Development and validation of a Chinese parental health literacy questionnaire for caregivers of children 0 to 3 years old

Abstract Background Given the limited information on parental health literacy measurements, the study aimed to develop and validate the Chinese Parental Health Literacy Questionnaire for caregivers of children 0 to 3 years old. Methods We conducted a validity and reliability study of the questionnai...

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Main Authors: Yan Zhang, Mu Li, Hong Jiang, Huijing Shi, Biao Xu, Salla Atkins, Xu Qian
Format: Article
Language:English
Published: BMC 2019-08-01
Series:BMC Pediatrics
Subjects:
Online Access:http://link.springer.com/article/10.1186/s12887-019-1670-9
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author Yan Zhang
Mu Li
Hong Jiang
Huijing Shi
Biao Xu
Salla Atkins
Xu Qian
author_facet Yan Zhang
Mu Li
Hong Jiang
Huijing Shi
Biao Xu
Salla Atkins
Xu Qian
author_sort Yan Zhang
collection DOAJ
description Abstract Background Given the limited information on parental health literacy measurements, the study aimed to develop and validate the Chinese Parental Health Literacy Questionnaire for caregivers of children 0 to 3 years old. Methods We conducted a validity and reliability study of the questionnaire through a cross-sectional survey and test-retest analysis respectively between March and April 2017. We recruited 807 caregivers of children 0 to 3 years old, among them 101 caregivers completed the test-retest assessment with 2 weeks interval. The reliability was determined by internal consistency, spilt-half reliability and test-retest reliability. The construct validity was assessed by confirmatory factor analysis. Results The 39-question Chinese Parental Health Literacy Questionnaire was demonstrated high internal consistency (Cronbach’s α = 0.89), spilt-half reliability (Spearman-Brown coefficient = 0.92) and test-retest reliability (Pearson correlation coefficient = 0.82). The confirmatory factor analysis showed that the construct of the questionnaire fitted well with the hypothetical model. The participants’ test scores of the Chinese Parental Health Literacy Questionnaire in the cross-sectional survey were positively associated with caregivers being mothers, more educated, the children with Shanghai Hukou, having only one child in the family, and higher family income. Conclusion The Chinese Parental Health Literacy Questionnaire demonstrated good reliability and validity, which could potentially be used as an effective evaluation instrument to assess parental health literacy.
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spelling doaj.art-8f5882a8f4574c3bb130abae09b9c34b2022-12-22T00:51:27ZengBMCBMC Pediatrics1471-24312019-08-011911910.1186/s12887-019-1670-9Development and validation of a Chinese parental health literacy questionnaire for caregivers of children 0 to 3 years oldYan Zhang0Mu Li1Hong Jiang2Huijing Shi3Biao Xu4Salla Atkins5Xu Qian6Department of Maternal, Child and Adolescent Health, School of Public Health; Global Health Institute, Fudan UniversitySchool of Public Health, University of SydneyDepartment of Maternal, Child and Adolescent Health, School of Public Health; Global Health Institute, Fudan UniversityDepartment of Maternal, Child and Adolescent Health, School of Public Health; Global Health Institute, Fudan UniversityDepartment of Epidemiology, School of Public Health, Global Health Institute, Fudan UniversityNew Social Research and Faculty of Social Sciences, Tampere UniversityDepartment of Maternal, Child and Adolescent Health, School of Public Health; Global Health Institute, Fudan UniversityAbstract Background Given the limited information on parental health literacy measurements, the study aimed to develop and validate the Chinese Parental Health Literacy Questionnaire for caregivers of children 0 to 3 years old. Methods We conducted a validity and reliability study of the questionnaire through a cross-sectional survey and test-retest analysis respectively between March and April 2017. We recruited 807 caregivers of children 0 to 3 years old, among them 101 caregivers completed the test-retest assessment with 2 weeks interval. The reliability was determined by internal consistency, spilt-half reliability and test-retest reliability. The construct validity was assessed by confirmatory factor analysis. Results The 39-question Chinese Parental Health Literacy Questionnaire was demonstrated high internal consistency (Cronbach’s α = 0.89), spilt-half reliability (Spearman-Brown coefficient = 0.92) and test-retest reliability (Pearson correlation coefficient = 0.82). The confirmatory factor analysis showed that the construct of the questionnaire fitted well with the hypothetical model. The participants’ test scores of the Chinese Parental Health Literacy Questionnaire in the cross-sectional survey were positively associated with caregivers being mothers, more educated, the children with Shanghai Hukou, having only one child in the family, and higher family income. Conclusion The Chinese Parental Health Literacy Questionnaire demonstrated good reliability and validity, which could potentially be used as an effective evaluation instrument to assess parental health literacy.http://link.springer.com/article/10.1186/s12887-019-1670-9Young childrenParental health literacyAnticipatory guidanceScale development
spellingShingle Yan Zhang
Mu Li
Hong Jiang
Huijing Shi
Biao Xu
Salla Atkins
Xu Qian
Development and validation of a Chinese parental health literacy questionnaire for caregivers of children 0 to 3 years old
BMC Pediatrics
Young children
Parental health literacy
Anticipatory guidance
Scale development
title Development and validation of a Chinese parental health literacy questionnaire for caregivers of children 0 to 3 years old
title_full Development and validation of a Chinese parental health literacy questionnaire for caregivers of children 0 to 3 years old
title_fullStr Development and validation of a Chinese parental health literacy questionnaire for caregivers of children 0 to 3 years old
title_full_unstemmed Development and validation of a Chinese parental health literacy questionnaire for caregivers of children 0 to 3 years old
title_short Development and validation of a Chinese parental health literacy questionnaire for caregivers of children 0 to 3 years old
title_sort development and validation of a chinese parental health literacy questionnaire for caregivers of children 0 to 3 years old
topic Young children
Parental health literacy
Anticipatory guidance
Scale development
url http://link.springer.com/article/10.1186/s12887-019-1670-9
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