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Article: Development and validation of Chinese Health Literacy Scale for Diabetes

TitleDevelopment and validation of Chinese Health Literacy Scale for Diabetes
Authors
KeywordsHealth promotion
Psychometric properties
Scale development
Type 2 diabetes
Validity
Issue Date2013
PublisherWiley-Blackwell Publishing Ltd. The Journal's web site is located at http://www.wiley.com/bw/journal.asp?ref=0962-1067
Citation
Journal of Clinical Nursing, 2013, v. 22 n. 15-16, p. 2090-2099 How to Cite?
AbstractAIMS AND OBJECTIVES: To develop and to test the psychometric properties of the Chinese Health Literacy Scale for Diabetes. BACKGROUND: Patients with diabetes encounter many challenges when making health decisions in their daily lives, as they have access to many different kinds of health information. Health literacy issues are new topics in Chinese society. Without a valid and reliable instrument in Chinese, it is difficult to measure the level of health literacy and promote the concept of health literacy in Chinese societies. DESIGN: A methodological study with a sample of 137 patients with type 2 diabetes aged 65 years or older. METHOD: Chinese Health Literacy Scale for Diabetes was developed with reference to the revised Bloom's taxonomy model. Psychometric tests (content validity, item analysis, construct validity, discriminative ability and test-retest reliability) were conducted. Correlations between Chinese Health Literacy Scale for Diabetes and four relevant measures were tested. Cronbach's alpha and alpha if item deleted were calculated to assess internal consistency. RESULTS: Cronbach's alpha for Chinese Health Literacy Scale for Diabetes and its four subscales (remembering, understanding, applying and analysing) were 0.884, 0.885, 0.667, 0.654 and 0.717, respectively. The Chinese Health Literacy Scale for Diabetes was significantly correlated with the Diabetic Knowledge Scale (r = 0.398, p < 0.001), the Diabetic Management Self-Efficacy Scale (r = 0.257, p < 0.001), the Preschool and Primary Chinese Literacy Scale (r = 0.822, p < 0.001) and the Chinese Value of Learning Scale (r = 0.303, p < 0.001). It took an average of seven minutes to complete this 34-item instrument. CONCLUSION: The findings of this study support the Chinese Health Literacy Scale for Diabetes as a reliable and valid instrument for measuring the health literacy of Chinese patients with diabetes. RELEVANCE TO CLINICAL PRACTICE: We recommend that clinicians use this tool to assess patients' health literacy before conducting any kind of health promotion.
Persistent Identifierhttp://hdl.handle.net/10722/180174
ISSN
2015 Impact Factor: 1.384
2015 SCImago Journal Rankings: 0.755
ISI Accession Number ID

 

DC FieldValueLanguage
dc.contributor.authorLeung, AYMen_US
dc.contributor.authorLou, VWQen_US
dc.contributor.authorCheung, MKTen_US
dc.contributor.authorChan, SSCen_US
dc.contributor.authorChi, Ien_US
dc.date.accessioned2013-01-21T01:31:48Z-
dc.date.available2013-01-21T01:31:48Z-
dc.date.issued2013en_US
dc.identifier.citationJournal of Clinical Nursing, 2013, v. 22 n. 15-16, p. 2090-2099en_US
dc.identifier.issn0962-1067-
dc.identifier.urihttp://hdl.handle.net/10722/180174-
dc.description.abstractAIMS AND OBJECTIVES: To develop and to test the psychometric properties of the Chinese Health Literacy Scale for Diabetes. BACKGROUND: Patients with diabetes encounter many challenges when making health decisions in their daily lives, as they have access to many different kinds of health information. Health literacy issues are new topics in Chinese society. Without a valid and reliable instrument in Chinese, it is difficult to measure the level of health literacy and promote the concept of health literacy in Chinese societies. DESIGN: A methodological study with a sample of 137 patients with type 2 diabetes aged 65 years or older. METHOD: Chinese Health Literacy Scale for Diabetes was developed with reference to the revised Bloom's taxonomy model. Psychometric tests (content validity, item analysis, construct validity, discriminative ability and test-retest reliability) were conducted. Correlations between Chinese Health Literacy Scale for Diabetes and four relevant measures were tested. Cronbach's alpha and alpha if item deleted were calculated to assess internal consistency. RESULTS: Cronbach's alpha for Chinese Health Literacy Scale for Diabetes and its four subscales (remembering, understanding, applying and analysing) were 0.884, 0.885, 0.667, 0.654 and 0.717, respectively. The Chinese Health Literacy Scale for Diabetes was significantly correlated with the Diabetic Knowledge Scale (r = 0.398, p < 0.001), the Diabetic Management Self-Efficacy Scale (r = 0.257, p < 0.001), the Preschool and Primary Chinese Literacy Scale (r = 0.822, p < 0.001) and the Chinese Value of Learning Scale (r = 0.303, p < 0.001). It took an average of seven minutes to complete this 34-item instrument. CONCLUSION: The findings of this study support the Chinese Health Literacy Scale for Diabetes as a reliable and valid instrument for measuring the health literacy of Chinese patients with diabetes. RELEVANCE TO CLINICAL PRACTICE: We recommend that clinicians use this tool to assess patients' health literacy before conducting any kind of health promotion.-
dc.languageengen_US
dc.publisherWiley-Blackwell Publishing Ltd. The Journal's web site is located at http://www.wiley.com/bw/journal.asp?ref=0962-1067-
dc.relation.ispartofJournal of Clinical Nursingen_US
dc.rightsThe definitive version is available at www3.interscience.wiley.com-
dc.rightsCreative Commons: Attribution 3.0 Hong Kong License-
dc.subjectHealth promotion-
dc.subjectPsychometric properties-
dc.subjectScale development-
dc.subjectType 2 diabetes-
dc.subjectValidity-
dc.titleDevelopment and validation of Chinese Health Literacy Scale for Diabetesen_US
dc.typeArticleen_US
dc.identifier.emailLeung, AYM: angleung@hku.hken_US
dc.identifier.emailLou, VWQ: wlou@hku.hken_US
dc.identifier.emailChan, SSC: nssophia@hkucc.hku.hken_US
dc.identifier.emailChi, I: irischi@hku.hken_US
dc.identifier.authorityLeung, AYM=rp00405en_US
dc.identifier.authorityLou, VWQ=rp00607en_US
dc.identifier.authorityChan, SSC=rp00423en_US
dc.description.naturepostprint-
dc.identifier.doi10.1111/jocn.12018-
dc.identifier.pmid23186320-
dc.identifier.scopuseid_2-s2.0-84880134609-
dc.identifier.hkuros213066en_US
dc.identifier.hkuros206570-
dc.identifier.hkuros234568-
dc.identifier.eissn1365-2702-
dc.identifier.isiWOS:000321332100002-
dc.publisher.placeUnited Kingdom-

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