Evidence map›Paper›PMID 42651383›Full record

ArticleHealthcare (Basel, Switzerland)2026

Development and Initial Psychometric Evaluation of the Adolescent Oral and Maxillofacial Health Knowledge-Attitude-Practice and Self-Efficacy Questionnaire (AOMH-KAPQ).

Like Zhang, Xue Liu, Lei Cui, Xinyao Yang, Xinyue Hou, Lili Hou

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Article in Healthcare (Basel, Switzerland), 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

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5 · Who and what money

Authors and funding

6 authors.

Like ZhangSchool of Nursing, Shanghai Jiao Tong University School of Medicine, Shanghai 200025, China.
Xue LiuSchool of Nursing, Shanghai Jiao Tong University School of Medicine, Shanghai 200025, China.
Lei CuiSchool of Nursing, Shanghai Jiao Tong University School of Medicine, Shanghai 200025, China.
Xinyao YangSchool of Nursing, Shanghai Jiao Tong University School of Medicine, Shanghai 200025, China.
Xinyue HouSchool of Nursing, Shanghai Jiao Tong University School of Medicine, Shanghai 200025, China.
Lili HouDepartment of Nursing, Shanghai Ninth People's Hospital, Shanghai Jiao Tong University School of Medicine, Shanghai 200011, China.

Funding

Science and Technology Commission of Shanghai Municipality 25DZ2304900
6 · The paper itself

Abstract

BACKGROUND/

objectivesExisting oral-health questionnaires differ in scope from an instrument that combines objectively scored knowledge with separate attitude, practice, and self-efficacy domains across multiple adolescent oral and maxillofacial topics. This study developed the Adolescent Oral and Maxillofacial Health Knowledge-Attitude-Practice and Self-Efficacy Questionnaire (AOMH-KAPQ) and evaluated its initial psychometric properties.

methodsA 46-item pool derived from the KAP framework, literature, and clinical education content was refined through consultation with 18 experts and cognitive interviews with 10 adolescents. The questionnaire was administered to 1006 adolescents aged 12-18 years, and the sample was randomly divided for exploratory factor analysis (EFA) and confirmatory factor analysis (CFA;

resultsThe final 38-item questionnaire comprised knowledge (15 items), attitude (9), practice (9), and self-efficacy (5). EFA identified one attitude and two provisional practice factors. In CFA, SRMR was ≤0.051 across dimensions; self-efficacy showed CFI = 0.991, TLI = 0.982, and RMSEA = 0.082, whereas robust RMSEA remained elevated for attitude (0.137) and practice (0.145). Cronbach's α was 0.855-0.929, McDonald's ω 0.867-0.930, and test-retest ICC 0.797-0.866.

conclusionsThe AOMH-KAPQ showed good reliability in this sample, but structural evidence for the attitude and practice dimensions remains preliminary. At present, use should be limited to research and group-level educational needs assessment rather than individual clinical decisions.

Indexed as

adolescentattitudeshealth knowledgeoral healthpracticepsychometricssurveys and questionnaires

Identifiers

PMID42651383
PMCPMC13512447

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.