Health-promoting behaviors: psychometric properties of an assessment tool

Tomás, Catarina; Queirós, Paulo Joaquím Pina; Ferreira, Teresa

doi:10.1590/0104-07072015000700014

Cited by 12 publications

(30 citation statements)

References 7 publications

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“…The eHEALS is available in a range of languages [9,10,[18][19][20][21][22][23], and the English version has been successfully administered via telephone [24]. Psychometric testing of eHEALS indicates that it is a reliable and valid instrument [10,23,[25][26][27] but also that its validity requires further investigation [9].…”

Section: Introductionmentioning

confidence: 99%

The Swedish Version of the Electronic Health Literacy Scale: Prospective Psychometric Evaluation Study Including Thresholds Levels

Wångdahl

Jaensson

Dahlberg

et al. 2020

JMIR Mhealth Uhealth

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Background To enhance the efficacy of information and communication, health care has increasingly turned to digitalization. Electronic health (eHealth) is an important factor that influences the use and receipt of benefits from Web-based health resources. Consequently, the concept of eHealth literacy has emerged, and in 2006 Norman and Skinner developed an 8-item self-report instrument to measure these skills: the eHealth Literacy Scale (eHEALS). However, the eHEALS has not been tested for reliability and validity in the general Swedish population and no threshold values have been established. Objective The aim of this study was to translate and adapt eHEALS into a Swedish version; evaluate convergent validity and psychometric properties; and determine threshold levels for inadequate, problematic, and sufficient eHealth literacy. Methods Prospective psychometric evaluation study included 323 participants equally distributed between sexes with a mean age of 49 years recruited from 12 different arenas. Results There were some difficulties translating the English concept health resources. This resulted in this concept being translated as health information (ie, Hälsoinformation in Swedish). The eHEALS total score was 29.3 (SD 6.2), Cronbach alpha .94, Spearman-Brown coefficient .96, and response rate 94.6%. All a priori hypotheses were confirmed, supporting convergent validity. The test-retest reliability indicated an almost perfect agreement, .86 (P<.001). An exploratory factor analysis found one component explaining 64% of the total variance. No floor or ceiling effect was noted. Thresholds levels were set at 8 to 20 = inadequate, 21 to 26 = problematic, and 27 to 40 = sufficient, and there were no significant differences in distribution of the three levels between the Swedish version of eHEALS and the HLS-EU-Q16. Conclusions The Swedish version of eHEALS was assessed as being unidimensional with high internal consistency of the instrument, making the reliability adequate. Adapted threshold levels for inadequate, problematic, and sufficient levels of eHealth literacy seem to be relevant. However, there are some linguistic issues relating to the concept of health resources.

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Section: Introductionmentioning

confidence: 99%

The Swedish Version of the Electronic Health Literacy Scale: Prospective Psychometric Evaluation Study Including Thresholds Levels

Wångdahl

Jaensson

Dahlberg

et al. 2020

JMIR Mhealth Uhealth

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“…The questions were reviewed and it was verified if those were understandable for the language used in our country, bearing in mind the content that they wanted to measure in its original version. From this analysis, smaller modifications were made in writing the words of the items: 5,9,13,14,17,20, so that they were clearer and understandable for the Chilean population.…”

Section: Transcultural Adaptation Of the Asa Scalementioning

confidence: 99%

“…The measurement of these behaviors cannot be made through the observation because they should be inferred from the users' replies, through a self-report. In that regard, it recognized many instruments that measure the self-care in health, such as the scales namely health promotion [7][8][9] VISA TEEN 10 and others. [11][12][13] However, not all of them are validated in our idiom and culture, and the few that have been validated in this context, as the Fitbook 1,2 scale, is not based on theoretical foundations.…”

Section: Introductionmentioning

confidence: 99%

Validación de escala de Valoración de Agencia de Autocuidado (ASA) en adolescentes chilenos

