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 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 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.

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 ◽  
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

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.

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 Validity, reliability, and measurement invariance of an adapted short version of the HIV stigma scale among perinatally HIV infected adolescents at the Kenyan coast

2021 ◽  
Vol 6 (1) ◽  
Author(s):  
Stanley W. Wanjala ◽  
Derrick Ssewanyana ◽  
Patrick N. Mwangala ◽  
Carophine Nasambu ◽  
Esther Chongwo ◽  
...  
Keyword(s):  
Factor Analysis ◽  
Confirmatory Factor Analysis ◽  
Measurement Invariance ◽  
Age Groups ◽  
Hiv Stigma ◽  
Short Version ◽  
Stigma Scale ◽  
Gender And Age ◽  
Confirmatory Factor ◽  
Kenyan Coast

Abstract Background There is a dearth of instruments that have been developed and validated for use with children living with HIV under the age of 17 years in the Kenyan context. We examined the psychometric properties and measurement invariance of a short version of the Berger HIV stigma scale administered to perinatally HIV-infected adolescents in a rural setting on the Kenyan coast. Methods A cross-sectional study was conducted among 201 perinatally HIV-infected adolescents aged 12–17 years between November 2017 and October 2018. A short version of the Berger HIV stigma scale (HSS-40) containing twelve items (HSS-12) covering the four dimensions of stigma was evaluated. The psychometric assessment included exploratory factor analysis, confirmatory factor analysis (CFA), and multi-group CFA. Additionally, scale reliability was evaluated as internal consistency by calculating Cronbach’s alpha. Results Evaluation of the reliability and construct validity of the HSS-12 indicated insufficient reliability on three of the four subscales. Consequently, Exploratory Factor Analysis (EFA) was conducted to identify problematic items and determine ways to enhance the scale’s reliability. Based on the EFA results, two items were dropped. The Swahili version of this new 10-item HIV stigma scale (HSS-10) demonstrated excellent internal consistency with a Cronbach alpha of 0.86 (95% confidence interval (CI) 0.84–0.89). Confirmatory Factor Analysis indicated that a unidimensional model best fitted the data. The HSS-10 presented a good fit (overall Comparative Fit Index = 0.976, Tucker Lewis Index = 0.969, Root Mean Square Error of Approximation = 0.040, Standardised Root Mean Residual = 0.045). Additionally, multi-group CFA indicated measurement invariance across gender and age groups at the strict invariance level as ΔCFI was ≤ 0.01. Conclusion Our findings indicate that the HSS-10 has good psychometric properties and is appropriate for evaluating HIV stigma among perinatally HIV-infected adolescents on the Kenyan coast. Further, study results support the unidimensional model and measurement invariance across gender and age groups of the HSS-10 measure.

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