National adaptation of an adolescent health literacy questionnaire
Abstract
Background: The measurement of health literacy is widely addressed by the international professional literature. The Health Literacy Measure for Adolescents is a tool in the field of health promotion in school environment that can measure students' health literacy, access to and understanding of information, their self-efficacy and the ability to communicate health information. The questionnaire includes 8 factors (Self-Efficacy, Access, Reading, Understanding, Appraisal, Use, Communication, and Numeracy) within 3–10 questions per factors. The aim of this article is to extend health literacy measurement tools with the questionnaire of the Health Literacy Measure for Adolescents, as well as to collect preliminary data related to the applicability of the questionnaire.
Methodology: The Hungarian version of the questionnaire was prepared in several phases. The first step was to translate the English-language questionnaire to Hungarian and back to English. Following the expert consultation the questionnaire was finalized. After the digitalization of the questionnaire, we started to collect the data among high school students (N = 273). Based on the recorded data, we analyzed the validity of HELMA-H questionnaire.
Results: 27.5% of the respondents were boys, 72.5% were girls, and their mean age was 16.2 (SD: 1.3) years. 78.4% of the examined students studied in a grammar school, 12.8% in a vocational grammar school, 8.4% in a vocational secondary school, and 0.4% in a vocational school. Examining the reliability of the questionnaire, we can state that the Cronbach's alpha value for the entire questionnaire is 0.96, so the reliability of the instrument is high.
Conclusions: According to the statistical analyzes, the questionnaire meets the criteria of reliability. The Hungarian version of HELMA can be used to measure the health literacy of adolescents.
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