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...
Autores principales: | , , , , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
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SLACK Incorporated
2020
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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. |
format | Online Article Text |
id | pubmed-7544525 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2020 |
publisher | SLACK Incorporated |
record_format | MEDLINE/PubMed |
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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