et al. 2020

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Objective: To perform validation and reliability analysis of the Self-Care Agency Assessment Scale in Chilean adolescents. Method:It was performed in 199 adolescents. Validation of content was done by expert review. The reliability and construct validity were explored by means of exploratory factorial analysis (AFE) and confirmatory factorial analysis (AFC). Results: Some terms of the scale were culturally adapted. Cronbach's alpha reliability of the 24-item scale was 0.88. The items 6, 11and 20 presented low reliability and correlation with the scale (<0.4). The AFE suggested a factorial solution of five factors and one factor per graph of sedimentation. The structural equations of the possible models resulted in values of adjustment indices, close to satisfactory.Conclusions and Implications for Practice: By considering the combination of objective criteria, those based on theory and on the interpretability of factor solutions, the optimal solution is that of a factor with 21 items. The scale presents items adapted culturally, it is proposed to incorporate a greater specificity of self-care behaviors typical of adolescents. New research evaluating interventions to improve self-care capacity in adolescents could use the new version of the ASA scale with better psychometric properties. resumo Objetivo: Realizar validação e análise de confiabilidade da Escala de Classificação da Agência de Autocuidado em adolescentes chilenos. Método: Aplicado a 199 adolescentes. Validação de conteúdo foi feita por revisão de especialistas. Confiabilidade e validade de construto foram exploradas por meio de análise fatorial exploratória (AFE) e análise fatorial confirmatória (AFC). Resultados: Alguns termos da escala foram culturalmente adaptados. A confiabilidade alfa de Cronbach da escala de 24 itens foi de 0,88. Os itens 6, 11, 20 apresentaram baixa confiabilidade e correlação com a escala (<0,4). O AFE sugeriu numa solução fatorial de cinco fatores e um fator por gráfico de sedimentação. As equações estruturais dos modelos possíveis resultaram com valores de índices de ajuste, próximos do satisfatório. Conclusões e Implicações para a Prática: Considerando a combinação de critérios objetivos, aqueles baseados na teoria e na interpretabilidade das soluções fatoriais, a solução ótima é a de um fator com 21 itens. A escala apresenta itens culturalmente adaptados, propõe-se incorporar comportamentos de autocuidado mais específicos típicos de adolescentes. Novas pesquisas avaliando intervenções voltadas para melhorar a capacidade de autocuidado em adolescentes poderiam utilizar a nova versão da escala ASA com melhores propriedades psicométricas. Palavras-chave: Estudos de Validação; Autocuidado; Adolescente.resumen Objetivo: Realizar validación y análisis de confiabilidad de la Escala de Valoración de Agencia de Autocuidado en adolescentes chilenos. Método: Fue realizado en una muestra 199 adolescentes. La validación de contenido se hizo por revisión de expertos.Se exploró la confiabilidad y la validez de constructo por medio de aná...

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“…The study utilized two questionnaires: 1) Adolescent Health Promotion Scale and 2) Comprehensive Short-form Health Literacy Survey Tool. The Adolescent Health Promotion Scale developed by Tomás, Queirós, and Ferreira (2015) with a Cronbach Alpha results of 0.932. This instrument contains 12 questions under a 4-point Likert scale wherein the score of 4 means very difficult and score of 1 means very easy.…”

Section: Research Instrumentsmentioning

confidence: 99%

Relationship between Health Literacy and Health-Promoting Behaviors among Teen Pregnant Mothers

Barca¹,

Bajar²,

Caniezo³

et al. 2019

jhcs

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Background: Teenagers who became pregnant face many pregnancy difficulties as they are less likely to have enough physical development to withstand a healthy pregnancy or to give birth. Thus, health literacy and the promotion of healthy behavior among pregnant mothers are of paramount importance. This study is aimed to assess the relationship between health literacy and health-promoting behaviors among the selected teen pregnant mothers in attaining maternal health. Methods: Descriptive-correlational design was employed in this study. A total of 46 respondents participated in the study through a purposive sampling technique. The research instruments used were the Adolescent Health Promotion Scale and Comprehensive Short-form Health Literacy Survey Tool for Patients in General. Frequency, percentage, descriptive mean, and spearman Rank Correlation were used to analyze the data gathered. Results: Results showed that teen pregnant mothers have high levels of health literacy (n=2.16) but with low levels of health-promoting behavior (n=3.45). Lastly, it was found out these variables were statistically nonsignificant (rs (47) = -0.127, p =0.393) to each other. Conclusion: The study found out that there is no significant relationship between health literacy and health-promoting behaviors among teen pregnant mothers.

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Health-promoting behaviors: psychometric properties of an assessment tool

Cited by 12 publications

References 7 publications

The Swedish Version of the Electronic Health Literacy Scale: Prospective Psychometric Evaluation Study Including Thresholds Levels

The Swedish Version of the Electronic Health Literacy Scale: Prospective Psychometric Evaluation Study Including Thresholds Levels

Validación de escala de Valoración de Agencia de Autocuidado (ASA) en adolescentes chilenos

Relationship between Health Literacy and Health-Promoting Behaviors among Teen Pregnant Mothers

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