Measuring Comprehensive, General Health Literacy in the General Adult Population: The Development and Validation of the HLS₁₉-Q12 Instrument in Seventeen Countries.

ABSTRACT:

Background

For improving health literacy (HL) by national and international public health policy, measuring population HL by a comprehensive instrument is needed. A short instrument, the HLS₁₉-Q12 based on the HLS-EU-Q47, was developed, translated, applied, and validated in 17 countries in the WHO European Region.

Methods

For factorial validity/dimensionality, Cronbach alphas, confirmatory factor analysis (CFA), Rasch model (RM), and Partial Credit Model (PCM) were used. For discriminant validity, correlation analysis, and for concurrent predictive validity, linear regression analysis were carried out.

Results

The Cronbach alpha coefficients are above 0.7. The fit indices for the single-factor CFAs indicate a good model fit. Some items show differential ite

SUBMITTER: Pelikan JM 

PROVIDER: S-EPMC9659295 | biostudies-literature | 2022 Oct

REPOSITORIES: biostudies-literature