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 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.

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.

Validation of the Turkish Version of the Orthorexia Nervosa Inventory (ONI) in Adult Population: Its Association with Psychometric Properties

2021 ◽  
Author(s):  
SEDA KAYA ◽  
Zeynep Uzdil ◽  
Funda Pınar Çakıroğlu
Keyword(s):  
Factor Analysis ◽  
Confirmatory Factor Analysis ◽  
Cross Sectional Study ◽  
Orthorexia Nervosa ◽  
Sectional Study ◽  
Turkish Version ◽  
Cross Sectional ◽  
Cronbach's Alpha ◽  
Confirmatory Factor ◽  
Eat 26

Abstract PurposeIt was aimed to examine the reliability and validity of the Orthorexia Nervosa Inventory (ONI) the Turkish version in a large adult population.MethodsIn this cross-sectional study, 710 individuals were included between the ages of 18–65 years living in Turkey. Individuals were reached via an online questionnaire (including ONI, Eating Attitudes Test-26 (EAT-26) and sociodemographic characteristics). Confirmatory factor analysis (CFA) was used to test the validity of ONI. ONI contains three sub-factors (behaviors, emotions and impairments). Analyzes were made with Lisrel 8.80 program and Statistical Package for Social Sciences 22.0 package program.ResultsThe Cronbach’s alpha coefficient was 0.906 for ONI total factor scores and Cronbach’s alpha values for “behaviours”, “impairements”, and “emotions” were found to be 0.821, 0.842, and 0.809, respectively. Confirmatory factor analysis performed supported the three-factor structure of the ONI obtained in the first sample. The CMIN / df = 5.65 and the model generally fits well to the structure (RMSEA = 0.081, CFI = 0.94, NFI = 0.91, GFI = 0.86, AGFI = 0.83). A positive and moderate relationship (r = 0.418) was found between ONI and EAT-26. A positive and low level (r = 0.160) correlation was found between ONI and body mass index. There is no statistically significant difference between ONI scores according to gender (p = 0.22).ConclusionThe findings suggest Turkish version of the ONI is a valid and reliable scale for determining the tendency for orthorexia nervosa in Turkish adult population.Level of evidenceLevel V, descriptive cross-sectional study

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.

scholarly journals Portuguese cultural adaptation and validation of the European Health Literacy Survey (HLS-EU) for children aged 9 to 10 (HLS-EU-PTc)

2019 ◽  
Vol 29 (Supplement_4) ◽  
Author(s):  
L Saboga-Nunes ◽  
H Dias ◽  
C Andrade ◽  
O Okan ◽  
T Bollweg ◽  
...  
Keyword(s):  
Health Literacy ◽  
Internal Consistency ◽  
Cultural Adaptation ◽  
Cross Sectional Study ◽  
Cognitive Testing ◽  
Cross Sectional ◽  
Policy Makers ◽  
Supply Policy ◽  
Literacy Survey ◽  
European Health

Abstract Introduction To measure Health literacy (HL) as proposed in the context of the European Health Literacy Survey/questionnaire (HLS-EU-Q), the Health Literacy for Children and Adolescents (HLCA) Consortium (GE) adapted it for children. A trans-cultural adaptation and validation to Portuguese (HLS-EU-PTc), will supply policy makers, experts and health professionals with information that can promote healthier communities while fighting health disparities. Methods After permission was granted from the HLCA Consortium the TRAPD model was used (eg parallel translation, focus groups, two back translations). An assessment and pretesting of HLS-EU-PTc was done with 16 children for cognitive testing. A qualitative explanatory (n = 16) and quantitative, cross-sectional study (n = 82), age mean 13, SD 0.96, from Portugal (mainland) was implemented for proceed with the validation process. A variety of measures were obtained like internal consistency and mean scores. Results Preliminary results for evaluation of the psychometric properties of the HLS-EU-PTc show satisfactory internal consistency (Cronbach’s alpha coefficient 0.87). In a scale from 1 (very difficult) to 4 (very easy) for indicators of the HLS-EU-PTc, we have a mean of 3.25 and a SD of .478. Conclusions This is the first study to examine the feasibility of a Portuguese version (HLS-EU-PTc) of the HLS-EU-Q adapted for children and it indicates high internal consistency and level of self-reported HL. The usefulness of the HLS-EU-PTc instrument can be further discussed while planning public health policy strategies from the HL standpoint. The validated HLS-EU-PTc version of the HLS-EU-Qc survey, with the user’s manual can be accessed at www.literacia-saude.info.

