scholarly journals The health literacy questionnaire among the aged in Changsha, China: confirmatory factor analysis

2019 ◽  
Vol 19 (1) ◽  
Author(s):  
Yiwei Huang ◽  
Tingting Ruan ◽  
Qiaoyun Yi ◽  
Tingting Wang ◽  
Zhihua Guo
Keyword(s):  
Factor Analysis ◽  
Health Literacy ◽  
Confirmatory Factor Analysis ◽  
Health Literacy Questionnaire ◽  
Confirmatory Factor

scholarly journals Development and Validation of a Chinese Parental Health Literacy Questionnaire for Caregivers of Children from 0 to 3 Years Old

2019 ◽  
Author(s):  
Yan Zhang ◽  
Mu Li ◽  
Hong Jiang ◽  
Huijing Shi ◽  
Biao Xu ◽  
...  
Keyword(s):  
Factor Analysis ◽  
Health Literacy ◽  
Confirmatory Factor Analysis ◽  
Internal Consistency ◽  
Cross Sectional Survey ◽  
Cross Sectional ◽  
Parental Health ◽  
Health Literacy Questionnaire ◽  
Confirmatory Factor ◽  
Test Retest Reliability

Abstract Background Given the limited information on parental health literacy measurements, the study aimed to develop and validate the Chinese Parental Health Literacy Questionnaire for caregivers of children under three years old. Methods We conducted a validity and reliability study through a cross-sectional survey and test-retest analysis respectively between March and April 2017. 807 caregivers of children under three years old were recruited, among which 101 caregivers completed the test-retest assessment with two weeks interval. The reliability was determined by internal consistency, spilt-half reliability and test-retest reliability. The construct validity was assessed by confirmatory factor analysis. Results The 39-question Chinese Parental Health Literacy Questionnaire was shown with high internal consistency (Cronbach’s α=0.89), spilt-half reliability (Spearman-Brown coefficient=0.92) and test-retest reliability (Pearson correlation coefficient=0.82). The confirmatory factor analysis showed that the construct of the questionnaire fitted well with the hypothetical model. The participants’ test scores of the Chinese Parental Health Literacy Questionnaire in a cross-sectional survey were positively associated with caregivers being mothers, more educated, of children with Shanghai Hukou, having only one child in the family, having higher family income. Conclusion The Chinese Parental Health Literacy Questionnaire demonstrated good reliability and validity, which could potentially be used as an effective evaluation instrument to assess parental health literacy.

scholarly journals Development and validation of the reproductive health literacy questionnaire for Chinese unmarried youth

2021 ◽  
Vol 18 (1) ◽  
Author(s):  
Xuemei Ma ◽  
Yufan Yang ◽  
Qian Wei ◽  
Hong Jiang ◽  
Huijing Shi
Keyword(s):  
Factor Analysis ◽  
Health Literacy ◽  
Reproductive Health ◽  
Confirmatory Factor Analysis ◽  
Internal Consistency ◽  
Evaluation Instrument ◽  
Retest Reliability ◽  
Health Literacy Questionnaire ◽  
Confirmatory Factor ◽  
Test Retest Reliability

Abstract Objectives This study aimed to develop and validate the reproductive health literacy questionnaire for Chinese unmarried youth aged 15–24. Methods We conducted a validity and reliability study of the questionnaire through a cross-sectional survey and test–retest analysis in four districts in Shanghai between April and June 2017. A total of 1587 participants completed a self-administered questionnaire anonymously on-site and the trained investigators conducted quality check afterwards. Sixty participants among them completed the test–retest assessment with 2 weeks interval. The reliability was determined by internal consistency, spilt-half reliability and test–retest reliability. The construct validity was assessed by confirmatory factor analysis. Results The 58-question reproductive health literacy questionnaire for Chinese unmarried youth demonstrated high internal consistency (Cronbach’s α = 0.919), spilt-half reliability (Guttman splitting coefficient = 0.846) and test–retest reliability (correlation coefficient = 0.720). The confirmatory factor analysis showed that the construct of the questionnaire fitted well with the hypothetical model. The reproductive health literacy scores in unmarried girls aged 15–24 were higher than boys (P < 0.05) and college students who lived in rural areas when they were middle and high school obtained lower score than those living in cities and suburbs (P < 0.01). Conclusion The reproductive health literacy questionnaire for Chinese unmarried youth demonstrated good reliability and validity, which could potentially be used as an effective evaluation instrument to assess reproductive health literacy among Chinese young people.

scholarly journals Development and Validation of a Chinese Parental Health Literacy Questionnaire for Caregivers of Children 0 to 3 Years Old

2019 ◽  
Author(s):  
Yan Zhang ◽  
Mu Li ◽  
Hong Jiang ◽  
Huijing Shi ◽  
Biao Xu ◽  
...  
Keyword(s):  
Factor Analysis ◽  
Health Literacy ◽  
Confirmatory Factor Analysis ◽  
Internal Consistency ◽  
Cross Sectional Survey ◽  
Cross Sectional ◽  
Parental Health ◽  
Health Literacy Questionnaire ◽  
Confirmatory Factor ◽  
Test Retest Reliability

