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Development and implementation of Taiwan's child health literacy test

Liu,C-H, Liao,L-L, Shih,S-F, Chang,T-C, Chi,H-Y and Osborne,RH 2014, Development and implementation of Taiwan's child health literacy test, Taiwan Journal of Public Health, vol. 33, no. 3, pp. 251-270, doi: 10.6288/TJPH201433102105.

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Title Development and implementation of Taiwan's child health literacy test
Author(s) Liu,C-H
Liao,L-L
Shih,S-F
Chang,T-C
Chi,H-Y
Osborne,RHORCID iD for Osborne,RH orcid.org/0000-0002-9081-2699
Journal name Taiwan Journal of Public Health
Volume number 33
Issue number 3
Start page 251
End page 270
Total pages 20
Publisher Taiwan Public Health Association
Place of publication Taiwan, Republic of China
Publication date 2014-06-01
ISSN 1023-2141
Keyword(s) Curriculum-based
Health literacy
Student children
Summary Objectives: The aims of this study were to develop Taiwan's Child Health Literacy Test and to undertake a nation-wide survey in order to determine the current status of Taiwanese sixth graders' health literacy, and to understand the association between health literacy, healthy behavior, and health status. absp Methods: Taiwan's Child Health Literacy Test was developed through the process of concept clarification, a qualitative pilot, a development pilot, and a field test. In the field test, 162,609 sixth graders (56.9%) from 2,235 schools (83.3%) nationwide completed the questionnaire. We also collected the students' dates of birth, BMIs, self-reported health and healthy behaviors. absp Results: The final test consisted of 32 questions with item discrimination of 0.55-1.89 and item difficulty of-1.7-0.41 according to IRT; Cronbach's a was 0.87. Based on this information, the test was deemed appropriate for basic health literacy screening among children. Nation-wide, the average score for sixth graders' health literacy was 23.97 points (total score 32 points), with a correct rate of 74.9%. Those who were "good" in self-reported health scored highest in health literacy (M = 24.29). Health literacy was significantly positively related to healthy behavior (r = .25, p< .05), and negatively to risky behavior (r =-.28, p< .05). absp Conclusions: This study was the first curriculum-based child health literacy test developed from the viewpoints of both teachers and pupils in Taiwan through a rigorous procedure. The nationwide survey results may serve as a reference for decision-makers at the national health education level.
Language chi
DOI 10.6288/TJPH201433102105
Field of Research 111709 Health Care Administration
Socio Economic Objective 920205 Health Education and Promotion
HERDC Research category C3 Non-refereed articles in a professional journal
ERA Research output type C Journal article
Copyright notice ©2014, Taiwan Public Health Association
Free to Read? Yes
Persistent URL http://hdl.handle.net/10536/DRO/DU:30070503

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Every reasonable effort has been made to ensure that permission has been obtained for items included in DRO. If you believe that your rights have been infringed by this repository, please contact drosupport@deakin.edu.au.