scholarly journals Psychometric properties of the Danish version of the European Health Literacy Survey Questionnaire

2020 ◽  
Vol 30 (Supplement_5) ◽  
Author(s):  
M G Nielsen ◽  
M T Svendsen ◽  
K Sørensen ◽  
T K Grønborg ◽  
C Torp-Pedersen ◽  
...  
Keyword(s):  
Health Literacy ◽  
General Population ◽  
Psychometric Properties ◽  
Rasch Model ◽  
Population Sample ◽  
Survey Questionnaire ◽  
General Population Sample ◽  
Danish Version ◽  
Literacy Survey ◽  
European Health

Abstract Background Understanding and utilizing health information has become increasingly demanding whereby people's health literacy becomes important. European Health Literacy Survey Questionnaire (HLS-EU-Q16) measures health literacy (HL). We aimed to study the psychometric properties of the Danish version in the general population and a population with coronary artery disease. Methods A national, cross-sectional survey of individuals from the general Danish population and patients with Myocardial Infarction (MI) was conducted. The general population sample consisted of 7,653 individuals. The MI sample of 4,440 individuals had previously been hospitalized with MI. To assess the influence of large sample sizes, we examined five randomly drawn subsamples of 500 from each population. The Rasch analysis was conducted using RUMM-2030 consisting of inspection of unidimensionality, local dependency, Differential item Functioning (DIF), and item fit. Results The results are preliminary and analyses still ongoing. The HLS-EU-Q16 did not fit the Rasch model, neither for the total sample, subsamples, the general population sample, nor for the MI sample. For the MI sample, there were signs of local dependence and item 6 had the largest item misfit. DIF was observed for item 6 and 7 (age and gender). The general population sample also showed signs of local dependence, and item 1 indicated the largest item misfit. DIF was observed for item 1 (age) and item 1, 7, 8, 13 and 16 (gender). Conclusions The Danish version of HLS-EU-Q16 did not fit the Rasch model neither in the general population sample nor for the MI sample. Our large population-based study indicated scalability problems of the HLS-EU-Q16. The validation procedure is a step on the path to ensure the use of valid measures of HL in both populations and patient groups to support the raising awareness of HL as a necessary element to ensure equity in our health system and thereby initiating an urgent public health activity. Key messages We studied the construct validity of the Danish version of the European Health Literacy Survey Questionnaire HLS-EU-Q16 with a Rasch model. Our large population-based study indicate problems with the psychometric properties of the current Danish version of the HLS-EU-Q16.

scholarly journals Psychometric properties of the adapted instrument European Health Literacy Survey Questionnaire short-short form

2021 ◽  
Vol 29 ◽  
Author(s):  
Fábio Luiz Mialhe ◽  
Katarinne Lima Moraes ◽  
Fernanda Maria Rovai Bado ◽  
Virginia Visconde Brasil ◽  
Helena Alves De Carvalho Sampaio ◽  
...  
Keyword(s):  
Factor Analysis ◽  
Health Literacy ◽  
Psychometric Properties ◽  
Short Form ◽  
Survey Questionnaire ◽  
Full Data ◽  
Brazilian Version ◽  
Confirmatory Factor ◽  
Literacy Survey ◽  
European Health

Objective: to investigate the psychometric properties of the Brazilian Portuguese version of the health literacy questionnaire European Health Literacy Survey Questionnaire short-short form (HLS-EU-Q6) in Brazilian adults. Method: the instrument was translated and pre-tested in a sample of 50 individuals. Subsequently, it was applied to a sample of 783 adult individuals. The data went through an appropriate process of testing the properties, with the combination of techniques of Exploratory Factor Analysis, Confirmatory Factor Analysis and Item Response Theory. For the assessment of reliability, the Cronbach's alpha and McDonald's Omega indicators were used. Cross-validation with full data analysis was applied. Results: the majority of the participants was female (68.1%), with a mean age of 38.6 (sd=14.5) years old and 33.5% studied up to elementary school. The results indicated a unidimensional model with an explained variance of 71.23%, adequate factor load levels, commonality and item discrimination, as well as stability and replicability of the instrument to other populations. Conclusion: the Brazilian version of HLS-EU-Q6 indicated that the instrument is suitable for indiscriminate application in the population to which it is intended to assess health literacy levels.

European Health Literacy Survey Questionnaire--French Versions

2018 ◽  
Author(s):  
Alexandra Rouquette ◽  
Théotime Nadot ◽  
Pierre Labitrie ◽  
Stephan Van den Broucke ◽  
Julien Mancini ◽  
...  
Keyword(s):  
Health Literacy ◽  
Survey Questionnaire ◽  
Literacy Survey ◽  
European Health

scholarly journals Establishing the HLS-M-Q18 short version of the European health literacy survey questionnaire for the Malaysian context

2020 ◽  
Vol 20 (1) ◽  
Author(s):  
Emma Mirza Wati Mohamad ◽  
Manimaran Krishnan Kaundan ◽  
Mohammad Rezal Hamzah ◽  
Arina Anis Azlan ◽  
Suffian Hadi Ayub ◽  
...  
Keyword(s):  
Health Literacy ◽  
Short Version ◽  
Survey Questionnaire ◽  
Literacy Survey ◽  
European Health

scholarly journals Translation and cross-cultural adaptation of the European Health Literacy Survey Questionnaire, HLS-EU-Q16: the Icelandic version

2020 ◽  
Vol 20 (1) ◽  
Author(s):  
Sonja Stelly Gustafsdottir ◽  
Arun K. Sigurdardottir ◽  
Solveig A. Arnadottir ◽  
Gudmundur T. Heimisson ◽  
Lena Mårtensson
Keyword(s):  
Health Literacy ◽  
Cultural Adaptation ◽  
Cross Cultural ◽  
Survey Questionnaire ◽  
Cross Cultural Adaptation ◽  
Literacy Survey ◽  
European Health

scholarly journals Establishing the HLS-M-Q18 short version of the European Health Literacy survey questionnaire for the Malaysian context