Abstract Background Given the limited information on parental health literacy measurements, the study aimed to develop and validate the Chinese Parental Health Literacy Questionnaire for caregivers of children 0 to 3 years old. Methods We conducted a validity and reliability study of the questionnaire through a cross-sectional survey and test-retest analysis respectively between March and April 2017. We recruited 807 caregivers of children 0 to 3 years old, among them 101 caregivers completed the test-retest assessment with two weeks interval. The reliability was determined by internal consistency, spilt-half reliability and test-retest reliability. The construct validity was assessed by confirmatory factor analysis. Results The 39-question Chinese Parental Health Literacy Questionnaire was demonstrated high internal consistency (Cronbach’s α=0.89), spilt-half reliability (Spearman-Brown coefficient=0.92) and test-retest reliability (Pearson correlation coefficient=0.82). The confirmatory factor analysis showed that the construct of the questionnaire fitted well with the hypothetical model. The participants’ test scores of the Chinese Parental Health Literacy Questionnaire in the cross-sectional survey were positively associated with caregivers being mothers, more educated, the children with Shanghai Hukou , having only one child in the family, and higher family income. Conclusion The Chinese Parental Health Literacy Questionnaire demonstrated good reliability and validity, which could potentially be used as an effective evaluation instrument to assess parental health literacy.

scholarly journals Characterisation of health literacy strengths and weaknesses among people at metabolic and cardiovascular risk: Validity testing of the Health Literacy Questionnaire

2018 ◽  
Vol 6 ◽  
pp. 205031211880125 ◽  
Author(s):  
Xavier Debussche ◽  
Victorine Lenclume ◽  
Maryvette Balcou-Debussche ◽  
Danielle Alakian ◽  
Claude Sokolowsky ◽  
...  
Keyword(s):  
Factor Analysis ◽  
Health Literacy ◽  
Confirmatory Factor Analysis ◽  
Health Information ◽  
Root Mean Square ◽  
Mean Square ◽  
Factor Analysis Model ◽  
Health Literacy Questionnaire ◽  
Confirmatory Factor ◽  
Literacy Profiles

Objectives: Health literacy refers to the ability of individuals to gain access to, use, and understand health information and services in order to maintain a good health. The assessment of health literacy profiles in a population is potentially crucial to respond to health needs. The Health Literacy Questionnaire explores nine dimensions of health literacy and has been shown to display robust psychometric properties. The aim was to test the validity of the multidimensional Health Literacy Questionnaire and to describe the health literacy profiles in a French population at risk of cardiovascular disease. Methods: Data were collected using self-administered questionnaires from 175 participants attending health education and support programmes in local associations of patients in Paris. Analysis included scale reliability, confirmatory factor analysis, and health literacy profiles via descriptive statistics. Results: In confirmatory factor analysis, the nine-factor structure was close to the original Health Literacy Questionnaire. A nine-factor confirmatory factor analysis model was fitted to the 44 items with no cross-loadings or correlated residuals allowed. Given the restricted nature of the model, the fit was satisfactory: χ2WLSMV(866 df) = 1383.81, p = 0.0000, comparative fit index = 0.925, Tucker–Lewis index = 0.918, root mean square error of approximation = 0.058, weighted root mean square residual = 1.175. Composite reliability ranged from 0.77 to 0.91. Among the 9 scales of the Health Literacy Questionnaire, the highest scores were found for scale 1 ‘Feeling understood and supported by healthcare professionals’ and scale 9 ‘Understand health information enough to know what to do’ and the lowest for scale 2 ‘Having sufficient information to manage my health’ and scale 7 ‘Navigating the healthcare system’. Conclusion: The French version of the Health Literacy Questionnaire was shown to be psychometrically robust with good reliability. In the context of France, the 9 scales of Health Literacy Questionnaire allow a thorough assessment of health literacy strengths and weaknesses to respond to health literacy needs and improve the accessibility of health information and services.

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.

scholarly journals Validity and Reliability of the Indian Version of the HLS-EU-Q16 Questionnaire

2021 ◽  
Vol 18 (2) ◽  
pp. 495
Author(s):  
Jyoshma Preema Dsouza ◽  
Stephan Van den Broucke ◽  
Sanjay Pattanshetty
Keyword(s):  
Factor Analysis ◽  
Health Literacy ◽  
Confirmatory Factor Analysis ◽  
Discriminant Validity ◽  
Short Form ◽  
Validity And Reliability ◽  
Cronbach’S Alpha ◽  
Indian Language ◽  
Cronbach's Alpha ◽  
Confirmatory Factor

