Lina Bergman|Ulrica Nilsson|Karuna Dahlberg|Maria Jaensson|Josefin Wångdahl
Validity and reliability of the arabic version of the HLS-EU-Q16 and HLS-EU-Q6 questionnaires
Karolinska Institutet|Karolinska Institutet|Karolinska University Hospital|Örebro University|Örebro University|Karolinska Institutet|Stockholm University|Uppsala University
health literacy important social determinant health affects ability make decisions take action manage ones health purpose study psychometrically examine arabic versions hlseuq16 hlseuq6 response patterns among arabicspeaking persons swedenby convenience sampling variety settings total 335 participants invited participate participants completed selfassessment comprehensive health literacy answering arhlseuq16 questionnaire also including six items arhlseuq6 statistical analysis guided consensusbased standards selection health measurement instruments floorceiling effects construct structural criterion validity testretest reliability internal consistency reliability analysedin total 320 participants included psychometric evaluation mean age 421 sd 125 63 n 199 females 53 n 169 least 10 years education floor ceiling effect found arhlseuq16 arhlseuq6 instruments construct validity confirmed four five expected correlations weak positive correlation educational level selfperceived health years sweden moderate positive correlation higher sum score arabic electronic health literacy scale strong positive correlation higher arhlseuq16arhlseuq6 arhlseuq16 principal component analysis resulted threefactor model items significantly correlating one factor arhlseuq6 principal component analysis supported onefactor solution criterion validity showed poor agreement two questionnaires cohen 058 p 0001 testretest reliability showed substantial agreement cohens arhlseuq16 arhlseuq6 089 internal consistency versions acceptable cronbach alpha arabichlseuq16 091 arabichlseuq6 079 splithalf reliability 095 078 respectivelythe arabic version hlseuq16 shows good psychometric properties validated swedish setting findings inform guide future validation studies settings worldwide furthermore results present study support criterion validity arhlseuq6