Health Literacy Measure for Adolescents (HELMA): Development and Psychometric Properties

Ghanbari, Shahla; Ramezankhani, Ali; Montazeri, Ali; Mehrabi, Yadollah

doi:10.1371/journal.pone.0149202

Cited by 86 publications

(112 citation statements)

References 29 publications

(43 reference statements)

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“…In addition, similar to our findings, nutritional practice was improved by increasing health literacy (14). However, our results are inconsistent with those reported by Ghanbari et al about the mean of health literacy in students as a portion of the general population (15). Based on the results of the present study, reading skills and decision-making were important in health literacy and had some associations with fast food consumption.…”

Section: Discussioncontrasting

confidence: 70%

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Relationship between health literacy and fast food consumption: A population-based study from southern Iran

Namdar

Naghizadeh

Zamani

et al. 2019

Preprint

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Background Having appropriate health literacy may affect the consumption of fast food. We aimed to evaluate the effect of health literacy on fast food consumption among the general population.Methods We evaluated health literacy and fast food consumption using an appropriate questionnaire in 421 adult participants with the age range of 18-65 years old in Fasa city, Fars Province, southern Iran. Two-step cluster sampling and, then, systematic sampling were performed. Data collection was done through demographic information questionnaire, checklist on fast food consumption, and the Health Literacy for Iranian Adults (HELIA) questionnaire. Data were harvested by face-to-face conversations. Population data across groups with/without fast food intake were compared.Results Most of our participants used fast food every few months (49.9%). People with low or unstable income consumed more fast food than others (P<0.05). Sandwich and hotdog were the most consumed fast food (60.8%) and pizza was in the next step (34.9%). Sausage and soda were the most seasoning food (66.7%). Most of our participants used fast food as dinner (67.9%) and along with their family (72.2%), suggesting the institutionalized consumption of this type of food in the family. Fun was the most frequent reason for the use of fast food (66.5%). Most of the participants completely knew about the raw materials for fast food and their adverse effects. Finally, we found that health literacy among those who used fast food was less than those who did not consumed fast food. This difference was also observed in the subscales of reading skills, critique, and decision-making.Conclusion Differences in health literacy and its components may affect fast food consumption. In addition, there was a negative relationship between health literacy and fast food consumption, which was also observed in reading skills, critique, and decision-making.

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Section: Discussioncontrasting

confidence: 70%

“…The HELIA, measures five dimensions. "access" (items 1-6), "reading" (items 7-10), "understanding" (items [11][12][13][14][15][16][17], "appraisal" (18-21), and "decision-making/behavioral intention" (items 22-33).…”

mentioning

confidence: 99%

Relationship between health literacy and fast food consumption: A population-based study from southern Iran

Namdar

Naghizadeh

Zamani

et al. 2019

Preprint

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“…A review of all measures of mental health literacy and qualitative studies was carried out in order to generate an item pool. As such a number of items were adapted from other measures [11,12,[14][15][16][17][18][19][20][21][22][23][24][25][26][27]. Then, based on the Jorm's definition of mental health literacy [8], an initial questionnaire was developed.…”

Section: Item Generationmentioning

confidence: 99%

“…Following the content and face validity, the provisional version of the questionnaire with 39 items was provided and subjected to psychometric evaluation. The questionnaire was named the Postpartum Depression Literacy [26] (e.g., Most people who have a mental illness are dangerous and violent), -The scale of attitudes toward seeking psychological help [22] (e.g., I would rather live with certain mental conflicts than go through the ordeal of getting psychiatric treatment and emotional difficulties, like many things, tend to work out by themselves) and -The study of Abrams [27] (e.g., I am able to ask others about health information that I need).…”

Section: Provisional Version Of the Questionnairementioning

confidence: 99%

The postpartum depression literacy scale (PoDLiS): development and psychometric properties

