HLS-EU-Q6问卷土耳其语版本的效度和信度。

Validity and reliability of the Turkish version of the HLS-EU-Q6 questionnaire.

作者信息

Yeşildal Müjdat

机构信息

Department of Healthcare Management, Faculty of Health Sciences, Selçuk University, Konya, Türkiye.

出版信息

BMC Public Health. 2025 Aug 2;25(1):2633. doi: 10.1186/s12889-025-24081-5.

DOI:10.1186/s12889-025-24081-5

PMID:40753214

原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC12317497/

Abstract

BACKGROUND

Health literacy plays an important role in the effectiveness of health services by affecting individuals' ability to access, understand, and use health information. Many people in Turkey have limited health literacy. This study aimed to determine the psychometric validity and reliability of the Turkish version of the HLS-EU-Q6.

METHODS

This psychometric study used a cross-sectional design and was conducted with 475 Turkish adults between January and March 2024. The adaptation followed internationally accepted guidelines, including translation, synthesis, back-translation, expert panel review, piloting, and finalization. Content validity was assessed using the Content Validity Index (CVI). The sample was randomly divided into two independent subsamples for exploratory factor analysis (EFA) and confirmatory factor analysis (CFA). Reliability analyses included Cronbach's alpha, McDonald's omega, composite reliability (CR), average variance extracted (AVE), and item discrimination indices.

RESULTS

In the EFA group, the mean age was 28.89 ± 9.44 years, and 63.4% were female. The CFA group's mean age was 28.76 ± 10.05 years, and 67.3% were female. According to the TR-HLS-EU-Q6, problematic health literacy was identified in 77.5% of participants in the EFA group and 73.8% in the CFA group. Exploratory factor analysis supported a unidimensional factor structure with loadings ranging from 0.664 to 0.853. Confirmatory factor analysis confirmed acceptable model fit (χ²/df = 2.61, RMSEA = 0.06, SRMR = 0.06, TLI = 0.92, GFI = 0.96). Cronbach's alpha and McDonald's omega coefficients were 0.82 and 0.84, respectively, demonstrating high internal consistency. The AVE was 0.59, supporting convergent validity. Discriminant analyses showed significant item discrimination between high- and low-scoring groups (p < 0.001).

CONCLUSIONS

The Turkish version of HLS-EU-Q6 consistently showed acceptable psychometric reliability and validity characteristics.

摘要

背景

健康素养通过影响个人获取、理解和使用健康信息的能力，在卫生服务的有效性中发挥着重要作用。土耳其的许多人健康素养有限。本研究旨在确定HLS-EU-Q6土耳其语版本的心理测量效度和信度。

方法

这项心理测量研究采用横断面设计，于2024年1月至3月对475名土耳其成年人进行。改编遵循国际公认的指南，包括翻译、综合、回译、专家小组审查、预试验和定稿。使用内容效度指数（CVI）评估内容效度。将样本随机分为两个独立的子样本，用于探索性因子分析（EFA）和验证性因子分析（CFA）。信度分析包括克朗巴哈系数、麦克唐纳欧米伽系数、组合信度（CR）、平均提取方差（AVE）和项目区分指数。

结果

在探索性因子分析组中，平均年龄为28.89±9.44岁，63.4%为女性。验证性因子分析组的平均年龄为28.76±10.05岁，67.3%为女性。根据TR-HLS-EU-Q6，探索性因子分析组中77.5%的参与者和验证性因子分析组中73.8%的参与者存在有问题的健康素养。探索性因子分析支持单维因子结构，载荷范围为0.664至0.853。验证性因子分析证实模型拟合可接受（χ²/df = 2.61，RMSEA = 0.06，SRMR = 0.06，TLI = 0.92，GFI = 0.96）。克朗巴哈系数和麦克唐纳欧米伽系数分别为0.82和0.84，显示出较高的内部一致性。AVE为0.59，支持收敛效度。区分分析显示高分和低分群体之间存在显著的项目区分（p < 0.001）。