Development and validation of the Taiwan Children's Health Literacy Test.

Abstract:

BACKGROUND:Currently, health literacy (HL) worldwide is measured primarily among adults from a medical perspective. A children's HL test from a health promotion perspective is needed. This study develops the Taiwan Children's Health Literacy Test (TCHL) targeted at Taiwanese sixth-graders. METHODS:HL indicators were identified through interviews of sixth-grade teachers, primary caregivers, and sixth-graders. They were used to develop a 25-item online test, which was finalized after pretesting and administered to a stratified random sample of 671 students across 29 sixth-grade classes. RESULTS:The response rate was 87.2% (585 participants). Cronbach's α was 0.60-0.78 for the HL subtests and 0.79 for the overall HL test. Correlation coefficients among subtests ranged from 0.49 to 0.87. The average proportion correct was 0.80 for overall HL. In item response theory analysis, the difficulty level ranged from -2.77 to -0.40, while the degree of discrimination was 0.44-2.65. Item information peaked when the ability value was approximately -1.8. Furthermore, HL scores had a significant positive correlation with health behaviors. CONCLUSIONS:Overall, the test was found to be reliable and valid, with a low level of difficulty for basic HL ability. The present results can be used as a reference by government health education units to investigate national HL in children.

journal_name

Glob Health Promot

journal_title

Global health promotion

authors

Liu CH,Liao LL,Cheng CJ,Chang TC

doi

10.1177/1757975916656365

subject

Has Abstract

pub_date

2018-06-01 00:00:00

pages

34-46

issue

2

eissn

1757-9759

issn

1757-9767

pii

1757975916656365

journal_volume

25

pub_type

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