análisis factorial confirmatorio (AFC), un instrumento para medir la adherencia al tratamiento ortodóntico en clínicas odontológicas de facultades de odontología en las que se atiende un alto número de pacientes. Materiales y métodos. Estudio cuantitativo en el que se validó un instrumento mediante un AFE y un AFC. Se aplicó un cuestionario de 27 preguntas (adaptado del instrumento original de 37 preguntas) a 601 pacientes atendidos en una facultad de odontología de una universidad colombiana en dos periodos diferentes: el segundo semestre de 2018 y el primer semestre de 2019. El AFE y el AFC se realizaron mediante los programas SPSS y LISREL, respectivamente. Resultados. El análisis factorial permitió establecer un instrumento con 6 factores y 25 preguntas adecuado para recolectar información sobre la adherencia al tratamiento al obtener los siguientes valores de ajuste: X²=420.09 con gl=260 y p<0.05; X²/gl=1.62; CFI=0.99; RFI=0.98; NNFI=0.99; RMSEA=0.039 (IC90%: 0.032-0.046), y SRMR=0.057. Conclusiones. El AFE y el AFC permitieron establecer un instrumento válido y con una alta confiabilidad para medir la adherencia al tratamiento ortodóntico en este escenario, por lo que su uso en instituciones similares permitirá determinar de manera confiable los niveles de adherencia en estos pacientes, y, de esta forma, cuando sea necesario, desarrollar e implementar acciones que fomenten un mayor compromiso de esta población con los tratamientos de ortodoncia para obtener mejores desenlaces. pubtype: Academic Journal doctype: Article src: R language: English refInfo: copyright: @attributes: flag: Y custom: Copyright of Revista Facultad de Medicina de la Universidad Nacional de Colombia is the property of Universidad Nacional de Colombia and its content may not be copied or emailed to multiple sites without the copyright holder's express written permission. Additionally, content may not be used with any artificial intelligence tools or machine learning technologies. However, users may print, download, or email articles for individual use. item: Revista Facultad de Medicina de la Universidad Nacional de Colombia holder: Universidad Nacional de Colombia dt: @attributes: year: 2021 holdings: @attributes: islocal: N |
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