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Development and Validation of the Oral Health-Related Self-Efficacy Scale for Cancer Patients

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Abstract

This study aimed to validate the Oral Health-related Self-Efficacy Scale for Patients with Cancer (OSEC), comprised of 17 questions (five factors). To this end, a sample of 203 cancer patients was recruited (August 2018–April 2019) followed by a random subsampling for test-retest reliability. Concurrent validity was tested by correlating scores with the Self-efficacy Scale for Advanced Cancer (SEAC), discriminant validity was tested by comparing high OSEC to low OSEC groups, and predictive validity was tested using a plaque control record. Five OSEC factors had Cronbach’s alpha coefficients ranging from 0.75 to 0.88. The intraclass correlation coefficient of the total score was 0.92 upon test-retest reliability. The factor-level scores significantly related to all the SEAC factor-level scores. The differences between the high OSEC and low OSEC groups were statistically significant in the total score and on all factor-level scores (p < 0.01). The plaque control record of the high OSEC group was significantly lower than that of the low OSEC group (p < 0.01). In conclusion, the OSEC can be used for understanding cancer patients’ motives for oral care behaviors and applied to program planning to increase self-efficacy and health behaviors.

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Acknowledgments

We agree to allow the journal to review all primary data if requested. We are grateful to the respondents in this study for their willing participation. We extend our appreciation to all staff members of the Oral Care Center and Department of Oral and Maxillofacial Surgery, School of Medicine, Shimane University, for their assistance and support.

Funding

This research was supported by JSPS KAKENHI Grant Number 17K17379.

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Correspondence to Yuhei Matsuda.

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Matsuda, Y., Karino, M. & Kanno, T. Development and Validation of the Oral Health-Related Self-Efficacy Scale for Cancer Patients. J Canc Educ 36, 1054–1060 (2021). https://doi.org/10.1007/s13187-020-01733-1

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  • DOI: https://doi.org/10.1007/s13187-020-01733-1

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