Cultural adaptation and validation of the Health Literacy Questionnaire (HLQ): robust nine-dimension Danish language confirmatory factor model Maindal, Helle Terkildsen, Kayser, Lars, Norgaard, Ole, Bo, Anne, Elsworth, Gerald R. and Osborne, Richard H. 2016, Cultural adaptation and validation of the Health Literacy Questionnaire (HLQ): robust nine-dimension Danish language confirmatory factor model, SpringerPlus, vol. 5, no. 1, pp. 1-16, doi: 10.1186/s40064-016-2887-9. Attached Files Name Description MIMEType Size Downloads elsworth-culturaladaptation-2016.pdf Published version application/pdf 1012.06KB 64 Title Cultural adaptation and validation of the Health Literacy Questionnaire (HLQ): robust nine-dimension Danish language confirmatory factor model Author(s) Maindal, Helle Terkildsen Kayser, Lars Norgaard, Ole Bo, Anne Elsworth, Gerald R. orcid.org/0000-0001-6306-7593 Osborne, Richard H. orcid.org/0000-0002-9081-2699 Journal name SpringerPlus Volume number 5 Issue number 1 Article ID 1232 Start page 1 End page 16 Total pages 16 Publisher SpringerOpen Place of publication Berlin, Germany Publication date 2016 ISSN 2193-1801 Keyword(s) HLQ Health literacy Measurement Psychometrics Questionnaire Validation Science & Technology Multidisciplinary Sciences Science & Technology - Other Topics Summary Health literacy is an important construct in population health and healthcare requiring rigorous measurement. The Health Literacy Questionnaire (HLQ), with nine scales, measures a broad perception of health literacy. This study aimed to adapt the HLQ to the Danish setting, and to examine the factor structure, homogeneity, reliability and discriminant validity. The HLQ was adapted using forward-backward translation, consensus conference and cognitive interviews (n = 15). Psychometric properties were examined based on data collected by face-to-face interview (n = 481). Tests included difficulty level, composite scale reliability and confirmatory factor analysis (CFA). Cognitive testing revealed that only minor re-wording was required. The easiest scale to respond to positively was 'Social support for health', and the hardest were 'Navigating the healthcare system' and 'Appraisal of health information'. CFA of the individual scales showed acceptably high loadings (range 0.49-0.93). CFA fit statistics after including correlated residuals were good for seven scales, acceptable for one. Composite reliability and Cronbach's α were >0.8 for all but one scale. A nine-factor CFA model was fitted to items with no cross-loadings or correlated residuals allowed. Given this restricted model, the fit was satisfactory. The HLQ appears robust for its intended application of assessing health literacy in a range of settings. Further work is required to demonstrate sensitivity to measure changes. Language eng DOI 10.1186/s40064-016-2887-9 Field of Research 111799 Public Health and Health Services not elsewhere classified Socio Economic Objective 920499 Public Health (excl. Specific Population Health) not elsewhere classified HERDC Research category C1 Refereed article in a scholarly journal ERA Research output type C Journal article Copyright notice ©2016, The Authors Free to Read? Yes Use Rights Persistent URL http://hdl.handle.net/10536/DRO/DU:30086360 Document type: Journal Article Collections: Faculty of Health School of Health and Social Development Population Health Open Access Collection Related Links Link Description Connect to published version Go to link with your DU access privileges     Unless expressly stated otherwise, the copyright for items in DRO is owned by the author, with all rights reserved. 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. Versions Version Filter Type Wed, 28 Sep 2016, 00:32:49 EST Wed, 28 Sep 2016, 05:02:31 EST Tue, 04 Oct 2016, 05:08:36 EST Thu, 13 Oct 2016, 09:27:49 EST Thu, 13 Oct 2016, 09:32:32 EST Thu, 13 Oct 2016, 09:33:50 EST Fri, 31 Mar 2017, 11:16:10 EST Fri, 07 Sep 2018, 12:30:57 EST Filtered Full Citation counts:   Cited 33 times in TR Web of Science Cited 39 times in Scopus Search Google Scholar Access Statistics: 296 Abstract Views, 64 File Downloads  -  Detailed Statistics Created: Wed, 28 Sep 2016, 00:32:49 EST

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.