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Iranian Health Literacy Questionnaire (IHLQ): An Instrument for Measuring Health Literacy in Iran
BACKGROUND: Promoting Health Literacy (HL) is considered as an important goal in strategic plans of many countries. In spite of the necessity for access to valid, reliable and native HL instruments, the number of such instruments in the Persian language is scarce. Moreover, there is no good estimati...
Autores principales: | , , , , , , , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
Kowsar
2015
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Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4537788/ https://www.ncbi.nlm.nih.gov/pubmed/26290752 http://dx.doi.org/10.5812/ircmj.17(5)2015.25831 |
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author | Haghdoost, Ali Akbar Rakhshani, Fatemeh Aarabi, Mohsen Montazeri, Ali Tavousi, Mahmoud Solimanian, Atoosa Sarbandi, Fatemeh Namdar, Hosein Iranpour, Abedin |
author_facet | Haghdoost, Ali Akbar Rakhshani, Fatemeh Aarabi, Mohsen Montazeri, Ali Tavousi, Mahmoud Solimanian, Atoosa Sarbandi, Fatemeh Namdar, Hosein Iranpour, Abedin |
author_sort | Haghdoost, Ali Akbar |
collection | PubMed |
description | BACKGROUND: Promoting Health Literacy (HL) is considered as an important goal in strategic plans of many countries. In spite of the necessity for access to valid, reliable and native HL instruments, the number of such instruments in the Persian language is scarce. Moreover, there is no good estimation of HL status in Iran. OBJECTIVES: The aim of this study was to provide a valid, reliable and native instrument to measure and monitor community HL in Iran and also, to provide an estimation of HL status in two Iranian provinces. PATIENTS AND METHODS: By applying the multistage cluster sampling, 1080 respondents (540 from each gender) were recruited from Kerman and Mazandaran provinces of Iran, from February to June 2014 to participate in this cross-sectional study. The development of the Iranian Health Literacy Questionnaire (IHLQ) was initiated with a comprehensive review of the literature. Then, face, content and construct validity as well as reliability were determined. RESULTS: Internal consistency and test-retest reliability (ICC) of the factors was in the range of 0.71 to 0.96 and 0.73 to 0.86, respectively. In order to construct validity, Exploratory Factor Analysis (EFA) Kaiser-Meyer-Olkin (KMO) = 0.95 and Bartlett’s test result of 3.017 with P < 0.001) with varimax rotation was used. Optimal reduced solution, including 36 items and seven factors, was found in EFA. Five of the factors identified were reading/comprehension skills, individual empowerment, communication/decision-making skills, social empowerment and health knowledge. CONCLUSIONS: It was concluded that IHLQ might be a practical and useful tool for investigating HL for Persian language speakers around the world. Since HL is dynamic and its instruments should be regularly revised, further studies are recommended to assess HL with application of IHLQ to detect its potential imperfections. |
format | Online Article Text |
id | pubmed-4537788 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2015 |
publisher | Kowsar |
record_format | MEDLINE/PubMed |
spelling | pubmed-45377882015-08-19 Iranian Health Literacy Questionnaire (IHLQ): An Instrument for Measuring Health Literacy in Iran Haghdoost, Ali Akbar Rakhshani, Fatemeh Aarabi, Mohsen Montazeri, Ali Tavousi, Mahmoud Solimanian, Atoosa Sarbandi, Fatemeh Namdar, Hosein Iranpour, Abedin Iran Red Crescent Med J Research Article BACKGROUND: Promoting Health Literacy (HL) is considered as an important goal in strategic plans of many countries. In spite of the necessity for access to valid, reliable and native HL instruments, the number of such instruments in the Persian language is scarce. Moreover, there is no good estimation of HL status in Iran. OBJECTIVES: The aim of this study was to provide a valid, reliable and native instrument to measure and monitor community HL in Iran and also, to provide an estimation of HL status in two Iranian provinces. PATIENTS AND METHODS: By applying the multistage cluster sampling, 1080 respondents (540 from each gender) were recruited from Kerman and Mazandaran provinces of Iran, from February to June 2014 to participate in this cross-sectional study. The development of the Iranian Health Literacy Questionnaire (IHLQ) was initiated with a comprehensive review of the literature. Then, face, content and construct validity as well as reliability were determined. RESULTS: Internal consistency and test-retest reliability (ICC) of the factors was in the range of 0.71 to 0.96 and 0.73 to 0.86, respectively. In order to construct validity, Exploratory Factor Analysis (EFA) Kaiser-Meyer-Olkin (KMO) = 0.95 and Bartlett’s test result of 3.017 with P < 0.001) with varimax rotation was used. Optimal reduced solution, including 36 items and seven factors, was found in EFA. Five of the factors identified were reading/comprehension skills, individual empowerment, communication/decision-making skills, social empowerment and health knowledge. CONCLUSIONS: It was concluded that IHLQ might be a practical and useful tool for investigating HL for Persian language speakers around the world. Since HL is dynamic and its instruments should be regularly revised, further studies are recommended to assess HL with application of IHLQ to detect its potential imperfections. Kowsar 2015-06-01 /pmc/articles/PMC4537788/ /pubmed/26290752 http://dx.doi.org/10.5812/ircmj.17(5)2015.25831 Text en Copyright © 2015, Iranian Red Crescent Medical Journal. http://creativecommons.org/licenses/by-nc/4.0/ This is an open-access article distributed under the terms of the Creative Commons Attribution-NonCommercial 4.0 International License (http://creativecommons.org/licenses/by-nc/4.0/) which permits copy and redistribute the material just in noncommercial usages, provided the original work is properly cited. |
spellingShingle | Research Article Haghdoost, Ali Akbar Rakhshani, Fatemeh Aarabi, Mohsen Montazeri, Ali Tavousi, Mahmoud Solimanian, Atoosa Sarbandi, Fatemeh Namdar, Hosein Iranpour, Abedin Iranian Health Literacy Questionnaire (IHLQ): An Instrument for Measuring Health Literacy in Iran |
title | Iranian Health Literacy Questionnaire (IHLQ): An Instrument for Measuring Health Literacy in Iran |
title_full | Iranian Health Literacy Questionnaire (IHLQ): An Instrument for Measuring Health Literacy in Iran |
title_fullStr | Iranian Health Literacy Questionnaire (IHLQ): An Instrument for Measuring Health Literacy in Iran |
title_full_unstemmed | Iranian Health Literacy Questionnaire (IHLQ): An Instrument for Measuring Health Literacy in Iran |
title_short | Iranian Health Literacy Questionnaire (IHLQ): An Instrument for Measuring Health Literacy in Iran |
title_sort | iranian health literacy questionnaire (ihlq): an instrument for measuring health literacy in iran |
topic | Research Article |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4537788/ https://www.ncbi.nlm.nih.gov/pubmed/26290752 http://dx.doi.org/10.5812/ircmj.17(5)2015.25831 |
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