Psychometric properties of Persian version of diabetes health literacy scale (DHLS) in patients with type 2 diabetes
Abstract Background The purpose of this study was to investigate the psychometric properties of the Persian version of Diabetes Health Literacy Scale in type 2 diabetic patients. Method This cross-sectional study was conducted in 2021 in 1040 patients with type 2 diabetes in eastern Iran. Participan...
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BMC
2022-09-01
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Series: | Diabetology & Metabolic Syndrome |
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Online Access: | https://doi.org/10.1186/s13098-022-00910-0 |
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author | Mahdi Moshki Ali Alami Zohreh Zadehahmad Mousa Ghelichi-Ghojogh Mitra Dogonchi Alireza Jafari |
author_facet | Mahdi Moshki Ali Alami Zohreh Zadehahmad Mousa Ghelichi-Ghojogh Mitra Dogonchi Alireza Jafari |
author_sort | Mahdi Moshki |
collection | DOAJ |
description | Abstract Background The purpose of this study was to investigate the psychometric properties of the Persian version of Diabetes Health Literacy Scale in type 2 diabetic patients. Method This cross-sectional study was conducted in 2021 in 1040 patients with type 2 diabetes in eastern Iran. Participants was selected by proportional stratified sampling method. The validity of DHLS was investigated through qualitative face validity, qualitative content validity, and structural validity (exploratory factor analysis and confirmatory factor analysis). The reliability of DHLS was checked by Cronbach's alpha coefficient, McDonald omega coefficient, and test–retest. Results In exploratory factor analysis, 3 factors with eigenvalues greater than 1 were extracted, explaining 68.57% of the variance. These factors entered the confirmatory factor analysis, none of the questions were removed, and all questions had factor loading above 0.4. Cronbach's alpha coefficient and McDonald omega coefficient of DHLS were 0.919 and 0.922. Also, the Intraclass correlation coefficient of DHLS was 0.957. Finally, the DHLS was approved with 14 questions and the three subscales of Informational Health Literacy (6 items), Numerate Health Literacy (5 items), and Communicative Health Literacy (3 items). Conclusions DHLS with 14 questions and the three subscales is a valid and reliable tool for examining diabetes health literacy in people with type 2 diabetes. |
first_indexed | 2024-04-11T10:52:39Z |
format | Article |
id | doaj.art-f06fa52e389b481eab2fab4351f420a7 |
institution | Directory Open Access Journal |
issn | 1758-5996 |
language | English |
last_indexed | 2024-04-11T10:52:39Z |
publishDate | 2022-09-01 |
publisher | BMC |
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series | Diabetology & Metabolic Syndrome |
spelling | doaj.art-f06fa52e389b481eab2fab4351f420a72022-12-22T04:28:53ZengBMCDiabetology & Metabolic Syndrome1758-59962022-09-011411810.1186/s13098-022-00910-0Psychometric properties of Persian version of diabetes health literacy scale (DHLS) in patients with type 2 diabetesMahdi Moshki0Ali Alami1Zohreh Zadehahmad2Mousa Ghelichi-Ghojogh3Mitra Dogonchi4Alireza Jafari5Department of Health Education and Health Promotion, School of Health, Social Development and Health Promotion Research Center, Gonabad University of Medical SciencesDepartment of Epidemiology and Bio-Statistics, School of Public Health, Social Determinants of Health Research Center, Gonabad University of Medical SciencesDepartment of Public Health, School of Health, Torbat Heydariyeh University of Medical SciencesHealth Management and Social Development Research Center, Faculty of Health, Golestan University of Medical SciencesDepartment of Health Education and Health Promotion, School of Health, Social Development and Health Promotion Research Center, Gonabad University of Medical SciencesDepartment of Health Education and Health Promotion, School of Health, Social Development and Health Promotion Research Center, Gonabad University of Medical SciencesAbstract Background The purpose of this study was to investigate the psychometric properties of the Persian version of Diabetes Health Literacy Scale in type 2 diabetic patients. Method This cross-sectional study was conducted in 2021 in 1040 patients with type 2 diabetes in eastern Iran. Participants was selected by proportional stratified sampling method. The validity of DHLS was investigated through qualitative face validity, qualitative content validity, and structural validity (exploratory factor analysis and confirmatory factor analysis). The reliability of DHLS was checked by Cronbach's alpha coefficient, McDonald omega coefficient, and test–retest. Results In exploratory factor analysis, 3 factors with eigenvalues greater than 1 were extracted, explaining 68.57% of the variance. These factors entered the confirmatory factor analysis, none of the questions were removed, and all questions had factor loading above 0.4. Cronbach's alpha coefficient and McDonald omega coefficient of DHLS were 0.919 and 0.922. Also, the Intraclass correlation coefficient of DHLS was 0.957. Finally, the DHLS was approved with 14 questions and the three subscales of Informational Health Literacy (6 items), Numerate Health Literacy (5 items), and Communicative Health Literacy (3 items). Conclusions DHLS with 14 questions and the three subscales is a valid and reliable tool for examining diabetes health literacy in people with type 2 diabetes.https://doi.org/10.1186/s13098-022-00910-0PsychometricValidityReliabilityDiabetes health literacy scaleDHLSType 2 diabetic |
spellingShingle | Mahdi Moshki Ali Alami Zohreh Zadehahmad Mousa Ghelichi-Ghojogh Mitra Dogonchi Alireza Jafari Psychometric properties of Persian version of diabetes health literacy scale (DHLS) in patients with type 2 diabetes Diabetology & Metabolic Syndrome Psychometric Validity Reliability Diabetes health literacy scale DHLS Type 2 diabetic |
title | Psychometric properties of Persian version of diabetes health literacy scale (DHLS) in patients with type 2 diabetes |
title_full | Psychometric properties of Persian version of diabetes health literacy scale (DHLS) in patients with type 2 diabetes |
title_fullStr | Psychometric properties of Persian version of diabetes health literacy scale (DHLS) in patients with type 2 diabetes |
title_full_unstemmed | Psychometric properties of Persian version of diabetes health literacy scale (DHLS) in patients with type 2 diabetes |
title_short | Psychometric properties of Persian version of diabetes health literacy scale (DHLS) in patients with type 2 diabetes |
title_sort | psychometric properties of persian version of diabetes health literacy scale dhls in patients with type 2 diabetes |
topic | Psychometric Validity Reliability Diabetes health literacy scale DHLS Type 2 diabetic |
url | https://doi.org/10.1186/s13098-022-00910-0 |
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