Psychometric properties of an Arabic-language health literacy assessment scale for adolescents (HAS-A-AR) in Palestine
Psychometric properties of an Arabic-language health literacy assessment scale for adolescents (HAS-A-AR) in Palestine
复制标题
巴勒斯坦青少年阿拉伯语健康素养评估量表 (HAS-A-AR) 的心理测量特性
DOI：
10.1136/bmjopen-2019-034943
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发表时间：
2020
期刊：
影响因子：
2.9
通讯作者：
Rita Giacaman.
中科院分区：
文献类型：
--
作者：
Mohammed B A Sarhan;Harry S Shannon;Rika Fujiya;Masamine Jimba;Rita Giacaman.
ObjectivesHealth扫盲研究在巴勒斯坦是有限的，并在青少年中使用的本地验证的工具一直无法使用到现在。因此，我们认为，本研究旨在将青少年健康素养评估量表（HAS-A）改编成阿拉伯语（HAS-A-AR）和巴勒斯坦背景下，并探讨其心理测量学属性。设计我们进行了一项横断面家庭调查，采用分层随机抽样和家庭面对面访谈。设置和参与者我们进行了1200访谈六至九年级的拉马拉和基地，Bireh区的约旦河西岸，巴勒斯坦在2017.MethodsWe翻译和改编HAS-A是敏感的巴勒斯坦的情况下，并测试其心理测量特性。我们在回译过程中评估了表面效度和内容效度，并通过探索性因素分析（EFA）检查了结构效度。我们使用Cronbach's alpha，MacDonald's omega test和最大下限（GLB）测试内部一致性。结果EFA结果显示，HAS-A-AR与原HAS-A具有相似的结构。提取特征值>1的三个因子（沟通、困惑和功能性健康素养）。它们共同解释了总方差的57%。具有高水平沟通、困惑和功能性健康素养的青少年比例分别为45%、68%和80%。交流分量表的Cronbach's alpha、MacDonald's omega和GLB值分别为0.87、0.88和0.90，困惑分量表的Cronbach's alpha、MacDonald's omega和GLB值分别为0.78、0.77和0.79，功能健康素养分量表的Cronbach's alpha、MacDonald's omega和GLB值分别为0.77、0.77和0.80。各分量表的平均项目间相关系数在0.36 ~ 0.59之间。结论HAS-A-AR是一个有效、可靠的健康素养测量工具。HAS-A-AR目前可供巴勒斯坦和周边阿拉伯国家的青少年使用，这些国家与巴勒斯坦具有相似的特征，包括语言、文化和政治不稳定。
ObjectivesHealth literacy research in Palestine is limited, and a locally validated tool for use among adolescents has been unavailable until now. Therefore, this study aimed to adapt health literacy assessment scale for adolescents (HAS-A) into Arabic language (HAS-A-AR) and Palestinian context and to investigate its psychometric properties.DesignWe conducted a cross-sectional household survey using a stratified random sample and household face-to-face interviews.Setting and participantsWe conducted 1200 interviews with sixth to ninth graders in the Ramallah and al-Bireh district of the West Bank, Palestine in 2017.MethodsWe translated and adapted HAS-A to be sensitive to the Palestinian context and tested its psychometric properties. We evaluated face and content validity during the back-translation process and checked for construct validity through exploratory factor analysis (EFA). We tested for internal consistency using Cronbach’s alpha, MacDonald’s omega test and the greatest lower bound (GLB). Furthermore, we calculated the scale’s average inter-item correlation.ResultsEFA revealed that HAS-A-AR has a similar structure to the original HAS-A. It extracted three factors (communication, confusion and functional health literacy) whose eigenvalues were >1. Together they explained 57% of the total variance. The proportions of adolescents with high levels of communication, confusion and functional health literacy were 45%, 68% and 80%, respectively. Cronbach’s alpha, MacDonald’s omega and the GLB values for communication subscale were 0.87, 0.88 and 0.90, and they were 0.78, 0.77 and 0.79 for confusion subscale, while they were 0.77, 0.77 and 0.80, respectively, for functional healthy literacy subscale. The average inter-item correlation for the subscales ranged between 0.36 and 0.59.ConclusionHAS-A-AR is a valid and reliable health literacy measuring instrument with appropriate psychometric properties. HAS-A-AR is currently available for use among adolescents in Palestine and the surrounding Arab countries with similar characteristics as Palestine, including language, culture and political instability.