Structural properties and psychometric improvements of the Health Literacy Questionnaire in a Slovak population

Peter Kolarcik (), Eva Cepova, Andrea Madarasova Geckova, Gerald R. Elsworth, Roy W. Batterham and Richard H. Osborne
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Peter Kolarcik: P. J. Safarik University
Eva Cepova: P. J. Safarik University
Andrea Madarasova Geckova: P. J. Safarik University
Gerald R. Elsworth: Deakin University
Roy W. Batterham: Deakin University
Richard H. Osborne: Deakin University

International Journal of Public Health, 2017, vol. 62, issue 5, No 8, 604 pages

Abstract: Abstract Objectives Health literacy is an important determinant of health and health equity and therefore requires robust measurement. The aim was to examine the psychometric properties of the Slovak version of the Health Literacy Questionnaire (HLQ) including revised wording of response categories. Methods A cross-sectional survey of the general Slovak adult population (N = 360, mean age 39) was conducted with the HLQ following its translation and cultural adaptation. Psychometric tests (confirmatory factor analysis, Cronbach’s alpha, composite reliability) and association (linear regression, ANOVA) with sociodemographic variables were undertaken. The performance of alternative version of response options were explored with the Mann–Whittney U test and item response theory. Results A highly restrictive nine-factor confirmatory factor analysis showed acceptable fit [χ 2WLSMV = 1684 (df = 866), p

Keywords: Health literacy; Measurement; Cultural adaptation; Item response theory; Psychometrics; Health Literacy Questionnaire (HLQ) (search for similar items in EconPapers)
Date: 2017
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DOI: 10.1007/s00038-017-0945-x

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