Publication:
Development and validation of a culture-sensitive generic health literacy scale in Turkish-speaking adults

dc.contributor.coauthorDoğan, Güçiz, Bahar
dc.contributor.coauthorÖzvarış, Şevkat Barış
dc.contributor.coauthorÜnlü Koşuk, Hande
dc.contributor.coauthorKaradağ, Özge
dc.contributor.coauthorDoğan, Nuri
dc.contributor.coauthorGelbal, Selahattin
dc.contributor.departmentSchool of Medicine
dc.contributor.kuauthorSakarya, Sibel
dc.contributor.schoolcollegeinstituteSCHOOL OF MEDICINE
dc.date.accessioned2024-11-09T11:37:54Z
dc.date.issued2022
dc.description.abstractBackground: improving health literacy has become one of the most important public health-related goals at the global level; however, there is no clear consensus on measurement of health literacy. Despite numerous health literacy scales available in Turkish, none of the existing scales was originally developed and validated at a national level. Objective: this study aimed to develop and validate a culturally appropriate original health literacy scale (HLS) to be used as a reference for the Turkish-speaking literate adult population in Turkey and abroad. Methods: two multidisciplinary workshops with more than 20 experts were conducted and a large item pool was developed. The first and second draft of the scale were pre-tested with 20 and 150 adults, respectively, from different age groups and socioeconomic levels in Ankara. The validity and reliability study of the revised scale (110 items plus 20 self-efficacy statements) was carried out with a household survey of 2,411 adults in 12 randomly selected provinces from 12 Nomenclature of Territorial Units for Statistics Re-gions in Turkey. Explanatory and confirmatory factor analysis were performed. The fit indices were obtained. The item analysis was applied, and Cronbach’s alpha statistics were obtained. Key results: the scale was found to be both a valid and a reliable measurement tool to assess health literacy. Cronbach’s alpha for two sub-dimensions (“disease prevention and health promotion” and “treatment and access to health services”) were 0.79 and 0.91, respectively. Construction validity indices were Root Mean Square Error of Approxima-tion (RMSEA) = 0.043, Goodness of Fit Index (GFI) = 0.96, Normed Fit Index (NFI) = 0.95, and Adjusted Goodness of Fit Index (AGFI) = 0.95. The scale includes “self-efficacy” as an additional dimension (Cronbach’s alpha = 0.83, RMSEA = 0.68, GFI = 0.94, NFI = 0.94, and AGFI) = 0.91). Conclusion: HLS is a valid and reliable measurement tool to assess health literacy of Turkish-speaking literate adults with a mixed (objective and subjective) assess-ment approach.
dc.description.fulltextYES
dc.description.indexedbyScopus
dc.description.indexedbyPubMed
dc.description.issue1
dc.description.openaccessYES
dc.description.publisherscopeInternational
dc.description.sponsoredbyTubitakEuN/A
dc.description.sponsorshipThis study was financially supported by Hacettepe University Scientific Research Projects Coordination Unit (project number: TSA-2015-6392).
dc.description.versionPublisher version
dc.description.volume6
dc.identifier.doi10.3928/24748307-20211208-01
dc.identifier.eissn2474-8307
dc.identifier.embargoNO
dc.identifier.filenameinventorynoIR03886
dc.identifier.issn2475-6024
dc.identifier.quartileN/A
dc.identifier.scopus2-s2.0-85123568220
dc.identifier.urihttps://hdl.handle.net/20.500.14288/75
dc.keywordsPsychometrics
dc.keywordsReproducibility of results
dc.keywordsSurveys and questionnaires
dc.keywordsTurkey
dc.language.isoeng
dc.publisherSLACK Incorporated
dc.relation.grantnoTSA-2015-6392
dc.relation.ispartofHealth Literacy Research and Practice
dc.relation.urihttp://cdm21054.contentdm.oclc.org/cdm/ref/collection/IR/id/10744
dc.subjectHealth literacy
dc.subjectMedicine
dc.titleDevelopment and validation of a culture-sensitive generic health literacy scale in Turkish-speaking adults
dc.typeJournal Article
dspace.entity.typePublication
local.contributor.kuauthorSakarya, Sibel
local.publication.orgunit1SCHOOL OF MEDICINE
local.publication.orgunit2School of Medicine
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