Department of Medical Sociology and Social Work, Chung Shan Medical University, Taichung City, Taiwan.
Social Service Section, Chung Shan Medical University Hospital, Taichung City, Taiwan.
Health Promot Int. 2023 Oct 1;38(5). doi: 10.1093/heapro/daad112.
Health literacy is a crucial factor in determining one's health outcomes. Individuals with high health literacy possess the ability to access, comprehend, evaluate, and utilize health information to maintain, enhance, and advocate for good health. This study aimed to develop and validate a tool called the Health Literacy Questionnaire for Older Adults (HLQ-OA) specifically designed to assess the health literacy of community-dwelling older adults in Taiwan. The development of the HLQ-OA occurred in two phases. Firstly, a systematic literature review was conducted, followed by the evaluation of content validity and face validity through expert and older adult assessments. Subsequently, a cross-sectional study was carried out, involving a convenient sample of 481 older adults from community-dwelling long-term care stations. The final version of the HLQ-OA comprised 16 items that assessed four competencies associated with accessing, understanding, appraising, and applying health-related information. The HLQ-OA demonstrated excellent internal consistency, with an overall Cronbach's α coefficient of 0.94. Additionally, the model fit indices indicated an acceptable fit: RMSEA = 0.046, GFI = 0.909, CFI = 0.945, TLI = 0.939. Furthermore, a high correlation was observed between the HLQ-OA and the HL-SF12 (r = 0.832). These findings support the reliability and validity of the HLQ-OA as a tool for assessing the health literacy of older adults. In conclusion, the HLQ-OA is a reliable and valid instrument that can be effectively utilized to measure the health literacy levels of older adults.
健康素养是决定一个人健康状况的关键因素。具有较高健康素养的个体能够获取、理解、评估和利用健康信息，以维护、增进和倡导良好的健康。本研究旨在开发和验证一种名为《老年人健康素养问卷》（HLQ-OA）的工具，该工具专门用于评估台湾社区居住的老年人的健康素养。HLQ-OA 的开发分为两个阶段。首先，进行了系统的文献回顾，随后通过专家和老年人评估对内容效度和表面效度进行了评估。随后，进行了一项横断面研究，涉及来自社区居住的长期护理站的 481 名老年人的便利样本。HLQ-OA 的最终版本包含 16 个项目，评估了与获取、理解、评估和应用健康相关信息相关的四项能力。HLQ-OA 表现出良好的内部一致性，总 Cronbach's α 系数为 0.94。此外，模型拟合指数表明具有可接受的拟合度：RMSEA=0.046，GFI=0.909，CFI=0.945，TLI=0.939。此外，HLQ-OA 与 HL-SF12 之间存在高度相关性（r=0.832）。这些发现支持了 HLQ-OA 作为评估老年人健康素养的工具的可靠性和有效性。总之，HLQ-OA 是一种可靠且有效的工具，可用于有效测量老年人的健康素养水平。