Health literacy is a key topic in public health. Several measurement tools exist that operationalize health literacy, but only a few standard tools measure health literacy at a population level, and none of those are currently available for the Indian context. This study aimed to develop and validate an Indian version of the short form of the European Health literacy Questionnaire (HLS-EU Q16). Following the translation of the English version of the questionnaire in Hindi and Kannada by language experts and confirmation of the item content by health literacy experts, the questionnaire was administered to 158 Hindi speaking and 182 Kannada speaking individuals, selected via purposive sampling. Pearson’s correlation was used to confirm test–retest reliability, and confirmatory factor analysis was used to assess the construct validity of the scales in both languages. Cronbach’s alpha was calculated for the scales and their sub-domains, and item-total correlations were used to calculate item discriminant indices. Discriminant validity was examined by comparing scores of participant groups based on educational status and training in health care. Cronbach’s alpha for the Hindi version of the tool (HLS-IND-HIN-Q16) was 0.98, and for Kannada version (HLS-IND-KAN-Q16) 0.97. Confirmatory factor analysis produced fit indices within acceptable limits. The results allowed us to conclude that the two Indian language questionnaires allow valid and reliable measurements of health literacy among the Hindi and Kannada speaking population of India.

scholarly journals Measuring COVID-19 Related Health Literacy in Healthcare Professionals—Psychometric Evaluation of the HL-COV-HP Instrument

2021 ◽  
Vol 18 (22) ◽  
pp. 11959
Author(s):  
Kati Hiltrop ◽  
Nina Hiebel ◽  
Franziska Geiser ◽  
Milena Kriegsmann-Rabe ◽  
Nikoloz Gambashidze ◽  
...  
Keyword(s):  
Factor Analysis ◽  
Health Literacy ◽  
Confirmatory Factor Analysis ◽  
Exploratory Factor Analysis ◽  
Healthcare Professionals ◽  
Factor Model ◽  
Psychometric Evaluation ◽  
Confirmatory Factor ◽  
Instrument Measuring ◽  
Using Data

Background: Thus far, there is no instrument available measuring COVID-19 related health literacy of healthcare professionals. Therefore, the aim of this study was to develop an instrument assessing COVID-19 related health literacy in healthcare professionals (HL-COV-HP) and evaluate its psychometric properties. Methods: An exploratory factor analysis, a confirmatory factor analysis, and descriptive analyses were conducted using data from n = 965 healthcare professionals. Health literacy related to COVID-19 was measured with 12 items, which were adapted from the validated HLS-EU-Q16 instrument measuring general health literacy. Results: Exploratory factor analysis demonstrated that 12 items loaded on one component. After removing one item due to its high standardized residual covariance, the confirmatory factor analysis of a one-factor model with 11 items showed satisfactory model fit (χ2 = 199.340, df = 41, χ2/df = 4.862, p < 0.001, RMSEA = 0.063, CFI = 0.963 and TLI = 0.951). The HL-COV-HP instrument showed good internal consistency (Cronbach’s alpha 0.87) and acceptable construct reliability. Conclusions: The HL-COV-HP is a reliable, valid, and feasible instrument to assess the COVID-19 related health literacy in healthcare professionals. It can be used in hospitals or other healt hcare settings to assess the motivation and ability of healthcare professionals to find, understand, evaluate, and use COVID-19 information.

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 A modified version of the mental health literacy scale (MHLS) in Iranian people

2021 ◽  
Vol 21 (1) ◽  
Author(s):  
Mahbobeh Nejatian ◽  
Hadi Tehrani ◽  
Vahideh Momeniyan ◽  
Alireza Jafari
Keyword(s):  
Mental Health ◽  
Factor Analysis ◽  
Health Literacy ◽  
Confirmatory Factor Analysis ◽  
Mental Health Literacy ◽  
Alpha Coefficient ◽  
Cronbach’S Alpha ◽  
Cross Sectional ◽  
Cronbach's Alpha ◽  
Confirmatory Factor

Abstract Background The risk rate for the lifetime prevalence of any mental disorder is calculated as 50%, and the prevalence of mental disorders has an increasing trend. So, this study aimed to evaluate the Mental Health Literacy Scale (MHLS) among Iranian people. Methods This cross-sectional study was conducted with a multi-stage sampling method with 1273 people in the general population. After searching and reviewing various sources, the research team decided to use the questionnaire of MHLS with 35 items and six attributes that were measured and developed by O’Connor et al. The face, content, and construct validity (Confirmatory factor analysis) were used for validation of MHLS. McDonald’s omega coefficient and Cronbach’s alpha coefficient were used to calculate the reliability of MHLS. Confirmatory factor analysis was performed using AMOS software Version 24. Results In the CFA test, the six items were deleted. The final modified version of the MHLS included a total of 29 items with six attributes consisted of (a) knowledge of where to seek information (4 items), (b) ability to recognize disorders (8 items), (c) knowledge of self-treatment (2 items), (d) knowledge of risk factors and causes (2 items), (e) attitudes that promote recognition or appropriate help-seeking behavior (10 items), and (f) knowledge of professional help available (3 items). Based on the results of reliability, McDonald’s omega coefficient and Cronbach’s alpha coefficient for all attributes of MHLS were 0.797 and 0.789, respectively. Conclusion Due to the lack of appropriate instruments for measuring mental health literacy in the Iranian population, the modified version of MHLS with 29 items and six attributes can be considered as a valid and reliable instrument for this purpose.

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