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 ◽  
Goodness Of Fit ◽  
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.

scholarly journals Developing a Japanese Version of The Short Form of The Expanded Version of The Posttraumatic Growth Inventory (PTGI-X-SF-J): A Cross-Sectional Study

2021 ◽  
Author(s):  
Rei Oshiro ◽  
Takafumi Soejima ◽  
Sachiko Kita ◽  
Kayla Benson ◽  
Satoshi Kibi ◽  
...  
Keyword(s):  
Factor Analysis ◽  
Posttraumatic Growth ◽  
Spiritual Growth ◽  
Short Form ◽  
Reliability And Validity ◽  
Japanese Version ◽  
Cross Sectional Study ◽  
Sectional Study ◽  
Cross Sectional ◽  
Posttraumatic Growth Inventory

Abstract Background The 10-item short form of the Posttraumatic Growth Inventory (PTGI-SF) has been utilized worldwide. However, there is no Japanese version. Furthermore, the PTGI-SF does not capture a broader category of existential spiritual growth that has been incorporated in the more recent Expanded version of the PTG Inventory (PTGI-X). Thus, we developed a Japanese version of the Short Form (PTGI-X-SF-J), which reflects more diverse perspectives on existential and spiritual growth. Methods A cross-sectional study using questionnaires was conducted in Japan. The first sample consisted of 408 university students, and the second sample comprised 284 university students. Exploratory factor analysis was performed using data from the first sample. Confirmatory factor analysis was conducted, and reliability and validity were confirmed using the second sample. Results The PTGI-X-SF-J is composed of 10 items including two items from each of the five subscales of the PTGI-X, similar to the original version of the PTGI-SF, and this model fits the data well. Items concerning existential/spiritual change in the PTGI-X-SF-J were “I feel more connected with all of existence” and “I have a greater sense of harmony with the world,” which were not included in the original PTGI-SF. The score of the PTGI-X-SF-J was significantly correlated with the scores of the Core Beliefs Inventory and the Event Related Rumination Inventory-Deliberate; however, no correlation was observed with the scores of the PTSD Checklist for DSM-5. Conclusions We developed the PTGI-X-SF-J using 10 items to measure PTG among people whose first language is Japanese and confirmed its factor structure, reliability, and validity. The PTGI-X-SF-J is useful for assessing PTG more efficiently and accurately as it considers more diverse spiritual/existential experiences of personal growth and reduces physical and psychological burdens due to its brevity.

European Health Literacy Survey Questionnaire--Turkish Version

2020 ◽  
Author(s):  
Filiz Abacigil ◽  
Hacer Harlak ◽  
Pınar Okyay ◽  
Didem Evci Kiraz ◽  
Selen Gursoy Turan ◽  
...  
Keyword(s):  
Health Literacy ◽  
Survey Questionnaire ◽  
Turkish Version ◽  
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 ◽  
Goodness Of Fit ◽  
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 reflects 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 racial 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 to 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 people's health literacy. The strong convergent and discriminant validity of the model makes the proposed 18 items a suitable short version of health literacy instrument.Conclusions The researchers proposed the 18 items to be named HLS-M-Q18. This short version instrument may be used in measuring the health literacy index in Malaysia as it achieved robust reliability, structural validity and construct validity that fulfilled goodness-of-fit criteria.

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