Translation and Validation of a Brief Health Literacy Instrument for School-Age Children in a Danish Context
Bonde, A. H., Stjernqvist, N. W., Klinker, C. D., Maindal, H. T., Paakkari, O., & Elsborg, P. (2022). Translation and Validation of a Brief Health Literacy Instrument for School-Age Children in a Danish Context. Health Literacy Research and Practice, 6(1), e25-e29. https://doi.org/10.3928/24748307-20220106-01
Published in
Health Literacy Research and PracticeAuthors
Date
2022Copyright
© 2022 Bonde, Stjernqvist, Klinker et al.; licensee SLACK Incorporated.
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) instrument is a 10-item theory-based and internationally validated tool for measuring HL. The purpose of this study was to translate and validate the HLSAC instrument among Danish school-aged children. The instrument was translated into Danish by a standardized forward-backward translation process, and then pre-tested for face validity with 61 pupils from four schools. Thereafter, the instrument was tested among 805 pupils in grades 6 to 7 (age 11–14 years) from 15 schools. When HL was modeled as one latent factor with all 10 items loading on this factor, the confirmative factor analysis showed standardized factor loadings from 0.52 to 0.75 (p < .001) and an excellent model fit. The association between HL and food intake as a health behavior example (p < .001, r2 = .027) indicates the predictive validity of the instrument. The internal consistency was high (Cronbach's alpha = 0.86). Thus, a valid and reliable version of the HLSAC instrument is available in Danish for future surveys to monitor HL and guide health promotion targeting children and adolescents. [HLRP: Health Literacy Research and Practice. 2022;6(1):e25–e29.]
...
Publisher
SLACK, Inc.ISSN Search the Publication Forum
2475-6024Keywords
Publication in research information system
https://converis.jyu.fi/converis/portal/detail/Publication/104296728
Metadata
Show full item recordCollections
- Liikuntatieteiden tiedekunta [3077]
Additional information about funding
This research was supported by the Arla Fonden Foundation (grant date September 4, 2018).License
Related items
Showing items with similar title or keywords.
-
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 ... -
The development and cross-national validation of the short health literacy for school-aged children (HLSAC-5) instrument
Paakkari, Olli; Kulmala, Markus; Lyyra, Nelli; Torppa, Minna; Mazur, Joanna; Boberova, Zuzana; Paakkari, Leena (Nature Publishing Group, 2023)Health literacy is an asset for and indicator of adolescents’ health and wellbeing, and should therefore be monitored and addressed across countries. This study aimed to develop and validate a shorter version of the original ... -
Developing an Instrument for Measuring Health Literacy among School-aged Children
Paakkari, Olli (Jyväskylän yliopisto, 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 ... -
Addressing health literacy in schools in the WHO European Region
Paakkari, Leena; Inchley, Jo; Schulz, Anette; Weber, Martin W.; Okan, Orkan (WHO Regional Office for Europe, 2019)Health literacy is a key determinant of health (1). Several studies have reported a positive association between high levels of health literacy and better health outcomes in children (2-4). For example, the WHO collaborative ...