María Falcón|Carmen Rodríguez?Blázquez|Martina Fernández?Gutiérrez|María Romay?Barja|Pilar Bas?Sarmiento|María João Forjaz
Measuring COVID-19 health literacy: validation of the COVID-19 HL questionnaire in Spain
Universidad de Murcia|Instituto de Salud Carlos III|Centro Nacional de Epidemiología|Biomedical Research and Innovation Institute of Cadiz|Universidad de Cádiz|Centro Nacional de Medicina Tropical|Instituto de Salud Carlos III|Universidad de Cádiz|Biomedical Research and Innovation Institute of Cadiz|Instituto de Salud Carlos III|Centro Nacional de Epidemiología
covid19 pandemic highlighted importance health literacy make informed preventive decisions specific covid19 health literacy questionnaire chlq included covid19 snapshot monitoring initiative conduct behavioral insights studies related covid19 objective assess psychometric properties spanish version covid19 health literacy questionnaire chlqdata quality acceptability internal consistency construct structural validity analyzed rasch analysis also performed crosssectional observational study conducted spanish general population first wave pandemic end general lockdown online survey agency 1033 participants inclusion criteria 18 years older living spain extracted panel approximately 982000 participants sampling stratified matching spanish general population terms age gender area residence chlq includes 9 items assesses peoples knowledge motivation competencies access understand evaluate apply information covid19 order make informed decisionschlq index presented mean 3389 sd 94 good fit rasch model 232 34672 p 0342 person separation index 077 ordered thresholds unidimensionality item local independence item bias sex age education level chlq showed significant different scores level education experience infection confusion related covid19 information adherence preventive measures found statistically significant correlation chlq index total number preventive measures adopted covid19 knowledge information seeking behaviour cronbachs alpha 087 item total corrected correlation 049068the spanish version chlq short adequate reliable instrument measure covid19 related health literacy spanish general population measuring chl population useful evaluate whether public authorities media medical scientific community able reach population offer information terms need