Development and Validation of a New Short-Form Health Literacy Instrument (HLS-SF12) for the General Public in Six Asian Countries.
Development and Validation of a New Short-Form Health Literacy Instrument (HLS-SF12) for the General Public in Six Asian Countries.
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DOI：
10.3928/24748307-20190225-01
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发表时间：
2019-04-01
影响因子：
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通讯作者：
Chang, Peter W S
中科院分区：
文献类型：
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作者：
Duong, Tuyen V;Aringazina, Altyn;Chang, Peter W S
背景：在整个亚洲地区，还没有全面的、简短的健康素养（HL）调查工具可供普遍使用。目的：本研究旨在开发并验证一种来自47项欧洲健康素养问卷（HLS-EU-Q47）的简短HL工具。方法：2013年至2015年，采用HLS-EU-Q47进行人口调查（N = 10024），其中印度尼西亚1,029人，哈萨克斯坦1,845人，马来西亚462人，缅甸1,600人，台湾3,015人，越南2,073人。通过主成分分析、内部一致性、Pearson相关性和回归分析评估短表的有效性。关键结果：基于来自6个国家的反馈，开发了一份12项简短的HL问卷（HLS-SF12），保留了HLS-EU-Q47的概念框架，并解释了完整形式的高方差（即印度尼西亚为90%，缅甸为91%，马来西亚为93%，台湾为94%，哈萨克斯坦和越南均为95%）。HLS-SF12被证明具有足够的心理测量特性，包括高信度（Cronbach's alpha = .85），良好的标准相关效度，中高水平的项目量表收敛效度，无下限或上限效应，以及在这些国家的人群中良好的模型数据拟合。结论：HLS-SF12在6个亚洲国家的公众中被证明是一种有效和可靠的HL调查工具。健康素养研究与实践[j].中国卫生科学，2019;3(2):e90-e102。摘要：2013年至2015年，在六个亚洲国家使用欧洲健康素养问卷（HLS-EU-Q47）进行了一项健康素养调查。收集的数据用于开发和验证一个综合的简短问卷。一份包含12个项目的健康素养问卷（HLS-SF12）保留了HLS-EU-Q47的原始概念框架，被证明是可靠和有效的。
BACKGROUND: No comprehensive short-form health literacy (HL) survey tool has been available for general use across Asia.OBJECTIVE: This study aimed to develop and validate a short-form HL instrument derived from the 47-item European Health Literacy Questionnaire (HLS-EU-Q47).METHODS: A population survey (N = 10,024) was conducted from 2013 to 2015 using the HLS-EU-Q47 in 1,029 participants from Indonesia, 1,845 from Kazakhstan, 462 from Malaysia, 1,600 from Myanmar, 3,015 from Taiwan, and 2,073 from Vietnam. Validation of the short form was evaluated by principle component analysis, internal consistency, Pearson correlation, and regression analysis.KEY RESULTS: Based on responses from six countries, a 12-item short-form HL questionnaire (HLS-SF12) was developed, retaining the conceptual framework of the HLS-EU-Q47 and accounting for the high variance of the full-form (i.e., 90% in Indonesia, 91% in Myanmar, 93% in Malaysia, 94% in Taiwan, and 95% in both Kazakhstan and Vietnam). The HLS-SF12 was demonstrated to have adequate psychometric properties, including high reliability (Cronbach's alpha = .85), good criterion-related validity, a moderate and high level of item-scale convergent validity, no floor or ceiling effect, and good model-data-fit throughout the populations in these countries.CONCLUSIONS: The HLS-SF12 was shown to be a valid and reliable tool for HL surveys in the general public in six Asian countries. [HLRP: Health Literacy Research and Practice. 2019;3(2):e90-e102.].PLAIN LANGUAGE SUMMARY: A health literacy survey was conducted from 2013 to 2015 in six Asian countries using the European Health Literacy Questionnaire (HLS-EU-Q47). The collected data were used to develop and validate a comprehensive short-form questionnaire. A health literacy questionnaire with 12 items (HLS-SF12) that retains the original conceptual framework of the HLS-EU-Q47 was demonstrated to be reliable and valid.