Department of Nursing, School of Nursing, Fukuoka Nursing College, Fukuoka, Japan.
Division of Health Sciences, Graduate School of Medicine, Kyushu University, Fukuoka, Japan.
Health Promot Int. 2024 Aug 1;39(4). doi: 10.1093/heapro/daae105.
The European Health Literacy Survey Questionnaire (HLS-EU-Q47) is available in multiple languages, and shortened versions have also been developed. This study aimed to examine the reliability and validity of the short version of the questionnaire (HLS-Q12) developed for community-dwelling older adults in Japan. The HLS-Q12 was developed using 12 of the 47 items of the Japanese version of the HLS-EU-Q47. In this study, the survey was conducted by distributing self-administered questionnaires to community-dwelling individuals aged 65 years and older who consented to participate; their responses were collected by mail. The correlation between the HLS-Q12 and the HLS-EU-Q47 was tested to assess criterion validity. To test construct validity, nine novel hypotheses were proposed. We also conducted a confirmatory factor analysis of the HLS-Q12. Based on a resurvey after 5-7 days, test-retest reliability was examined using interclass correlation coefficients (ICCs) and Bland-Altman analysis. In total, 118 individuals provided valid responses to the questionnaire. The Spearman rank correlation coefficient between the HLS-Q12 and the HLS-EU-Q47 was r = 0.98 (p < 0.001), and eight of the nine hypotheses were supported. The ICC was 0.96 (p < 0.001), and the 95% limit of agreement was -0.26 ± 5.9, suggesting no systematic error. Thus, the Japanese version of the HLS-Q12 was found to be reliable with high criterion validity and reproducibility. Hence, the HLS-Q12 is a useful scale for measuring health literacy among older adults in Japan.
欧洲健康素养调查问卷（HLS-EU-Q47）有多国语言版本，也开发了简短版本。本研究旨在检验为日本社区居住的老年人开发的问卷简短版（HLS-Q12）的信度和效度。HLS-Q12 是使用 HLS-EU-Q47 日本版本的 47 个项目中的 12 个项目开发的。在这项研究中，通过向同意参与的 65 岁及以上的社区居住个体分发自我管理问卷来进行调查；通过邮件收集他们的回答。通过测试 HLS-Q12 与 HLS-EU-Q47 之间的相关性来评估效标效度。为了检验构念效度，提出了九个新的假设。我们还对 HLS-Q12 进行了验证性因子分析。基于 5-7 天后的再调查，使用组内相关系数（ICC）和 Bland-Altman 分析来检查测试-重测信度。共有 118 人对问卷提供了有效回复。HLS-Q12 与 HLS-EU-Q47 之间的 Spearman 秩相关系数为 r=0.98（p<0.001），九个假设中的八个得到支持。ICC 为 0.96（p<0.001），95%一致性界限为-0.26±5.9，表明没有系统误差。因此，发现日本版 HLS-Q12 具有高信度、高效标效度和可重复性。因此，HLS-Q12 是一种用于衡量日本老年人健康素养的有用工具。
