Adapting the European Health Literacy Survey Questionnaire for 4th-grade Students in Germany: Questionnaire Development and Qualitative Pretest

Bollweg TM, Okan O, Pinheiro P, Bröder J, Bruland D, Fretian A, Domanska O, Jordan S, Bauer U (Accepted)
Health Literacy Research and Practice.

Zeitschriftenaufsatz | Angenommen | Englisch
 
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Abstract / Bemerkung
Background: Promoting health literacy (HL) in early life is regarded as an important means of sustaining HL and health over the life course. However, little evidence is available on children’s HL, partly due to a scarcity of suitable measurement tools. Although there are 18 tools for people younger than 13 years, there is a lack of comparable, valid, and age-appropriate measures of generic HL. Objective: This study aimed to develop and qualitatively test an age-adapted version of the HLS-EU-Q for German-speaking 9- to 10-year-olds. Although it has been validated among adults and adolescents, the HLS-EU-Q has never been age-adapted or used with children. Methods: The content and language of HLS-EU-Q items was adapted to make them more appropriate for this age range. The literature was consulted to inform this process, and adaptations were developed and selected based on consensus among authors. Selected items were given to 30 fourth-grade students in a cognitive pretest. Key Results: From an item pool of 102 adapted items, 37 were selected for the cognitive pretest. Problems with misinterpretation were identified for some items and participants: Items designed to assess participants’ perceived difficulty in accessing and appraising health information were partly answered on the basis of knowledge and experience. A final selection of 26 well-performing items corresponded to the underlying HLS-EU-Q framework. Conclusions: This is the first age-adapted version of the HLS-EU-Q. A 26-item questionnaire was successfully developed that performed well in a cognitive pretest. However, further research needs to verify its validity and reliability. The present findings help to advance the measurement of generic self-reported HL in children, and highlight the need for cognitive pretesting as an essential part of questionnaire development.
Erscheinungsjahr
2019
Zeitschriftentitel
Health Literacy Research and Practice
eISSN
2474-8307
Page URI
https://pub.uni-bielefeld.de/record/2937082

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Bollweg TM, Okan O, Pinheiro P, et al. Adapting the European Health Literacy Survey Questionnaire for 4th-grade Students in Germany: Questionnaire Development and Qualitative Pretest. Health Literacy Research and Practice. Accepted.
Bollweg, T. M., Okan, O., Pinheiro, P., Bröder, J., Bruland, D., Fretian, A., Domanska, O., et al. (Accepted). Adapting the European Health Literacy Survey Questionnaire for 4th-grade Students in Germany: Questionnaire Development and Qualitative Pretest. Health Literacy Research and Practice
Bollweg, T. M., Okan, O., Pinheiro, P., Bröder, J., Bruland, D., Fretian, A., Domanska, O., Jordan, S., and Bauer, U. (Accepted). Adapting the European Health Literacy Survey Questionnaire for 4th-grade Students in Germany: Questionnaire Development and Qualitative Pretest. Health Literacy Research and Practice.
Bollweg, T.M., et al., Accepted. Adapting the European Health Literacy Survey Questionnaire for 4th-grade Students in Germany: Questionnaire Development and Qualitative Pretest. Health Literacy Research and Practice.
T.M. Bollweg, et al., “Adapting the European Health Literacy Survey Questionnaire for 4th-grade Students in Germany: Questionnaire Development and Qualitative Pretest”, Health Literacy Research and Practice, Accepted.
Bollweg, T.M., Okan, O., Pinheiro, P., Bröder, J., Bruland, D., Fretian, A., Domanska, O., Jordan, S., Bauer, U.: Adapting the European Health Literacy Survey Questionnaire for 4th-grade Students in Germany: Questionnaire Development and Qualitative Pretest. Health Literacy Research and Practice. (Accepted).
Bollweg, Torsten Michael, Okan, Orkan, Pinheiro, Paulo, Bröder, Janine, Bruland, Dirk, Fretian, Alexandra, Domanska, Olga, Jordan, Susanne, and Bauer, Ullrich. “Adapting the European Health Literacy Survey Questionnaire for 4th-grade Students in Germany: Questionnaire Development and Qualitative Pretest”. Health Literacy Research and Practice (Accepted).

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