伊朗人群中与 COVID-19 相关的健康素养的波斯语版本的心理测量学。
Psychometrics of the Persian version of the COVID-19-related health literacy in the Iranian population.
机构信息
Department of Epidemiology, School of Public Health, Iran University of Medical Sciences, Tehran, Iran.
Department of Epidemiology and Biostatistics, School of Health, Isfahan University of Medical Sciences, Isfahan, Iran.
出版信息
Front Public Health. 2023 Jan 10;10:1085861. doi: 10.3389/fpubh.2022.1085861. eCollection 2022.
BACKGROUND
Since the occurrence of the COVID-19 pandemic, information dissemination has increased rapidly. Promoting health literacy is currently crucial to prepare people to respond quickly to situations, such as the COVID-19 pandemic. Due to the importance of health literacy in this critical situation, we are looking for a questionnaire to measure COVID-19 health literacy. The COVID-19 Germany Health Literacy Questionnaire (HLS-COVID-Q22) is an excellent tool, so the study aimed to create a cultural validity of this questionnaire for the Iranian population.
METHODS
In this validation study, 880 samples were enrolled using a convenient sampling method. The questionnaire was translated through a backward forwarding procedure. Confirmatory factor analysis (CFA) and exploratory factor analysis (EFA) were employed for Persian version validity. McDonald's omega (Ω), Cronbach's alpha, and average inter-item correlation (AIC) coefficients were assessed for reliability.
RESULTS
Using EFA on the random half sample ( = 440), the EFA indicated that the scale had four factors: accessing, understanding, appraising, and applying health-related information in the COVID-19 pandemic context, which explained 59.3% of the total variance. CFA was used for the sample's second part ( = 440) to evaluate the goodness of fit of the four-factor solution. CFA showed the model fit. All indices RMSEA = 0.067, CFI = 0.934, IFI = 0.934, PCFI = 0.772, PNFI = 0.747, and CMIN/DF = 2.972 confirmed the model fit. The convergent validity of the HLS-COVID-Q22 was confirmed. McDonald's omega and Cronbach's alpha were very good (α and Ω >0.80).
CONCLUSION
The Persian version of the HLS-COVID-Q22 had acceptable psychometric properties and is applicable to measure COVID-19 health literacy.
背景
自 COVID-19 大流行以来，信息传播迅速增加。提高健康素养对于人们快速应对 COVID-19 等情况至关重要。鉴于健康素养在这种关键时刻的重要性，我们正在寻找一种衡量 COVID-19 健康素养的问卷。COVID-19 德国健康素养问卷（HLS-COVID-Q22）是一个很好的工具，因此本研究旨在为伊朗人群创建该问卷的文化适宜性。
方法
在这项验证研究中，采用便利抽样法纳入了 880 名样本。通过回溯翻译程序对问卷进行翻译。采用验证性因子分析（CFA）和探索性因子分析（EFA）对问卷的效度进行评估。使用 McDonald's omega（Ω）、Cronbach's alpha 和平均项目间相关系数（AIC）评估信度。
结果
使用 EFA 对随机样本的一半（n=440）进行分析，EFA 表明该量表有四个因子：在 COVID-19 大流行背景下获取、理解、评估和应用与健康相关的信息，这四个因子解释了总方差的 59.3%。使用 CFA 对样本的另一半（n=440）进行评估，以评估四因子模型的拟合度。CFA 显示模型拟合良好。所有指标 RMSEA=0.067、CFI=0.934、IFI=0.934、PCFI=0.772、PNFI=0.747 和 CMIN/DF=2.972 均证实了模型拟合。HLS-COVID-Q22 的收敛效度得到了确认。McDonald's omega 和 Cronbach's alpha 非常好（α 和 Ω＞0.80）。
结论
HLS-COVID-Q22 的波斯语版本具有可接受的心理测量学特性，可用于衡量 COVID-19 健康素养。
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