The Health Literacy Questionnaire: Initial Validity Testing in a Norwegian Sample

BACKGROUND: The Health Literacy Questionnaire (HLQ) is a multidimensional generic questionnaire developed to capture a wide range of health literacy needs. There is a need for validation evidence for the Norwegian version of the HLQ (N-HLQ). OBJECTIVE: The present study tested an initial version of...

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Autores principales: Urstad, Kristin Hjorthaug, Andenaes, Randi, Wahl, Astrid K., Kvarme, Lisbeth G., Helseth, Sølvi, Moum, Torbjørn
Formato: Online Artículo Texto
Lenguaje:English
Publicado: SLACK Incorporated 2020
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7544525/
https://www.ncbi.nlm.nih.gov/pubmed/33034661
http://dx.doi.org/10.3928/24748307-20200903-01
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author Urstad, Kristin Hjorthaug
Andenaes, Randi
Wahl, Astrid K.
Kvarme, Lisbeth G.
Helseth, Sølvi
Moum, Torbjørn
author_facet Urstad, Kristin Hjorthaug
Andenaes, Randi
Wahl, Astrid K.
Kvarme, Lisbeth G.
Helseth, Sølvi
Moum, Torbjørn
author_sort Urstad, Kristin Hjorthaug
collection PubMed
description BACKGROUND: The Health Literacy Questionnaire (HLQ) is a multidimensional generic questionnaire developed to capture a wide range of health literacy needs. There is a need for validation evidence for the Norwegian version of the HLQ (N-HLQ). OBJECTIVE: The present study tested an initial version of the Norwegian HLQ by exploring its utility and construct validity among a group of nursing students. METHODS: A pre-test survey was performed in participants (N = 18) who were asked to consider every item in the N-HLQ (44 items across nine scales). The N-HLQ was then administered to 368 respondents. Scale consistency was identified and extracted in a series of factor analyses (principal component analysis [PCA] with oblimin rotation) demanding a nine-dimension solution performed on randomly drawn 50% of the samples obtained by bootstrapping. Correlations between the nine factors obtained in the 13-factor PCA and the scale scores computed by the scale scoring syntaxes provided by the authors of the original HLQ were estimated. KEY RESULTS: The pre-test survey did not result in the need to rephrase items. The internal consistency of the nine HLQ scales was high, ranging from 0.81 to 0.72. The best fit for reproduction of the scales from the original HLQ was found for these dimensions: “1. feeling understood and supported by health care providers,” “2. having sufficient information to manage my health,” and “3. actively managing my health.” For the dimensions “7. navigating in the healthcare system” and “8. ability to find good health information,” a rather high degree of overlap was found, as indicated by relatively low differences between mean highest correlations and mean next-highest correlations. CONCLUSIONS: Despite some possible overlap between dimensions 7 and 8, the N-HLQ appeared relatively robust. Thus, this study's results contribute to the evidence validation base for the N-HLQ in Norwegian populations. [HLRP: Health Literacy Research and Practice. 2020;4(4):e190–e199.] PLAIN LANGUAGE SUMMARY: This study tested the Norwegian version of the Health Literacy Questionnaire. The questionnaire (44 items across nine scales) was completed by 368 nursing students. Despite some overlap between scale 7 (“navigating in the health care system”) and scale 8 (“ability to find good health information”), the questionnaire appears to serve as a good measurement for health literacy in the Norwegian population.
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spelling pubmed-75445252020-10-19 The Health Literacy Questionnaire: Initial Validity Testing in a Norwegian Sample Urstad, Kristin Hjorthaug Andenaes, Randi Wahl, Astrid K. Kvarme, Lisbeth G. Helseth, Sølvi Moum, Torbjørn Health Lit Res Pract Original Research BACKGROUND: The Health Literacy Questionnaire (HLQ) is a multidimensional generic questionnaire developed to capture a wide range of health literacy needs. There is a need for validation evidence for the Norwegian version of the HLQ (N-HLQ). OBJECTIVE: The present study tested an initial version of the Norwegian HLQ by exploring its utility and construct validity among a group of nursing students. METHODS: A pre-test survey was performed in participants (N = 18) who were asked to consider every item in the N-HLQ (44 items across nine scales). The N-HLQ was then administered to 368 respondents. Scale consistency was identified and extracted in a series of factor analyses (principal component analysis [PCA] with oblimin rotation) demanding a nine-dimension solution performed on randomly drawn 50% of the samples obtained by bootstrapping. Correlations between the nine factors obtained in the 13-factor PCA and the scale scores computed by the scale scoring syntaxes provided by the authors of the original HLQ were estimated. KEY RESULTS: The pre-test survey did not result in the need to rephrase items. The internal consistency of the nine HLQ scales was high, ranging from 0.81 to 0.72. The best fit for reproduction of the scales from the original HLQ was found for these dimensions: “1. feeling understood and supported by health care providers,” “2. having sufficient information to manage my health,” and “3. actively managing my health.” For the dimensions “7. navigating in the healthcare system” and “8. ability to find good health information,” a rather high degree of overlap was found, as indicated by relatively low differences between mean highest correlations and mean next-highest correlations. CONCLUSIONS: Despite some possible overlap between dimensions 7 and 8, the N-HLQ appeared relatively robust. Thus, this study's results contribute to the evidence validation base for the N-HLQ in Norwegian populations. [HLRP: Health Literacy Research and Practice. 2020;4(4):e190–e199.] PLAIN LANGUAGE SUMMARY: This study tested the Norwegian version of the Health Literacy Questionnaire. The questionnaire (44 items across nine scales) was completed by 368 nursing students. Despite some overlap between scale 7 (“navigating in the health care system”) and scale 8 (“ability to find good health information”), the questionnaire appears to serve as a good measurement for health literacy in the Norwegian population. SLACK Incorporated 2020-10-08 /pmc/articles/PMC7544525/ /pubmed/33034661 http://dx.doi.org/10.3928/24748307-20200903-01 Text en ©2020 Urstad, Andenaes, Wahl, et al. This is an Open Access article distributed under the terms of the Creative Commons Attribution 4.0 International (https://creativecommons.org/licenses/by/4.0). This license allows users to copy and distribute, to remix, transform, and build upon the article, for any purpose, even commercially, provided the author is attributed and is not represented as endorsing the use made of the work.
spellingShingle Original Research
Urstad, Kristin Hjorthaug
Andenaes, Randi
Wahl, Astrid K.
Kvarme, Lisbeth G.
Helseth, Sølvi
Moum, Torbjørn
The Health Literacy Questionnaire: Initial Validity Testing in a Norwegian Sample
title The Health Literacy Questionnaire: Initial Validity Testing in a Norwegian Sample
title_full The Health Literacy Questionnaire: Initial Validity Testing in a Norwegian Sample
title_fullStr The Health Literacy Questionnaire: Initial Validity Testing in a Norwegian Sample
title_full_unstemmed The Health Literacy Questionnaire: Initial Validity Testing in a Norwegian Sample
title_short The Health Literacy Questionnaire: Initial Validity Testing in a Norwegian Sample
title_sort health literacy questionnaire: initial validity testing in a norwegian sample
topic Original Research
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7544525/
https://www.ncbi.nlm.nih.gov/pubmed/33034661
http://dx.doi.org/10.3928/24748307-20200903-01
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