Translation and validation of the European Health Literacy Survey Questionnaire (HLS-EU-Q47) into the Slovenian language

Japelj, Nuša (avtor), Horvat, Nejc (avtor)

Background The European Health Literacy Questionnaire (HLS-EU-Q47) is a self-assessment tool for standardised measurement of health literacy. Aim To translate HLS-EU-Q47 into the Slovenian language and to investigate its reliability and validity in Slovenia. Method HLS-EU-Q47 was translated into Slovenian, back-translated, and subjected to a pilot test. The accepted Slovenian version of the questionnaire was mailed to 2500 randomly selected adult residents of the Republic of Slovenia. Reliability was examined using Cronbach’s alpha for the 1-, 3-, 4-, and 12-factor models addressing health literacy, three main health contexts, four health information processing competencies, and 12 combinations, respectively. Validity was explored with confirmatory factor analysis, univariate analysis, and multiple linear regression. Results A total of 517 responses were collected (21% response rate). The highest Cronbach’s alpha was obtained for the 1-factor model (0.950), followed by the 3-, 4-, and 12-factor models. In the confirmatory factor analysis, the 12-factor model provided the most valid results (CFI 0.812; RMSEA 0.067, CI 0.065 to 0.070), followed by the 3-, 4-, and 1-factor models. In the multiple regression model, only the association between self-assessment of health and the health literacy index was statistically significant (p < 0.001). Conclusion The Slovenian version of HLS-EU-Q47 is a reliable instrument for measuring health literacy. All models of the questionnaire showed reasonable model fit, but none fully satisfied all validity criteria. Respondents differentiated better between the three main health contexts (health care, disease prevention, and health promotion) than the four health information processing competencies (access, understand, appraise, and apply).

• Jezik: Angleški jezik
• Ključne besede: health literacy, questionnaire, reliability, translation, validity, vaccination, COVID-19
• Vrsta gradiva: Članek v reviji
• Tipologija: 1.01 - Izvirni znanstveni članek
• Organizacija: FFA - Fakulteta za farmacijo
• Status publikacije: Objavljeno
• Različica publikacije: Objavljena publikacija
• Leto izida: 2023
• Št. strani: Str. 1387–1395
• Številčenje: Vol. 45, iss. 6
• PID: 20.500.12556/RUL-152570
• UDK: 614.2 (049.5)
• ISSN pri članku: 2210-7711
• DOI: 10.1007/s11096-023-01610-z
• COBISS.SI-ID: 156980483
• Datum objave v RUL: 29.11.2023

Gradivo je del revije

• Naslov: International journal of clinical pharmacy
• Založnik: Springer Nature
• ISSN: 2210-7711
• COBISS.SI-ID: 518906393

Licence

• Licenca: CC BY 4.0, Creative Commons Priznanje avtorstva 4.0 Mednarodna
• Povezava: http://creativecommons.org/licenses/by/4.0/deed.sl
• Opis: To je standardna licenca Creative Commons, ki daje uporabnikom največ možnosti za nadaljnjo uporabo dela, pri čemer morajo navesti avtorja.

Sekundarni jezik

• Jezik: Slovenski jezik
• Ključne besede: zdravstvena pismenost, vprašalniki, zanesljivost, prevod, veljavnost, javno zdravstvo

Projekti

• Financer: Drugi - Drug financer ali več financerjev
• Program financ.: University of Ljubljana, Faculty of Pharmacy