Al Asyary, Meita Veruswati, Cut Putri Arianie, Theresia Sandra Diah Ratih, Aries Hamzah
Prevalence of Smoke-Free Zone Compliance among Schools in Indonesia: A Nationwide Representative Survey
Asian Pacific journal of cancer prevention : APJCP
research health literacy still early stage lacking dedicated measurement instrument assessing childrens adolescents health literacy tools necessary generate evidence required informed intervention development study translated validated german hlschildq15 nepalese context creating hlschildq22nep research team initially created hlschildq22nep using additional item pool conducted thirteen oneonone cognitive interviews adolescent students community schools three districts nepal pretest employed verbal probing techniques deductively analysed interviews based tourneaus model uncovering four main themes 1 comprehension two subcategories item comprehension b word comprehension 2 retrieval 3 judgement 4 response overall participants responded positively hlschildq22nep however study revealed comprehension challenges unfamiliarity misunderstandings translation issues additionally study identified retrieval challenges poor judgement indicating limitations assessment participants experienced varying levels difficulty items emphasising need revised instructions subsequent revisions guided pretest insights led development hlschildq24nep development hlschildq22nep significant step addressing nepali adolescents lack health literacy measurement despite generally positive reception study encountered challenges comprehending scale prompting enhancements developing hlschildq24nep research qualitative quantitative necessary evaluate validity reliability modified items