Department of Nursing, Tongji Hospital, Tongji Medical College, Huazhong University of Scienceand Technology, Wuhan, China.
School of Nursing, Tongji Medical College, Huazhong University of Science and Technology, Wuhan, China.
BMC Public Health. 2024 Aug 28;24(1):2329. doi: 10.1186/s12889-024-19784-0.
The purpose of this study was to translate and validate the reliability and validity of the Falls Health Literacy Scale (FHLS).
A total of 509 elderly hospitalized patients were recruited from Wuhan, China. The reliability of the scale was validated using internal consistency, split-half reliability and retest reliability. The validity of the scale with content validity index, exploratory factor analysis and validation factor analysis.
The Chinese version of the FHLS consists of 3 dimensions, falls prevention experience, general health and staying active, and seeking health advice and services, with a total of 25 entries. The Cronbach's α coefficient of the scale was 0.949, the range of Cronbach's α values for each dimension was 0.911 to 0.927, the split-half reliability was 0.800, and the retest reliability was 0.801. The I-CVI of the scale ranged from 0.833 to 1.000, and the S-CVI was 0.973. The KMO value was 0.925, and the χ value of Bartlett's sphericity test was 5,784.223 (P < 0.001). Exploratory factor analysis extracted four metric factors, which were discussed and combined into three metric factors explaining 56.361% of the total variance. The results of validation factor analysis showed that the model indicators were: χ/df = 2.182, CFI = 0.928, GFI = 0.820, NFI = 0.875, IFI = 0.928, RFI = 0.862, TLI = 0.920, RMSEA = 0.076, MRM = 0.021, which met the criteria, and the model fitting of the indicators were all in good.
The Chinese version of the FHLS has good reliability and validity for elderly patients and is suitable for assessing the falls health literacy level of elderly patients. The assessment of fall health literacy in elderly patients can help healthcare professionals to provide individualized health education to them, so as to improve the awareness of fall prevention in elderly patients.
本研究旨在翻译和验证跌倒健康素养量表（FHLS）的信度和效度。
共纳入中国武汉的 509 名老年住院患者。采用内部一致性、半分信度和重测信度来验证量表的信度。采用内容效度指数、探索性因子分析和验证性因子分析来验证量表的效度。
中文版 FHLS 包括 3 个维度，即预防跌倒的经验、一般健康和保持活跃、寻求健康建议和服务，共 25 个条目。量表的 Cronbach's α 系数为 0.949，各维度 Cronbach's α 值范围为 0.911～0.927，半分信度为 0.800，重测信度为 0.801。量表的 I-CVI 范围为 0.833～1.000，S-CVI 为 0.973。KMO 值为 0.925，Bartlett 球形检验 χ 值为 5784.223（P<0.001）。探索性因子分析提取了 4 个度量因子，经讨论后组合成 3 个度量因子，解释了总方差的 56.361%。验证性因子分析结果显示，模型指标为：χ/df=2.182，CFI=0.928，GFI=0.820，NFI=0.875，IFI=0.928，RFI=0.862，TLI=0.920，RMSEA=0.076，MRM=0.021，均符合标准，各指标的模型拟合情况均良好。
中文版 FHLS 对老年患者具有良好的信度和效度，适用于评估老年患者的跌倒健康素养水平。评估老年患者的跌倒健康素养可以帮助医护人员为其提供个体化的健康教育，从而提高老年患者的预防跌倒意识。
