Barbosa Mariane Carolina Faria, Baldiotti Ana Luiza Peres, Dias Maria Luisa Leandro de Souza, Granville-Garcia Ana Flávia, Paiva Saul Martins, Ferreira Fernanda de Morais
Universidade Federal de Minas Gerais - UFMG, School of Dentistry, Departament of Pediatric Dentistry, Belo Horizonte, MG, Brazil.
Universidade Estadual da Paraíba - UEPB, Postgraduate Program in Dentistry, Campina Grande, PB, Brazil.
Braz Oral Res. 2024 Sep 30;38:e094. doi: 10.1590/1807-3107bor-2024.vol38.0094. eCollection 2024.
The aim of this study was to undertake a cross-cultural adaptation of the eHealth Literacy Scale (eHEALS) instrument to measure digital health literacy of Brazilian adolescents. eHEALS is a scale consisting of 8 items that measure self-perception related to the consumption of electronic health information. This is a methodological study of cross-cultural adaptation, conducted out from February 2022 to June 2022. The following steps were carried out: a) assessment and adequacy of cultural equivalence by a committee of experts; b) back-translation; c) synthesis of back-translations; d) cognitive testing with 42 Brazilian adolescents, using cognitive interviews with probing questions. All items that were difficult to understand were adapted to the (language) context of Brazilian adolescents. Cronbach's alpha coefficient for eHEALS-BrA was 0.81 and, if one of the items were excluded from the instrument, it ranged from 0.75-0.81. This version of the eHEALS proved to be culturally well-adapted to the context of Brazilian adolescents, and has the potential to measure digital health literacy in this population after having its validation confirmed through psychometric analyses.
本研究的目的是对电子健康素养量表（eHEALS）进行跨文化改编，以测量巴西青少年的数字健康素养。eHEALS是一个由8个项目组成的量表，用于测量与电子健康信息消费相关的自我认知。这是一项于2022年2月至2022年6月进行的跨文化改编方法学研究。具体实施了以下步骤：a）由专家委员会评估文化等效性并确保其充分性；b）回译；c）回译综合；d）对42名巴西青少年进行认知测试，采用带有追问问题的认知访谈。所有难以理解的项目都根据巴西青少年的（语言）背景进行了调整。eHEALS-BrA的Cronbach's alpha系数为0.81，如果从该量表中排除其中一个项目，其范围为0.75-0.81。事实证明，这个版本的eHEALS在文化上非常适合巴西青少年的背景，并且在通过心理测量分析确认其有效性后，有潜力测量该人群的数字健康素养。
