Peter Kolarcik1,2,3, Eva Cepova4,5, Andrea Madarasova Geckova4,5,6, Gerald R Elsworth7, Roy W Batterham7, Richard H Osborne7. 1. Graduate School Kosice Institute for Society and Health, Faculty of Medicine, P. J. Safarik University, Kosice, Slovakia. peter.kolarcik@upjs.sk. 2. Department of Health Psychology, Faculty of Medicine, P. J. Safarik University, Trieda SNP 1, 040 01, Kosice, Slovakia. peter.kolarcik@upjs.sk. 3. Olomouc University Society and Health Institute, Palacky University Olomouc, Olomouc, Czech Republic. peter.kolarcik@upjs.sk. 4. Graduate School Kosice Institute for Society and Health, Faculty of Medicine, P. J. Safarik University, Kosice, Slovakia. 5. Department of Health Psychology, Faculty of Medicine, P. J. Safarik University, Trieda SNP 1, 040 01, Kosice, Slovakia. 6. Olomouc University Society and Health Institute, Palacky University Olomouc, Olomouc, Czech Republic. 7. Health Systems Improvement Unit, School of Health and Social Development, Deakin University, Geelong, VIC, Australia.
Abstract
OBJECTIVES: Health literacy is an important determinant of health and health equity and therefore requires robust measurement. The aim was to examine the psychometric properties of the Slovak version of the Health Literacy Questionnaire (HLQ) including revised wording of response categories. METHODS: A cross-sectional survey of the general Slovak adult population (N = 360, mean age 39) was conducted with the HLQ following its translation and cultural adaptation. Psychometric tests (confirmatory factor analysis, Cronbach's alpha, composite reliability) and association (linear regression, ANOVA) with sociodemographic variables were undertaken. The performance of alternative version of response options were explored with the Mann-Whittney U test and item response theory. RESULTS: A highly restrictive nine-factor confirmatory factor analysis showed acceptable fit [χ 2WLSMV = 1684 (df = 866), p < 0.0001; CFI = 0.943, TLI = 0.938, RMSEA = 0.051, WRMR = 1.297] and reliability was acceptable (range 0.73-0.84). The revised response categories had a better distribution with lower average scores in three domains, compared with the original, and improved item information curves. CONCLUSIONS: The nine HLQ scales are robust, providing a fine-grained assessment of health literacy. The revised response options improve psychometric properties and are recommended for future studies.
OBJECTIVES: Health literacy is an important determinant of health and health equity and therefore requires robust measurement. The aim was to examine the psychometric properties of the Slovak version of the Health Literacy Questionnaire (HLQ) including revised wording of response categories. METHODS: A cross-sectional survey of the general Slovak adult population (N = 360, mean age 39) was conducted with the HLQ following its translation and cultural adaptation. Psychometric tests (confirmatory factor analysis, Cronbach's alpha, composite reliability) and association (linear regression, ANOVA) with sociodemographic variables were undertaken. The performance of alternative version of response options were explored with the Mann-Whittney U test and item response theory. RESULTS: A highly restrictive nine-factor confirmatory factor analysis showed acceptable fit [χ 2WLSMV = 1684 (df = 866), p < 0.0001; CFI = 0.943, TLI = 0.938, RMSEA = 0.051, WRMR = 1.297] and reliability was acceptable (range 0.73-0.84). The revised response categories had a better distribution with lower average scores in three domains, compared with the original, and improved item information curves. CONCLUSIONS: The nine HLQ scales are robust, providing a fine-grained assessment of health literacy. The revised response options improve psychometric properties and are recommended for future studies.
Entities:
Keywords:
Cultural adaptation; Health Literacy Questionnaire (HLQ); Health literacy; Item response theory; Measurement; Psychometrics
Authors: Nancy D Berkman; Stacey L Sheridan; Katrina E Donahue; David J Halpern; Karen Crotty Journal: Ann Intern Med Date: 2011-07-19 Impact factor: 25.391
Authors: Michael Pignone; Darren A DeWalt; Stacey Sheridan; Nancy Berkman; Kathleen N Lohr Journal: J Gen Intern Med Date: 2005-02 Impact factor: 5.128
Authors: Terry C Davis; Mark V Williams; Estela Marin; Ruth M Parker; Jonathan Glass Journal: CA Cancer J Clin Date: 2002 May-Jun Impact factor: 508.702
Authors: Kristine Sørensen; Jürgen M Pelikan; Florian Röthlin; Kristin Ganahl; Zofia Slonska; Gerardine Doyle; James Fullam; Barbara Kondilis; Demosthenes Agrafiotis; Ellen Uiters; Maria Falcon; Monika Mensing; Kancho Tchamov; Stephan van den Broucke; Helmut Brand Journal: Eur J Public Health Date: 2015-04-05 Impact factor: 3.367
Authors: Richard H Osborne; Roy W Batterham; Gerald R Elsworth; Melanie Hawkins; Rachelle Buchbinder Journal: BMC Public Health Date: 2013-07-16 Impact factor: 3.295
Authors: Alison Beauchamp; Rachelle Buchbinder; Sarity Dodson; Roy W Batterham; Gerald R Elsworth; Crystal McPhee; Louise Sparkes; Melanie Hawkins; Richard H Osborne Journal: BMC Public Health Date: 2015-07-21 Impact factor: 3.295
Authors: Dulce Nascimento Do Ó; Ana Rita Goes; Gerald Elsworth; João F Raposo; Isabel Loureiro; Richard H Osborne Journal: Int J Environ Res Public Health Date: 2022-05-26 Impact factor: 4.614
Authors: Astrid K Wahl; Åsmund Hermansen; Richard H Osborne; Marie Hamilton Larsen Journal: Scand J Public Health Date: 2020-06-07 Impact factor: 3.021
Authors: Jonathan O'Hara; Melanie Hawkins; Roy Batterham; Sarity Dodson; Richard H Osborne; Alison Beauchamp Journal: BMC Health Serv Res Date: 2018-03-22 Impact factor: 2.655
Authors: Rebecca L Morris; Sze-Ee Soh; Keith D Hill; Rachelle Buchbinder; Judy A Lowthian; Julie Redfern; Christopher D Etherton-Beer; Anne-Marie Hill; Richard H Osborne; Glenn Arendts; Anna L Barker Journal: BMC Health Serv Res Date: 2017-08-29 Impact factor: 2.655
Authors: Aurel Zelko; Alena Bukova; Peter Kolarcik; Peter Bakalar; Ivan Majercak; Jana Potocnikova; Sijmen A Reijneveld; Jitse P van Dijk Journal: BMC Public Health Date: 2018-04-04 Impact factor: 3.295
Authors: Eva Cepova; Martina Cicvakova; Peter Kolarcik; Neda Markovska; Andrea Madarasova Geckova Journal: BMC Oral Health Date: 2018-03-14 Impact factor: 2.757
Authors: Rebecca L Jessup; Richard H Osborne; Alison Beauchamp; Allison Bourne; Rachelle Buchbinder Journal: BMC Health Serv Res Date: 2018-02-22 Impact factor: 2.655