Mirsalimi

Ghofranipour

Noroozi

et al. 2020

BMC Pregnancy Childbirth

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Background: Maternal mental health including postpartum mental health is essential to women's health. This study aimed to develop a specific measure for assessing postpartum depression literacy and consequently evaluate its psychometric properties among a sample of perinatal women. Methods: This investigation was composed of two studies: developing the measure, and evaluating of psychometric properties of the developed questionnaire. In development stage an item pool was created. Then, based on definition of mental health literacy and preliminary screening, an initial questionnaire was developed. The content and face validity of the questionnaire were then assessed. In the second study psychometric properties of the questionnaire were examined. Overall 692 perinatal women with the mean age of 27.63 years (ranging from 17 to 43) participated in the study. Results: In all an item pool of 86 items was generated. Of these, 31 items were removed and the remaining 55 items subjected to content and face validity and further 16 items removed. In the second stage a 39-item questionnaire namely the Postpartum Depression Literacy Scale (PoDLis) was evaluated. In principal component factor analysis, 31 items were loaded indicating a 7-factor solution for the questionnaire. The factors designated the following constructs: ability to recognize postpartum depression, knowledge of risk factors and causes, knowledge and belief of self-care activities, knowledge about professional help available, beliefs about professional help available, attitudes which facilitate recognition of postpartum depression and appropriate help-seeking, and knowledge of how to seek information related to postpartum depression. Finally performing the confirmatory factor analysis, the Postpartum Depression Literacy Scale with 31 items was supported for the structures suggested by theoretical model and findings from the exploratory factor analysis. The Cronbach's alpha coefficient for the scale was .78 and it ranged from .70 to .83 for each factor lending support to the internal consistency of the questionnaire. Conclusion: The findings suggest that the Postpartum Depression Literacy Scale (PoDLiS) is a reliable and valid instrument for measuring the postpartum depression literacy and now can be used in studies of mental health literacy in women.

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“…In this regard, Masoumi et al (2019) designed an instrument for measuring the sexual health literacy of Iranian adults (men and women over the age of 18) that included 40 questions in 4 dimensions including access (7 items), reading and comprehension (18 items), evaluation and analysis (5 items), information usage (10 items) and literature review was used to design the initial items of the instrument [29]. Sexual health literacy for adults (SHELA) questionnaire, like most health literacy instruments, including health literacy assessment instruments in Iranian adolescents[30], health literacy instruments for married immigrant women in South Korea[31] and health literacy instruments for women with breast cancer[32] were designed based on the dimensions of health literacy. Dimensions of access, understanding, evaluation and judgment, decision-making and behavior are the main foundations of health literacy in definitions[33].…”

mentioning

confidence: 99%

Development and Psychometric Properties of Sexual and Reproductive Health Literacy Instrument for Infertile Women (SRH-Life): A Mixed Method Study

Rakhshaee

Khakbazan

Maasoumi³

2020

Preprint

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Background: Promoting sexual- reproductive health literacy is one of the most important strategies for achieving the goals of sexual- reproductive health in different groups of women. Infertile women are one of the most vulnerable groups to the adverse effects of low levels of health literacy. Since no specific instrument exists for assessing the level of sexual- reproductive health literacy, therefore, this study aimed to develop and evaluate the psychometric characteristics of an instrument for measuring sexual and reproductive health literacy among infertile women ( Sexual and Reproductive Health Literacy instrument for infertile women: SRH-Life) .Methods: This was a mixed method study with exploratory design which conducted from July 2018 to Jan 2020 in northern Iran. Semi structured interviews with infertile women, literature review and, expert panel comments were utilized to generate an item pool. Then, the psychometric properties of the instrument, validity and reliability were assessed.Results: The initial instrument contained 78 items. Next, 10 experts evaluated content validity. Some items were removed and a provisional version of the instrument with 47 items was provided. Then, the face validity was performed by 10 infertile women. Finally, a random sample of 235 infertile women completed the instrument and construct validity were assessed. The exploratory factor analysis was performed, 35 items were loaded, which indicated a 4-factor solution for the instrument including reproductive health information (8 items), infertility and treatment information (9 items), sexual health information (8 items) and functional sexual- reproductive literacy (10 items) that jointly explained 55.3% of the variance observed. For reliability, internal consistency showed satisfactory results with Cronbach’s alpha coefficients ranging from 0.89 to 0.9. Intraclass correlation coefficient (test-retest analysis) showed acceptable stability for the instrument.Conclusion: The results showed that Sexual and Reproductive Health Literacy instrument for infertile women (SRH-Life) is a valid and reliable measure for assessing sexual and reproductive health literacy among women with infertility.

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Health Literacy Measure for Adolescents (HELMA): Development and Psychometric Properties

Cited by 86 publications

References 29 publications

Relationship between health literacy and fast food consumption: A population-based study from southern Iran

Relationship between health literacy and fast food consumption: A population-based study from southern Iran

The postpartum depression literacy scale (PoDLiS): development and psychometric properties

Development and Psychometric Properties of Sexual and Reproductive Health Literacy Instrument for Infertile Women (SRH-Life): A Mixed Method Study

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