2020 ◽  
Author(s):  
Emma Mohamad ◽  
Manimaran Krishnan Kaundan ◽  
Mohammad Rezal Hamzah ◽  
Arina Anis Azlan ◽  
Suffian Hadi Ayub ◽  
...  
Keyword(s):  
Factor Analysis ◽  
Health Literacy ◽  
Confirmatory Factor Analysis ◽  
Categorical Variables ◽  
Short Version ◽  
Survey Questionnaire ◽  
Confirmatory Factor ◽  
Literacy Survey ◽  
European Health ◽  
Item Scale

Abstract Background: The European Health Literacy Survey Questionnaire (HLS-EU-Q47) is becoming a widely used tool to measure health literacy (HL), including in Malaysia. There are efforts to reduce the 47-item scale to parsimonious short item scales that still reflect the assumptions and requirements of the conceptual model. This study used confirmatory factor analysis to reduce the 47-item scale to a short scale that can offer a feasible HL screening tool with sufficient psychometric properties. Methods: A cross-sectional survey was conducted on the Malaysian population based on ethnic distribution to ensure that the short version instrument reflects the country’s varied ethnicities. The survey was administered by well-trained interviewers working for the Ministry of Health Malaysia. A total of 866 responses were obtained. Data was analysed using multi-factorial confirmatory factor analysis (CFA) with categorical variables. Results: The analysis resulted in a satisfactory 18-item model. There were high correlations among the 18 items. The internal consistency reliability was robust, with no floor/ceiling effects. These results represented equivalence and consistency among the responses to items, suggesting that these items were homogenous in measuring Malaysian health literacy. The strong convergent and discriminant validity of the model makes the proposed 18 items a suitable short version of the health literacy instrument for Malaysia. Conclusions: The researchers propose the 18-item instrument to be named HLS-M-Q18. This short version instrument may be used in measuring health literacy in Malaysia as it achieved robust reliability, structural validity and construct validity that fulfilled goodness-of-fit criteria.

A short-form suggestion for the Turkish version of the European Health Literacy Survey Questionnaire: a development and validation study in university students

2021 ◽  
pp. 175797592110642
Author(s):  
Mehmet Ali Sungur ◽  
Zerrin Gamsizkan ◽  
Demet Hanife Sungur
Keyword(s):  
Factor Analysis ◽  
Health Literacy ◽  
Short Form ◽  
Cross Sectional Study ◽  
Survey Questionnaire ◽  
Sectional Study ◽  
Turkish Version ◽  
Cross Sectional ◽  
Literacy Survey ◽  
European Health

The European Health Literacy Survey Questionnaire was translated into Turkish following a validity and reliability study, but there is no comprehensive short form available. We aimed to suggest a short form of the 47-item Turkish version of European Health Literacy Survey Questionnaire in this study. Data were obtained from a cross-sectional study that included a total of 686 students, 345 male and 341 female, conducted in nine different faculties of a university using the Turkish version of European Health Literacy Survey Questionnaire. The development process of the short form was conducted using principal component analysis with exploratory factor analysis, and correlation and regression analyses. The validation process was done using confirmatory factor analysis and regression analysis. Based on the results, a 12-item short form was developed, retaining the conceptual framework of the European Health Literacy Survey Questionnaire. The short form was shown to have adequate psychometric properties with high reliability, good validity, a high and moderate level of correlation, and a good model fit with the independent dataset in this cross-sectional study. The short form developed in this study was demonstrated to be a valid and reliable tool to measure health literacy easily and rapidly in Turkey.

scholarly journals Psychometric Assessment of the European Health Literacy Survey Questionnaire (HLS-EU-Q16) for Arabic/French-Speaking Migrants in Southern Europe

2020 ◽  
Vol 17 (21) ◽  
pp. 8181
Author(s):  
Pilar Bas-Sarmiento ◽  
Miriam Poza-Méndez ◽  
Martina Fernández-Gutiérrez ◽  
Juan Luis González-Caballero ◽  
María Falcón Romero
Keyword(s):  
Health Literacy ◽  
Sign Test ◽  
Survey Questionnaire ◽  
Three Dimensional Model ◽  
Cross Sectional Survey ◽  
Structural Validity ◽  
Cross Sectional ◽  
French Speaking ◽  
Literacy Survey ◽  
European Health

Improving health literacy (HL) is critical for addressing health inequalities. Low literacy rates are believed to be more prevalent in ethnic minorities, which may have an impact on people’s health. For measures to be implemented in this regard, HL must be evaluated to obtain specific indicators. Our aim, therefore, was to develop a version of the European Health Literacy Survey Questionnaire (HLS-EU-Q16), which is recommended to be used with vulnerable populations, suited to Arabic/French-speaking migrants who reside in south-eastern Spain, and to explore its psychometric properties for assessing health literacy in this population. A cross-sectional survey was carried out in a convenient sample of 205 migrants. The structural validity was calculated by a confirmatory factorial analysis (CFA), which suggested appropriate adjustment indicators, and which indicated that the three-dimensional model is adequately adjusted to the data obtained in the study. The coefficient omega showed high internal consistency in the three HL dimensions (health care, disease prevention, and health promotion). Concurrent validity presented a significant correlation with the Newest Vital Sign test (r = 0.390; p < 0.001). The multigroup CFA showed that the heterogeneity of the sample used was not a problem for establishing the structural validity of the scale. The Arabic/French version showed good construct validity.

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