Adapting the European Health Literacy Survey Questionnaire for 4th-Grade students in Germany: Validation and Psychometric Analysis

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

Zeitschriftenaufsatz | Angenommen | Englisch
 
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Abstract / Bemerkung
Background: Up to now, the under-13s have received little attention in research on health literacy (HL). Although some tools assess children’s HL, no validated tool is available that assesses self-reported HL in a systematic and comparable way. The HLS-EU questionnaire is a valid and reliable measure of adolescents’ and adults’ self-reported HL, but has never been adapted for use with children. However, it would be worth adapting for younger age groups so that self-reported HL could be assessed continuously. Objective: To quantitatively test an adapted scale based on the HLS-EU-Q developed for German-speaking 9- to 10-year-olds. Methods: An adapted 26-item HLS-EU-Q scale was given in a paper-and-pencil survey to 907 fourth-grade students in North Rhine-Westphalia, Germany. The psychometric properties of the scale were investigated with item analysis and factor analyses, and both concurrent and discriminant validity were assessed. Key Results: Of the 26 tested items, 9 were discarded due to poor performance in terms of missing values, item difficulty, and dimensionality. This left a 15-item scale with a high internal consistency (α = .791) that takes only a short time to administer. The scale had a low correlation with functional health literacy (r = .107, p < .001), and a moderate correlation with indicators of self-efficacy (ρ = .280–.306, p < .001). The latter indicates adequate discriminant validity; whereas the former points to a need to further investigate concurrent validity. Conclusions: This is the first study in applying an age-adapted version of the HLS-EUQ to children. Statistical analyses indicated the successful development of a promising instrument, but further research is needed on its dimensionality and validity. This study contributes significantly to the comparative assessment of HL across the life course by providing a promising measurement tool for children aged 9 to 10.
Erscheinungsjahr
2019
Zeitschriftentitel
Health Literacy Research and Practice
eISSN
2474-8307
Page URI
https://pub.uni-bielefeld.de/record/2937083

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

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