Psychometric testing of the Turkish version of the Health Literacy for School-Aged Children Scale

2017 ◽  
Vol 22 (1) ◽  
pp. 97-107 ◽  
Author(s):  
Meryem Ozturk Haney

This study aimed to assess the validity and reliability of the Turkish version of the Health Literacy for School-Aged Children (HLSAC-T) scale. This study was a cross-sectional and methodological design. The sample consisted of 563 sixth and ninth grade students in Izmir, Turkey. Data were collected with the socio-demographic characteristics questionnaire, HLSAC-T, and Turkish version of the Adolescent Lifestyle Profile. Cronbach’s α for the scale was .77 and item-total correlations were between .49 and .61 ( p < .001). The model fit indices were determined to be the root mean square error of approximation at .035, the goodness of fit index at .99, and the comparative fit index at .99. The concordance validity and convergent validity were supported and the discriminant validity suggested that the scale successfully discriminated students who cared about healthy lifestyle from the students who did not. The HLSAC-T showed an adequate reliability and validity for determining the subjective health literacy of Turkish school-aged children. The results showed promise that the scale could be translated into other languages.

2021 ◽  
pp. 101053952110139
Author(s):  
Hui Wang ◽  
Pak Leng Cheong ◽  
JianWei Wu ◽  
Iat Kio Van

Health literacy has been identified as one vital determinant of public health and healthy behaviors, but very few studies regarding infectious disease prevention have been found. This descriptive cross-sectional study aimed to validate the pathway of infectious disease-specific health literacy (IDSHL), COVID-19 (coronavirus disease 2019) preventive behaviors, and their determinants. A sample of 1459 casino workers in Macao was eligible for analysis. The concept model was verified with a comparative fit index of 0.937 and goodness-of-fit index of 0.971. Government responses was a significant determinant of situational factors (helpfulness of health information, resource accessibility, and organizational training adequacy), while situational factors showed a direct effect on COVID-19 preventive behaviors. Education and organization training adequacy was the strongest influencing factor of IDSHL, which should be a key target of intervention programs for COVID-19.


2017 ◽  
Vol 25 (3) ◽  
pp. E162-E172
Author(s):  
Neda Mirbagher Ajorpaz ◽  
Mansoureh Zagheri Tafreshi ◽  
Jamileh Mohtashami ◽  
Farid Zayeri ◽  
Zahra Rahemi

The clinical competence of nursing students in operating room (OR) is an important issue in nursing education. The purpose of this study was to evaluate the psychometric properties of the Persian Perceived Perioperative Competence Scale–Revised (PPCS-R) instrument. This cross-sectional study was conducted across 12 universities in Iran. The psychometric properties and factor structure of the PPCS-R for OR students was examined. Based on the results of factor analysis, seven items were removed from the original version of the scale. The fitness indices of the Persian scale include comparative fit index (CFI) 5 .90, goodness-of-fit-index (GFI) 5 .86, adjusted goodness-of-fit index (AGFI) 5 .90, normed fit index (NFI) 5 .84, and root mean square error of approximation (RMSEA) 5 .04. High validity and reliability indicated the scale’s value for measuring perceived perioperative competence of Iranian OR students.


2013 ◽  
Vol 2013 ◽  
pp. 1-9 ◽  
Author(s):  
Huy Ha ◽  
Michael W. Ross ◽  
Jan M. H. Risser ◽  
Huong T. M. Nguyen

Objective. To develop and assess a homosexuality-related stigma scale among men who have sex with men (MSM) in Hanoi, Vietnam. Methods. We conducted a cross-sectional study using respondent-driven sampling in Hanoi, Vietnam, in 2011. We used a cross-validation approach. Factor analysis was performed, and interitem correlation matrices were constructed to identify the latent factor structures, examine the goodness of fit, and assess convergent and discriminant validity of the determined scales. Internal consistency checks were performed in split samples and whole sample, and separately for each determined factor. Results. The findings were consistent in split samples. Three homosexuality-related stigma factors were identified: enacted homosexual stigma, perceived homosexual stigma, and internalized homosexual stigma. The fit indices of the confirmatory factor analysis in both split samples supported the hypothesized three-factor structures (in subsamples A and B: χ2/degrees of freedom ratio = 1.77 and 1.59, nonnormed fit index = 0.92 and 0.94, comparative fit index = 0.93 and 0.95, and the root mean square of approximation = 0.06 and 0.05, resp.). The interitem correlation supported the convergent and discriminant validity of the scales. The reliability of the three scales indicated good consistency (Cronbach’s alpha: 0.79–0.84) across split samples and for the whole data. Conclusion. Our scales have good psychometric properties for measuring homosexuality-related stigma. These comprehensive and practical tools are crucial not only to assess stigma against MSM and its consequence, but also to guide the development of interventions targeting MSM, as well as to evaluate the efficacy of existing stigma reduction efforts in Vietnam and other countries with similar settings.


