Accepted for/Published in: JMIR Human Factors
Date Submitted: Oct 12, 2023
Date Accepted: Nov 25, 2024
(closed for review but you can still tweet)
Warning: This is an author submission that is not peer-reviewed or edited. Preprints - unless they show as "accepted" - should not be relied on to guide clinical practice or health-related behavior and should not be reported in news media as established information.
Development, Reliability, And Validation Of Tele-Primary Care Oral Health Clinical Information System Questionnaire
ABSTRACT
Background:
Using a structured questionnaire for the evaluation of primary healthcare digital health service delivery implementation requires a comprehensive system focussed according to the service provider's needs.
Objective:
The present study aimed to develop, test for reliability, and validate the Tele-primary Care Oral Health Clinical Information System (TPCOHCIS) questionnaire for evaluating the maternal and child digital health information system.
Methods:
A mixed sequential exploratory study was conducted in two phases. Phase one focused on a narrative literature review for content item development and was validated by a group of ten experts using the content validity index (CVI). The second phase was conducted to assess its psychometric testing for reliability and validity before conducting a cross-sectional study on 319 respondents.
Results:
The content validity index (CVI) yielded a result of 0.90 (CVI > 0.78). Four domains were determined by the Scree Plot with eigenvalues > 1 and 13 subdomains were identified based on Principal Component Analysis. The Kaiser-Meyer-Olkin (KMO) value was 0.90 (p<0.05). The total variance explained (TVE) was 76.07% and factor loading scores for all variables were>0.7. Bartlett's test of sphericity determining the construct validity was found significant.
Conclusions:
The TPCOHCIS questionnaire is valid to be used in the primary healthcare system to evaluate the system implementation as a holistic model approach. It will bring an in-depth understanding of how the system will ease healthcare workers' work performance and improve the quality of care assessment. Clinical Trial: NO
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