Publication: Development and validation of a culture-sensitive generic health literacy scale in Turkish-speaking adults
dc.contributor.coauthor | Doğan, Güçiz, Bahar | |
dc.contributor.coauthor | Özvarış, Şevkat Barış | |
dc.contributor.coauthor | Ünlü Koşuk, Hande | |
dc.contributor.coauthor | Karadağ, Özge | |
dc.contributor.coauthor | Doğan, Nuri | |
dc.contributor.coauthor | Gelbal, Selahattin | |
dc.contributor.department | School of Medicine | |
dc.contributor.kuauthor | Sakarya, Sibel | |
dc.contributor.schoolcollegeinstitute | SCHOOL OF MEDICINE | |
dc.date.accessioned | 2024-11-09T11:37:54Z | |
dc.date.issued | 2022 | |
dc.description.abstract | Background: 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.fulltext | YES | |
dc.description.indexedby | Scopus | |
dc.description.indexedby | PubMed | |
dc.description.issue | 1 | |
dc.description.openaccess | YES | |
dc.description.publisherscope | International | |
dc.description.sponsoredbyTubitakEu | N/A | |
dc.description.sponsorship | This study was financially supported by Hacettepe University Scientific Research Projects Coordination Unit (project number: TSA-2015-6392). | |
dc.description.version | Publisher version | |
dc.description.volume | 6 | |
dc.identifier.doi | 10.3928/24748307-20211208-01 | |
dc.identifier.eissn | 2474-8307 | |
dc.identifier.embargo | NO | |
dc.identifier.filenameinventoryno | IR03886 | |
dc.identifier.issn | 2475-6024 | |
dc.identifier.quartile | N/A | |
dc.identifier.scopus | 2-s2.0-85123568220 | |
dc.identifier.uri | https://hdl.handle.net/20.500.14288/75 | |
dc.keywords | Psychometrics | |
dc.keywords | Reproducibility of results | |
dc.keywords | Surveys and questionnaires | |
dc.keywords | Turkey | |
dc.language.iso | eng | |
dc.publisher | SLACK Incorporated | |
dc.relation.grantno | TSA-2015-6392 | |
dc.relation.ispartof | Health Literacy Research and Practice | |
dc.relation.uri | http://cdm21054.contentdm.oclc.org/cdm/ref/collection/IR/id/10744 | |
dc.subject | Health literacy | |
dc.subject | Medicine | |
dc.title | Development and validation of a culture-sensitive generic health literacy scale in Turkish-speaking adults | |
dc.type | Journal Article | |
dspace.entity.type | Publication | |
local.contributor.kuauthor | Sakarya, Sibel | |
local.publication.orgunit1 | SCHOOL OF MEDICINE | |
local.publication.orgunit2 | School of Medicine | |
relation.isOrgUnitOfPublication | d02929e1-2a70-44f0-ae17-7819f587bedd | |
relation.isOrgUnitOfPublication.latestForDiscovery | d02929e1-2a70-44f0-ae17-7819f587bedd | |
relation.isParentOrgUnitOfPublication | 17f2dc8e-6e54-4fa8-b5e0-d6415123a93e | |
relation.isParentOrgUnitOfPublication.latestForDiscovery | 17f2dc8e-6e54-4fa8-b5e0-d6415123a93e |
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