Multidimensional Health Literacy Scale: Development and Psychometric Properties
Health literacy (HL) is often discussed in the context of school curricula, however there is a lack of published and varified instruments for evaluating HL in schoolaged children in Russia. This article presents the step-by-step development of a multidimensional assessment method of health literacy...
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| Format: | Article |
| Language: | English |
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National Research University Higher School of Economics (HSE)
2023-04-01
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| Series: | Вопросы образования |
| Subjects: | |
| Online Access: | https://vo.hse.ru/article/view/16018 |
| _version_ | 1797844120049287168 |
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| author | Elena Nekhorosheva Ekaterina Enchikova Daria Kasatkina |
| author_facet | Elena Nekhorosheva Ekaterina Enchikova Daria Kasatkina |
| author_sort | Elena Nekhorosheva |
| collection | DOAJ |
| description | Health literacy (HL) is often discussed in the context of school curricula, however there is a lack of published and varified instruments for evaluating HL in schoolaged children in Russia. This article presents the step-by-step development of a multidimensional assessment method of health literacy (MMHL) for middle-school children. The conceptual model is based on a review of international experience of HL measurement and includes three functional sections — autonomy, motivation, and practice; and four themes — hygiene, daily routine, nutrition and physical activity. The final version of the instrument consists of 54 questions in 9 scales: access to information, beliefs, trust, amotivation, extrinsic motivation, intrinsic motivation, critical thinking, communication, and action. Work was carried out in five stages: 1) expert evaluation and verification of content validity; 2) small pilot study (N = 92) to test face validity; 3) large pilot study (N = 313) for the primary assessment of psychometric characteristics; 4) final study on a larger sample (N = 1095) to confirm the psychometric characteristics and to explore the factor structure of the instrument; 5) analysis of the distribution of test scores and the establishment of threshold values for interpreting the results. The developed instrument has good indicators of validity and reliability. The Confirmatory Factor Analysis shows that the data corresponds with the theoretical model. Threshold values allow using this instrument not only in theoretical studies but also for solving practical pedagogical tasks. Therefore this instrument can be recommended for use in educational institutions as a diagnostic tool for assessing the motivation and HL of students. |
| first_indexed | 2024-04-09T17:17:13Z |
| format | Article |
| id | doaj.art-64212e8a6d2442a49f1517294ec8bc32 |
| institution | Directory Open Access Journal |
| issn | 1814-9545 2412-4354 |
| language | English |
| last_indexed | 2024-04-09T17:17:13Z |
| publishDate | 2023-04-01 |
| publisher | National Research University Higher School of Economics (HSE) |
| record_format | Article |
| series | Вопросы образования |
| spelling | doaj.art-64212e8a6d2442a49f1517294ec8bc322023-04-19T14:36:09ZengNational Research University Higher School of Economics (HSE)Вопросы образования1814-95452412-43542023-04-01112616010.17323/1814-9545-2023-1-126-16016018Multidimensional Health Literacy Scale: Development and Psychometric PropertiesElena Nekhorosheva0Ekaterina Enchikova1Daria Kasatkina2Moscow City UniversityCentre for Research and Intervention in Education, University of PortoMoscow City UniversityHealth literacy (HL) is often discussed in the context of school curricula, however there is a lack of published and varified instruments for evaluating HL in schoolaged children in Russia. This article presents the step-by-step development of a multidimensional assessment method of health literacy (MMHL) for middle-school children. The conceptual model is based on a review of international experience of HL measurement and includes three functional sections — autonomy, motivation, and practice; and four themes — hygiene, daily routine, nutrition and physical activity. The final version of the instrument consists of 54 questions in 9 scales: access to information, beliefs, trust, amotivation, extrinsic motivation, intrinsic motivation, critical thinking, communication, and action. Work was carried out in five stages: 1) expert evaluation and verification of content validity; 2) small pilot study (N = 92) to test face validity; 3) large pilot study (N = 313) for the primary assessment of psychometric characteristics; 4) final study on a larger sample (N = 1095) to confirm the psychometric characteristics and to explore the factor structure of the instrument; 5) analysis of the distribution of test scores and the establishment of threshold values for interpreting the results. The developed instrument has good indicators of validity and reliability. The Confirmatory Factor Analysis shows that the data corresponds with the theoretical model. Threshold values allow using this instrument not only in theoretical studies but also for solving practical pedagogical tasks. Therefore this instrument can be recommended for use in educational institutions as a diagnostic tool for assessing the motivation and HL of students.https://vo.hse.ru/article/view/16018health literacyhlmeasurement instrumenteducational assessmenthealthy lifestylefunctional literacysoft skills |
| spellingShingle | Elena Nekhorosheva Ekaterina Enchikova Daria Kasatkina Multidimensional Health Literacy Scale: Development and Psychometric Properties Вопросы образования health literacy hl measurement instrument educational assessment healthy lifestyle functional literacy soft skills |
| title | Multidimensional Health Literacy Scale: Development and Psychometric Properties |
| title_full | Multidimensional Health Literacy Scale: Development and Psychometric Properties |
| title_fullStr | Multidimensional Health Literacy Scale: Development and Psychometric Properties |
| title_full_unstemmed | Multidimensional Health Literacy Scale: Development and Psychometric Properties |
| title_short | Multidimensional Health Literacy Scale: Development and Psychometric Properties |
| title_sort | multidimensional health literacy scale development and psychometric properties |
| topic | health literacy hl measurement instrument educational assessment healthy lifestyle functional literacy soft skills |
| url | https://vo.hse.ru/article/view/16018 |
| work_keys_str_mv | AT elenanekhorosheva multidimensionalhealthliteracyscaledevelopmentandpsychometricproperties AT ekaterinaenchikova multidimensionalhealthliteracyscaledevelopmentandpsychometricproperties AT dariakasatkina multidimensionalhealthliteracyscaledevelopmentandpsychometricproperties |