Ankara Medipol University Faculty of Health Sciences, Ankara, Turkey.
Ankara Yıldırım Beyazıt University Faculty of Health Sciences, Ankara, Turkey.
J Eval Clin Pract. 2024 Dec;30(8):1782-1790. doi: 10.1111/jep.14161. Epub 2024 Oct 7.
Misinformation can lead to adverse outcomes on the health beliefs and behaviors of individuals. Therefore, health literacy skills are needed as a central competency to recognize the trustfulness of health-related knowledge in any resources. To ensure this, a time-efficient, skill-oriented psychometric tools are needed to measure the comprehensive general health literacy level of communities.
This research was conducted to evaluate the psychometric properties of the 12-item Health Literacy Survey-Europe (HLS-Q12) regarding Turkish culture.
A methodological design was adopted. The population consisted of adult individuals registered to two family health centers in Ankara. The sample was determined based on 5-10 times the number of scale items rule (n = 192). A questionnaire and Health Literacy Survey-Europe-Q12 were used to collect data. Language, content and construct validities and internal consistency reliability tests were performed through IBM-SPSS 25.0 and AMOS 24.0 programs. The content validity was determined via the Davis technique. The construct validity was examined by exploratory (EFA) (n = 120) and confirmatory factor analysis (CFA) (n = 72). Internal consistency was evaluated using Cronbach's alpha coefficient. Time invariance was evaluated by test-retest method (n = 32) 4 weeks later.
The mean age was 30.17 ± 10.37 (min. 18-max. 61). The Kaiser-Meyer Olkin test result was 0.898, and the Bartlett's Test of Sphericity result was 604.889 (p < 0.001). The model-fit indices showed good fit. The difference between the first and the second measurements was statistically insignificant (t = -1.659, p = 0.107). The Cronbach's alpha was 0.88.
The HLS-Q12-TR was a valid and reliable measurement tool in determining the health literacy level of the Turkish adult population. As one of the social determinants of health, easy measurement and generating a general health literacy map of the population is considered a necessity.
错误信息可能会导致个人的健康信念和行为出现不良后果。因此，需要健康素养技能作为一项核心能力，以识别任何资源中与健康相关知识的可信度。为了确保这一点，需要一种高效、注重技能的心理计量工具来衡量社区的综合一般健康素养水平。
本研究旨在评估针对土耳其文化的 12 项健康素养调查-欧洲版（HLS-Q12）的心理计量学特性。
采用方法论设计。研究人群为安卡拉的两个家庭健康中心注册的成年个体。根据量表项目数量的 5-10 倍规则确定样本量（n=192）。使用问卷和健康素养调查-欧洲版 Q12 收集数据。通过 IBM-SPSS 25.0 和 AMOS 24.0 程序进行语言、内容和结构有效性以及内部一致性可靠性测试。内容有效性通过 Davis 技术确定。通过探索性（EFA）（n=120）和验证性因素分析（CFA）（n=72）检验结构有效性。内部一致性采用 Cronbach's alpha 系数评估。通过 4 周后测试-重测法（n=32）评估时间不变性。
平均年龄为 30.17±10.37（最小 18-最大 61）。Kaiser-Meyer-Olkin 检验结果为 0.898，Bartlett 球形检验结果为 604.889（p<0.001）。模型拟合指数显示出良好的拟合度。第一次和第二次测量之间的差异在统计学上无显著性（t=-1.659，p=0.107）。Cronbach's alpha 为 0.88。
HLS-Q12-TR 是一种有效的、可靠的测量工具，可用于确定土耳其成年人群的健康素养水平。作为健康的社会决定因素之一，易于测量和生成人口的一般健康素养图谱被认为是必要的。