2021 ◽  
Vol 10 (12) ◽  
pp. 475
Author(s):  
María Dolores Hidalgo-Ariza ◽  
Eva Francisca Hinojosa-Pareja ◽  
Juan Manuel Muñoz-González

This article presents the process of adaptation and validation, and the resulting psychometric properties, of the “Questionnaire of Barriers Perceived” (QBP). The scale identifies whether a student’s perceptions and expectations are mediated by stereotypes or roles associated with gender through the study of their professional aspirations, fear of negative judgement, and perceptions/awareness of gender roles of men and women. Two descriptive studies were conducted via a cross-sectional poll. The questionnaire was administered first to 240 students and then to a total of 1044 student from all the degrees studied at the Faculty of Education at the university at which the study took place. The data were subjected to item content analysis, descriptive analysis, analysis of internal consistency, study of the relationship between variables, correlational analysis, and an exploratory and confirmatory factorial analysis. The results showed that the scale had a high goodness-of-fit index, as well as validity and reliability. The dimensions that the model comprised were found to be interrelated and coherent with the theoretical structure considered in the initial version of the instrument. The resulting questionnaire presented sufficient validity and reliability to be used in other contexts and studies of the same nature.


2021 ◽  
Author(s):  
Eun Jeong Hwang ◽  
In Ok Sim

Abstract Background The happiness of older adults living alone warrants attention because they are more vulnerable to unhappiness than those living with families. The present study aimed to construct and test a structural equation model to elucidate the causal relationship among participation in social activities, satisfaction with the neighborhood environment, subjective health status, and happiness in older adults living alone in South Korea. Methods Secondary data of 2,768 older adults (605 males and 2,163 females) living on their own were extracted from the 2017 Korean Community Health Survey and used in this cross-sectional study. Data were collected via self-reported questionnaires and analyzed using SPSS version 20.0 and AMOS version 20.0. Results The hypothetical model exhibited a good fit: χ2 = 342.06 (df = 58, p < .001), goodness-of-fit index = .98, adjected goodness-of-fit index = .97, root mean square error of approximation = .04, and nonstandard fit index = .92. Participation in social activities had a significant effect on participants’ subjective health status (path coefficient = .45, p = .001) and happiness (path coefficient = .20, p = .003). Conclusions Interventions to improve the health and happiness of older adults living alone should aim to enhance their social and physical environmental dimensions based on the participants' various social activities and their neighborhoods' characteristics.


2017 ◽  
Vol 31 (4) ◽  
pp. 349-363
Author(s):  
Denise M. Saint Arnault ◽  
Moonhee Gang ◽  
Seoyoon Woo

Purpose: The aim of this study was to evaluate the psychometric properties of the Beliefs Toward Mental Illness Scale (BMI) across women from the United States, Japan, and South Korea. Methods: A cross-sectional study design was employed. The sample was 564 women aged 21–64 years old who were recruited in the United States and Korea (American = 127, Japanese immigrants in the United States = 204, and Korean = 233). We carried out item analysis, construct validity by confirmatory factor analysis (CFA), and internal consistency using SPSS Version 22 and AMOS Version 22. Results: An acceptable model fit for a 20-item BMI (Beliefs Toward Mental Illness Scale–Revised [BMI-R]) with 3 factors was confirmed using CFA. Construct validity of the BMI-R showed to be all acceptable; convergent validity (average variance extracted [AVE] ≥0.5, construct reliability [CR] ≥0.7) and discriminant validity (r = .65–.89, AVE >.79). The Cronbach’s alpha of the BMI-R was .92. Conclusion: These results showed that the BMI was a reliable tool to study beliefs about mental illness across cultures. Our findings also suggested that continued efforts to reduce stigma in culturally specific contexts within and between countries are necessary to promote help-seeking for those suffering from psychological distress.


Author(s):  
Alexandra Fretian ◽  
Torsten Michael Bollweg ◽  
Orkan Okan ◽  
Paulo Pinheiro ◽  
Ullrich Bauer

Low health literacy is considered to lead to worse health-related outcomes and behaviors and has therefore been recognized as a social determinant of health. While health literacy and its potential determinants have been studied in adults, little research has been conducted with children. This study aims to address this research gap by investigating factors associated with children’s subjective health literacy. Cross-sectional data was collected from fourth graders at German schools with a self-report questionnaire. Sociodemographic characteristics, health-related attitudes, and motivation were analyzed. We used hierarchical multivariate linear regression to explain variance in the dependent variable “subjective health literacy”. A total of n = 907 fourth graders were surveyed. Regarding health literacy, eight out of ten participants (82.2%) reported that it was “rather easy” or “very easy” to deal with health-related information. Family affluence, but not language spoken at home, was significantly related to subjective health literacy, after controlling for confounding. Moreover, parental health orientation, self-efficacy, and motivation are factors significantly associated with health literacy. Based on the results of this study, it is hypothesized that a general motivation to learn new things about health, as well as an environment promoting health-positive behavior, might foster children’s health literacy.


