Department of Maternal, Child and Adolescent Health, School of Public Health; Global Health Institute, Fudan University, Mailbox 175, No. 138 Yi Xue Yuan Road, Shanghai, 200032, People's Republic of China.
Key Lab of Health Technology Assessment, National Health Commission of the People's Republic of China, Fudan University, Shanghai, China.
BMC Pediatr. 2019 Aug 22;19(1):293. doi: 10.1186/s12887-019-1670-9.
Given the limited information on parental health literacy measurements, the study aimed to develop and validate the Chinese Parental Health Literacy Questionnaire for caregivers of children 0 to 3 years old.
We conducted a validity and reliability study of the questionnaire through a cross-sectional survey and test-retest analysis respectively between March and April 2017. We recruited 807 caregivers of children 0 to 3 years old, among them 101 caregivers completed the test-retest assessment with 2 weeks interval. The reliability was determined by internal consistency, spilt-half reliability and test-retest reliability. The construct validity was assessed by confirmatory factor analysis.
The 39-question Chinese Parental Health Literacy Questionnaire was demonstrated high internal consistency (Cronbach's α = 0.89), spilt-half reliability (Spearman-Brown coefficient = 0.92) and test-retest reliability (Pearson correlation coefficient = 0.82). The confirmatory factor analysis showed that the construct of the questionnaire fitted well with the hypothetical model. The participants' test scores of the Chinese Parental Health Literacy Questionnaire in the cross-sectional survey were positively associated with caregivers being mothers, more educated, the children with Shanghai Hukou, having only one child in the family, and higher family income.
The Chinese Parental Health Literacy Questionnaire demonstrated good reliability and validity, which could potentially be used as an effective evaluation instrument to assess parental health literacy.
鉴于父母健康素养测量的信息有限，本研究旨在开发和验证适用于 0 至 3 岁儿童照顾者的中文父母健康素养问卷。
我们通过横断面调查和测试-重测分析分别于 2017 年 3 月至 4 月进行了问卷的有效性和可靠性研究。我们招募了 807 名 0 至 3 岁儿童的照顾者，其中 101 名照顾者在 2 周间隔内完成了重测评估。内部一致性、分半信度和重测信度用于确定可靠性。验证性因子分析用于评估结构效度。
39 题中文父母健康素养问卷表现出较高的内部一致性（Cronbach's α=0.89）、分半信度（Spearman-Brown 系数=0.92）和重测信度（Pearson 相关系数=0.82）。验证性因子分析表明问卷的结构与假设模型拟合良好。横断面调查中，参与者的中文父母健康素养问卷测试分数与照顾者为母亲、受教育程度较高、孩子有上海户口、家庭中只有一个孩子以及家庭收入较高呈正相关。
中文父母健康素养问卷具有良好的信度和效度，可作为评估父母健康素养的有效评价工具。
