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Use of the English Health Literacy Questionnaire (HLQ) with Health Science University Students in Nepal: A Validity Testing Study

Version 3 2024-06-19, 12:31
Version 2 2024-05-30, 16:58
Version 1 2023-02-28, 03:24
journal contribution
posted on 2024-06-19, 12:31 authored by SS Budhathoki, M Hawkins, G Elsworth, MT Fahey, J Thapa, S Karki, LB Basnet, PK Pokharel, RH Osborne
Research evidence shows that health literacy development is a key factor influencing non-communicable diseases care and patient outcomes. Healthcare professionals with strong health literacy skills are essential for providing quality care. We aimed to report the validation testing of the Health Literacy Questionnaire (HLQ) among health professional students in Nepal. A cross-sectional study was conducted with 419 health sciences students using the HLQ in Nepal. Validation testing and reporting were conducted using five sources outlined by ‘the 2014 Standards for Educational and Psychological Testing’. The average difficulty was lowest (17.4%) for Scale 4. Social support for health, and highest (51.9%) for Scale 6. Ability to actively engage with healthcare providers. One factor Confirmatory Factor Analysis (CFA) model showed a good fit for Scale 2, Scale 7 and Scale 9 and a reasonable fit for Scale 3 and Scale 4. The restricted nine-factor CFA model showed a satisfactory level of fit. The use of HLQ is seen to be meaningful in Nepal and warrants translation into native Nepali and other dominant local languages with careful consideration of cultural appropriateness using cognitive interviews.

History

Journal

International Journal of Environmental Research and Public Health

Volume

19

Article number

ARTN 3241

Location

Switzerland

ISSN

1661-7827

eISSN

1660-4601

Language

English

Publication classification

C1.1 Refereed article in a scholarly journal

Issue

6

Publisher

MDPI