Healthcare ◽  
2022 ◽  
Vol 10 (1) ◽  
pp. 111
Author(s):  
Harolt Placento ◽  
Božica Lovrić ◽  
Zvjezdana Gvozdanović ◽  
Nikolina Farčić ◽  
Tihomir Jovanović ◽  
...  

(1) Background: Short Assessment of Health Literacy for Spanish Adults (SAHLSA-50) was originally designed for Spanish-speaking regions, and translations validated for several languages. The aim of the study was to adapt and verify the psychometric characteristics of SAHLSA-50 in the Croatian context; (2) Methods: The cross-sectional study included 590 respondents from the general population older than 18 years of age. Health literacy was measured by two scales: SAHLCA-50 and the Croatian version of the Newest Vital Sign screening test (NVS-HR), which was used as a measure of concurrent validity. Subjective Health Complaints (SHC) and Satisfaction with Life Scale (SWLS) questionnaires were also used to assess convergent validity; (3) Results: Internal consistency reliability of SAHLCA-50 was high and corresponds to the findings of the authors of the original research. The Cronbach alpha coefficient for SAHLCA-50 version was 0.91. The correlation of SAHLCA-50 with the NVS-HR test speaks in favor of concurrent validity. Correlation between health literacy and SHC speaks for convergent validity, just as was expected, while correlation with life satisfaction was not observed; (4) Conclusions: The SAHLCA-50 test can be a good and quick tool to assess health literacy of the adult population in the Croatian language. HL can affect the health and quality of life of the individual and the wider community.


Author(s):  
Tuyen Van Duong ◽  
Thao T. P. Nguyen ◽  
Khue M. Pham ◽  
Kien T. Nguyen ◽  
Manh H. Giap ◽  
...  

Background: Health literacy (HL) is an important factor in improving health inequalities in poor and marginalized groups. Assessing comprehensive HL is critical. In this study, we validated the use of a comprehensive short-form HL survey tool (HLS-SF12) and examined the determinants of HL among people in rural areas. Methods: A cross-sectional study was conducted in July 2019 on 440 people residing in mountainous areas in Vietnam. Health literacy was measured using the HLS-SF12. Personal characteristics were also collected. We analyzed data using confirmatory factor analysis, internal consistency analysis, and regression analysis. Results: The questionnaire demonstrated a good construct validity with satisfactory goodness-of-fit indices and item-scale convergent validity. The tool was reliable and homogeneous with Cronbach’s alpha = 0.79, with no floor/ceiling effects. People who were married had lower HL (regression coefficient B = −3.12; 95% confidence interval (CI) = −5.69, −0.56; p = 0.017) compared with those who never married. Higher education attainment (B = 3.41 to 10.44; p < 0.001), a better ability to pay for medication (B = 4.17 to 9.89; p < 0.001), and a tendency to view health-related TV/radio more often (B = 5.23 to 6.15; p < 0.001) were associated with higher HL. Conclusions: The HLS-SF12 is a valid survey tool for the evaluation of HL in rural populations. A number of personal characteristics were strongly associated with HL.


2018 ◽  
Vol 8 (1) ◽  
pp. 150 ◽  
Author(s):  
Mehmet Ali ÖZTÜRK ◽  
Ahmet YIKILMAZ ◽  
Eyyüp SARIKOL

The purpose of this study to adapt to Turkish version by applying validity and reliability test of Leisure Constraint Questionnaire (LCQ) developed by Alexander and Carroll (1997). 214 (62.4%) men and 129 (37.6%) women, total of 343 people was participated to the study working as public officers in Iğdır. Exploratory Factor Analysis (EFA), Reliability Analysis and Confirmatory Factor Analysis (CFA) was applied to Turkish version of the scale after translated to Turkish. When the EFA results are examined Anti Imaj Correlation (AIC) cross correlation coefficients of all items greater than 0.5 and It has been decided to use all items in the analysis. After Principal Component Analaysis (PCA), there are 7 factors with eigenvalue greater than 1 and the contribution of these factors to the total variance is 56.806% were determined. The factors belonging to the items were determined by Rotated Component Matrix (VARIMAX). The tests of Cronbach&rsquo;s Alpha (CA), Spearman-Brown Correlation (SBC) and Guttman Split Half Correlation (GSHC) were performed for reliability of the scale. The value of CA: 0.876, SBC: 0.754 and GSHC: 0.754 were found for the all items. Comparative Fit Index (CFI), Goodness-of-fit index (GFI) and he Normed Fit Index (NFI) were used for the CFA. As a result of CFA analysis; the value of CFI: 0.94, GFI: 0.96 and NFI: 0.93 were found. It has been concluded that the scale of adaptation to Turkish is valid and reliable and also it was composed of 7 factors and 29 items like original scale.


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