Development and Psychometric Evaluation of a Scale for Identifying Specific Learning Problems in Dental Students

Document Type : Original Article

Authors

1 Education Development Center, Sirjan School of Medical Sciences, Sirjan, Iran

2 Department of Oral and Maxillofacial Surgery, Yasuj University of Medical Sciences, Yasuj, Iran

3 Cellular and Molecular Research Center, Yasuj University of Medical Sciences, Yasuj, Iran

10.34172/jhad.1203

Abstract

Background: Learning disabilities can adversely affect the academic and professional performance of dental students and ultimately impact the quality of health services provided to the community. Given the absence of a standardized questionnaire for assessing specific learning problems among dental students, the development of a valid and reliable tool tailored to this group is essential.
Methods: This three-phase descriptive study involved generating and refining a pool of questionnaire items through qualitative interviews and a review of authoritative literature. Subsequently, the psychometric properties of the questionnaire were assessed. To this end, face validity was examined using the item impact method, while content validity was evaluated through the Content Validity Ratio (CVR) and the Content Validity Index (CVI). Finally, the questionnaire was administered to 137 dental students, and construct validity was established through the assessment of convergent and discriminant validity using Smart-PLS software (Version 4). Reliability was further determined using Cronbach’s alpha and composite reliability coefficients.
Results: The initial version of the questionnaire consisted of 70 items. Following face validity and qualitative and quantitative content validity assessments, the number of items was reduced to 48. The finalized instrument assesses 11 domains, including difficulties in reading, mathematics, writing, motor skills, language, auditory and visual processing, spatial problems, social cognition, social anxiety, and attention deficit/hyperactivity disorder. In face validity assessment, all items demonstrated acceptable impact scores. The average CVI was 86%, and the CVR was 68%.
Conclusion: The questionnaire designed to assess specific learning problems among dental students, comprising 48 items, demonstrated satisfactory validity and reliability. Completion requires no more than 15 minutes. The questionnaire, specifically developed for dental students, can be utilized in future studies.

Keywords

Main Subjects


  1. Kamran M, Bano N. A systematic review of literature on inclusive education with special emphasis on children with disability in Pakistan. Int J Incl Educ. 2025;29(7):1078-96. doi: 1080/13603116.2023.2256321.
  2. Ghaffari K, Yasblaghi Sharahi B, Abdolvand K. The effect of word game teaching on dictation problems of first grade primary school students in Azna. New Educational Approaches. 2020;15(2):23-42. doi: 22108/nea.2021.124489.1511.
  3. Zahedifar S, Najarian B, Shokrkon H. Construction and validation of a scale for the measurement of aggression. J Educ Sci. 2000;7(1):73-102. doi: 22055/edus.2000.16084.
  4. Yousefi E, Nobakht M. Teachers’ narratives of elementary school students’ learning difficulties. Teacher Professional Development. 2021;5(4):87-104.
  5. Al-Kinani RA. The level of academic stress and its relationship to school dropout among students with learning difficulties from the point of view of their parents. Journal of Educational and Human Sciences. 2023;20:101-23. doi: 33193/jeahs.20.2023.324.
  6. Beigzadeh A, Nemati N, Zarei M, Kianiservak I, Rezaei H. Exploring educational justice: a qualitative study of perspectives from students, faculty members, and administrative managers. J Kerman Univ Med Sci. 2025;32(1):1-9. doi: 34172/jkmu.4105.
  7. Heydari S, Beigzadeh A. Medical students’ perspectives of reflection for their professional development. BMC Med Educ. 2024;24(1):1399. doi: 1186/s12909-024-06401-2.
  8. Esmaeili M, Haghdoost AA, Beigzadeh A, Bahmanbijari B, Bazrafshan A. Personal and scientific characteristics of positive and negative role models among medical educators from the viewpoint of dentistry and pharmacy students in Kerman University of Medical Sciences Iran. Stride Dev Med Educ. 2013;10(3):298-311.
  9. Kavale KA, Forness SR. The Nature of Learning Disabilities: Critical Elements of Diagnosis and Classification. Routledge; 2012.
  10. Karunanayake D, Madushani K, Vimukthi ND. The importance of identifying students with learning difficulty in the school context. Asian J Educ Soc Stud. 2020;12(4):8-18. doi: 9734/AJESS/2020/v12i430316.
  11. Heiman T, Precel K. Students with learning disabilities in higher education: academic strategies profile. J Learn Disabil. 2003;36(3):248-58. doi: 1177/002221940303600304.
  12. Waltz C, Strickland OL, Lenz E. Measurement in Nursing and Health Research. 4th ed. New York: Springer Publishing Company; 2010.
  13. Capodilupo CM. One size does not fit all: using variables other than the thin ideal to understand Black women’s body image. Cultur Divers Ethnic Minor Psychol. 2015;21(2):268-78. doi: 1037/a0037649.
  14. Lawshe CH. A quantitative approach to content validity. Pers Psychol. 1975;28(4):563-75. doi: 1111/j.1744-6570.1975.tb01393.x.
  15. Curtis AC, Keeler C. Measurement in nursing research. Am J Nurs. 2021;121(6):56-60. doi: 1097/01.NAJ.0000753668.78872.0f.
  16. Alumran A, Hou XY, Sun J, Yousef AA, Hurst C. Assessing the construct validity and reliability of the parental perception on antibiotics (PAPA) scales. BMC Public Health. 2014;14:73. doi: 10.1186/1471-2458-14-73.
  17. Ab Hamid MR, Sami W, Mohmad Sidek MH. Discriminant validity assessment: use of Fornell & Larcker criterion versus HTMT criterion. J Phys Conf Ser. 2017;890(1):012163. doi: 1088/1742-6596/890/1/012163.
  18. Fayazi F, Araban M, Haghighizadeh MH, Mohamadian H. Development and psychometric evaluation of a colorectal cancer screening scale based on preventive health model: application of smart-PLS software. Payesh. 2019;18(3):251-9. [Persian].
  19. Naderi N, Monavvarifard F, Salehi L. Fostering sustainability-oriented knowledge-sharing in academic environment: a key strategic process to achieving SDGs through development of students’ sustainable entrepreneurship competences. Int J Manag Educ. 2022;20(1):100603. doi: 1016/j.ijme.2022.100603.
  20. Hajloo N, Rezaie Sharif A. Psychometric properties of Colorado Learning Difficulties Questionnaire (CLDQ). J Learn Disabil. 2011;1(1):24-43.
  21. Javdan M. Construction and standardization English learning problems inventory in high school. J Cogn Strateg Learn. 2016;3(5):107-21.
  22. Al-Qadri AH, Zhao W, Li M, Al-Khresheh MH, Boudouaia A. The prevalence of the academic learning difficulties: an observation tool. Heliyon. 2021;7(10):e08164. doi: 1016/j.heliyon.2021.e08164.
  23. Kane ST, Walker JH, Schmidt GR. Assessing college-level learning difficulties and “at riskness” for learning disabilities and ADHD: development and validation of the learning difficulties assessment. J Learn Disabil. 2011;44(6):533-42. doi: 1177/0022219410392045.
  24. Glenn J, Eslinger P, Chinchilli V, Eitington NJ, Martel J, Salisbury J, et al. Validation of a questionnaire to screen university students for learning disabilities. Adv Health Sci Educ Theory Pract. 1997;2(3):213-20. doi: 1023/a:1009799811690.