Altuntas Yeşim, Ucar Ayse Kilic
Department of Obstetrics and Gynaecology, Istanbul Florence Nightingale Hospital, Istanbul, Turkiye.
Department of Nursing, Faculty of Health Sciences, Yeditepe University, Istanbul, Turkiye.
Womens Health Nurs. 2024 Dec;30(4):330-339. doi: 10.4069/whn.2024.10.18. Epub 2024 Dec 30.
This study aimed to translate the Maternal Health Literacy Inventory in Pregnancy (MHELIP) scale into Turkish and evaluate its validity and reliability for use in the Turkish population.
The participants in this methodological study included 250 pregnant women who presented to the antenatal clinic of the Florence Nightingale Hospital in Istanbul, Turkiye. Content validity was assessed using expert approval. Confirmatory factor analysis, exploratory factor analysis, and structural equation modeling were used to assess the validity. Criterion validity was evaluated using the shortform health literacy survey tool, the Short-Form Health Literacy Questionnaire (HLS-SF12). To assess reliability, Cronbach's alpha, item analysis, and the test-retest method were used.
The mean age of the participants was 32.02±4.15 years. The content validity index of the scale was .99. The scale had a four-factor structure that fit well with 48 items. "Maternal health knowledge," "maternal health information search," "maternal health information assessment," and "maternal health decision making and behavior" subscales had Cronbach's alpha values of .91, .76, .85, and .90, respectively. The MHELIP and HLS-SF12 scores were significantly correlated (r=.422, p<.001).
The MHELIP was found to be a valid and reliable measurement tool in pregnant Turkish women.
本研究旨在将孕期孕产妇健康素养量表（MHELIP）翻译成土耳其语，并评估其在土耳其人群中使用的有效性和可靠性。
本方法学研究的参与者包括250名到土耳其伊斯坦布尔弗洛伦斯·南丁格尔医院产前门诊就诊的孕妇。通过专家认可来评估内容效度。使用验证性因素分析、探索性因素分析和结构方程模型来评估效度。使用简版健康素养调查工具，即简版健康素养问卷（HLS-SF12）来评估效标效度。为评估信度，使用了克朗巴赫α系数、项目分析和重测法。
参与者的平均年龄为32.02±4.15岁。该量表的内容效度指数为0.99。该量表具有四因素结构，与48个项目拟合良好。“孕产妇健康知识”“孕产妇健康信息搜索”“孕产妇健康信息评估”和“孕产妇健康决策与行为”子量表的克朗巴赫α系数分别为0.91、0.76、0.85和0.90。MHELIP和HLS-SF12得分显著相关（r = 0.422，p < 0.001）。
发现MHELIP是一种在土耳其孕妇中有效且可靠的测量工具。
