Content validity of the Japanese version of the health literacy and resiliency scale for youth with chronic illness

Health literacy, which is the ability to find, understand, and use information as well as services to make informed health-related decisions and actions, is essential for ensuring that youths with chronic diseases adapt to and live with their illnesses. However, in Japan, an appropriate approach for...

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Main Authors: Saya Sekine, Kyoko Kobayashi, Ryota Ochiai, Takashi Higaki
Format: Article
Language:English
Published: Frontiers Media S.A. 2022-11-01
Series:Frontiers in Pediatrics
Subjects:
Online Access:https://www.frontiersin.org/articles/10.3389/fped.2022.978079/full
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author Saya Sekine
Kyoko Kobayashi
Ryota Ochiai
Takashi Higaki
author_facet Saya Sekine
Kyoko Kobayashi
Ryota Ochiai
Takashi Higaki
author_sort Saya Sekine
collection DOAJ
description Health literacy, which is the ability to find, understand, and use information as well as services to make informed health-related decisions and actions, is essential for ensuring that youths with chronic diseases adapt to and live with their illnesses. However, in Japan, an appropriate approach for measuring health literacy levels among children is yet to be developed. The Health Literacy and Resiliency Scale for Youth (HLRS-Y) was developed by Kathy Bradley-Klug and her colleagues to assess health literacy, resiliency, and self-advocacy/support among youths aged between 13 and 21 years with chronic illnesses in the United States of America (United States). In this study, we aimed to develop a Japanese version of the HLRS-Y and evaluate its content validity. After receiving approvals from the original authors, four nurse researchers with expertise in pediatric nursing translated the scale into Japanese (forward translation). Afterwards, the appropriateness of each expression was examined by a pediatrician. Next, an English native speaker translated the expressions into English (back-translation). We reported the back-translated version of the scale to the original authors to confirm its accuracy. The scale's content validity index (CVI) was evaluated by health professionals working in the fields of pediatric, transitional, and adult health care. The participants rated the items using a four-point scale. Each item was evaluated for a minimum item-level content validity index (I-CVI) value of 0.78. The scale's total and subscale validities were evaluated using a minimum scale-level content validity index based on an average (S-CVI/Ave) value of 0.90. Eleven participants responded to an online survey for evaluating content validity. Of the 36 items, 34 met the I-CVI criteria. Two items did not exceed the criteria's value, but they approximated it. The values of the S-CVI/Ave were 0.96, thereby satisfying the criteria's requirements. Based on the results, it was confirmed that the Japanese version of the HLRS-Y had good content validity. Future studies should examine the factor validity, known group validity, and reliability of this scale.
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spelling doaj.art-defc74c7a4fd4359a00dd2cce0e1dcce2022-12-22T03:42:16ZengFrontiers Media S.A.Frontiers in Pediatrics2296-23602022-11-011010.3389/fped.2022.978079978079Content validity of the Japanese version of the health literacy and resiliency scale for youth with chronic illnessSaya Sekine0Kyoko Kobayashi1Ryota Ochiai2Takashi Higaki3Department of Child Health Nursing, Graduate School of Nursing Sciences, St. Luke's International University, Tokyo, JapanDepartment of Child Health Nursing, Graduate School of Nursing Sciences, St. Luke's International University, Tokyo, JapanDepartment of Nursing, School of Medicine, Yokohama City University, Yokohama, JapanDepartment of Regional Pediatrics and Perinatology Center for Transition to Adult Congenital Health Disease, Graduate School of Medicine, Ehime University, Ehime, JapanHealth literacy, which is the ability to find, understand, and use information as well as services to make informed health-related decisions and actions, is essential for ensuring that youths with chronic diseases adapt to and live with their illnesses. However, in Japan, an appropriate approach for measuring health literacy levels among children is yet to be developed. The Health Literacy and Resiliency Scale for Youth (HLRS-Y) was developed by Kathy Bradley-Klug and her colleagues to assess health literacy, resiliency, and self-advocacy/support among youths aged between 13 and 21 years with chronic illnesses in the United States of America (United States). In this study, we aimed to develop a Japanese version of the HLRS-Y and evaluate its content validity. After receiving approvals from the original authors, four nurse researchers with expertise in pediatric nursing translated the scale into Japanese (forward translation). Afterwards, the appropriateness of each expression was examined by a pediatrician. Next, an English native speaker translated the expressions into English (back-translation). We reported the back-translated version of the scale to the original authors to confirm its accuracy. The scale's content validity index (CVI) was evaluated by health professionals working in the fields of pediatric, transitional, and adult health care. The participants rated the items using a four-point scale. Each item was evaluated for a minimum item-level content validity index (I-CVI) value of 0.78. The scale's total and subscale validities were evaluated using a minimum scale-level content validity index based on an average (S-CVI/Ave) value of 0.90. Eleven participants responded to an online survey for evaluating content validity. Of the 36 items, 34 met the I-CVI criteria. Two items did not exceed the criteria's value, but they approximated it. The values of the S-CVI/Ave were 0.96, thereby satisfying the criteria's requirements. Based on the results, it was confirmed that the Japanese version of the HLRS-Y had good content validity. Future studies should examine the factor validity, known group validity, and reliability of this scale.https://www.frontiersin.org/articles/10.3389/fped.2022.978079/fulltransition to adult carehealth literacyresiliencychronic illnessadolescentsyoung adults
spellingShingle Saya Sekine
Kyoko Kobayashi
Ryota Ochiai
Takashi Higaki
Content validity of the Japanese version of the health literacy and resiliency scale for youth with chronic illness
Frontiers in Pediatrics
transition to adult care
health literacy
resiliency
chronic illness
adolescents
young adults
title Content validity of the Japanese version of the health literacy and resiliency scale for youth with chronic illness
title_full Content validity of the Japanese version of the health literacy and resiliency scale for youth with chronic illness
title_fullStr Content validity of the Japanese version of the health literacy and resiliency scale for youth with chronic illness
title_full_unstemmed Content validity of the Japanese version of the health literacy and resiliency scale for youth with chronic illness
title_short Content validity of the Japanese version of the health literacy and resiliency scale for youth with chronic illness
title_sort content validity of the japanese version of the health literacy and resiliency scale for youth with chronic illness
topic transition to adult care
health literacy
resiliency
chronic illness
adolescents
young adults
url https://www.frontiersin.org/articles/10.3389/fped.2022.978079/full
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