Subjective health literacy : Development of a brief instrument for school-aged children
Paakkari, O., Torppa, M., Kannas, L., & Paakkari, L. (2016). Subjective health literacy : Development of a brief instrument for school-aged children. Scandinavian Journal of Public Health, 44 (8), 751-757. doi:10.1177/1403494816669639
Published inScandinavian Journal of Public Health
© Author(s) 2016. This is a final draft version of an article whose final and definitive form has been published by SAGE Publications. Published in this repository with the kind permission of the publisher.
Aims: The present paper focuses on the measurement of health literacy (HL), which is an important determinant of health and health behaviours. HL starts to develop in childhood and adolescence; hence, there is a need for instruments to monitor HL among younger age groups. These instruments are still rare. The aim of the project reported here was, therefore, to develop a brief, multidimensional, theory-based instrument to measure subjective HL among school-aged children. Methods: The development of the instrument covered four phases: item generation based on a conceptual framework; a pilot study (n = 405); test–retest (n = 117); and construction of the instrument (n = 3853). All the samples were taken from Finnish 7th and 9th graders. Results: Initially, 65 items were generated, of which 32 items were selected for the pilot study. After item reduction, the instrument contained 16 items. The test–retest phase produced estimates of stability. In the final phase a 10-item instrument was constructed, referred to as Health Literacy for School-Aged Children (HLSAC). The instrument exhibited a high Cronbach alpha (0.93), and included two items from each of the five predetermined theoretical components (theoretical knowledge, practical knowledge, critical thinking, self-awareness, citizenship). Conclusions: The iterative and validity-driven development process made it possible to construct a brief multidimensional HLSAC instrument. Such instruments are suitable for large-scale studies, and for use with children and adolescents. Validation will require further testing for use in other countries. ...
PublisherSage Publications Ltd.; Nordisk Socialmedicinsk Foerening
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Paakkari, Olli (2020)Health literacy (HL) is an important determinant of health and health behaviours. The aim of this research was to develop a brief, comprehensive, and theory-based instrument for the measurement of subjective HL among ...
Measuring Health Literacy in Childhood and Adolescence with the Scale Health Literacy in School-Aged Children – German Version : The Psychometric Properties of the German-Language Version of the WHO Health Survey Scale HLSAC Fischer, Saskia M.; Dadaczynski, Kevin; Sudeck, Gorden; Rathmann, Katharina; Paakkari, Olli; Paakkari, Leena; Bilz, Ludwig; the HBSC Study Group Germany (Hogrefe Publishing Group, 2022)Health literacy can help explain health inequalities in childhood and adolescence. However, suitable instruments for assessing health literacy in this age group are rare, especially in the German-speaking countries. One ...
The cross-national measurement invariance of the health literacy for school-aged children (HLSAC) instrument Paakkari, Olli; Torppa, Minna; Boberova, Zuzana; Välimaa, Raili; Maier, Gunter; Mazur, Joanna; Kannas, Lasse; Paakkari, Leena (Oxford University Press, 2019)Background Health literacy (HL) is an important determinant of health and health behaviours, and there is a need to monitor HL levels among all population groups. It is therefore essential to develop instruments to ...
Paakkari, Olli; Torppa, Minna; Villberg, Jari; Kannas, Lasse; Paakkari, Leena (Emerald, 2018)Purpose The aim of this study was to explore Finnish adolescents’ subjective health literacy (HL) in association to school achievement, learning difficulties, educational aspirations, and family affluence. Design/meth ...
Translation and Validation of a Brief Health Literacy Instrument for School-Age Children in a Danish Context Bonde, Ane H.; Stjernqvist, Nanna W.; Klinker, Charlotte D.; Maindal, Helle T.; Paakkari, Olli; Elsborg, Peter (SLACK, Inc., 2022)Low health literacy (HL) is associated with adverse health behaviors and poor health, and brief, high-quality instruments for measuring HL in children are scarce. The Health Literacy for School-Aged Children (HLSAC) ...