Development and Validation of a Culture-Sensitive Generic Health Literacy Scale in Turkish-Speaking Adults

• DOI: 10.3928/24748307-20211208-01
• Publication Date: 2022-01-13T17:34:54Z
• Authors: Şevkat Bahar Özvarış; Bahar Güçiz Doğan; Hande Konşuk Ünlü; Ozge Karadag; Nuri Doğan; Selahattin Gelbal; Sibel Sakarya
• Keywords: Health Literacy

Improving health literacy has become one of the most important public health-related goals at global level; however, there is no clear consensus on measurement literacy. Despite numerous scales available in Turkish, none existing was originally developed and validated a national level.This study aimed to develop validate culturally appropriate original scale (HLS) be used as reference for Turkish-speaking literate adult population Turkey abroad.Two multidisciplinary workshops with more than 20 experts were conducted large item pool developed. The first second draft pre-tested 150 adults, respectively, from different age groups socioeconomic levels Ankara. validity reliability revised (110 items plus self-efficacy statements) carried out household survey 2,411 adults 12 randomly selected provinces Nomenclature Territorial Units Statistics Regions Turkey. Explanatory confirmatory factor analysis performed. fit indices obtained. applied, Cronbach's alpha statistics obtained.The found both valid reliable tool assess two sub-dimensions ("disease prevention promotion" "treatment access services") 0.79 0.91, respectively. Construction Root Mean Square Error Approximation (RMSEA) = 0.043, Goodness Fit Index (GFI) 0.96, Normed (NFI) 0.95, Adjusted (AGFI) 0.95. includes "self-efficacy" an additional dimension (Cronbach's 0.83, RMSEA 0.68, GFI 0.94, NFI AGFI) 0.91).HLS mixed (objective subjective) assessment approach. [HLRP: Health Literacy Research Practice. 2022;6(1):e2-e11.] Plain Language Summary: This sensitive abroad. Study findings showed that HLS adults.