Damon Joyner, Heidi J Wengreen, Sheryl S Aguilar, Lori Andersen Spruance, Brooke A Morrill, Gregory J Madden
The FIT Game III: Reducing the Operating Expenses of a Game-Based Approach to Increasing Healthy Eating in Elementary Schools
Games for health journal
manoeuvre complex fragmented health care system people need sufficient navigational health literacy navhl objective study validate hls19nav measurement scale applied european health literacy population survey 20192021 hls19 december 2019 january 2021 data navhl collected eight european countries hls19nav translated seven languages successfully applied validated eight countries language survey method differed psychometric properties scale assessed using confirmatory factor analysis cfa rasch modelling tested cfa models sufficiently well described observed correlation structures countries navhl data displayed acceptable fit unidimensional rasch partial credit model pcm countries items showed poor datamodel fit tested pcm items displayed differential item functioning selected person factors hls19nav demonstrated high internal consistency ensure content validity hls19nav developed based conceptual framework estimate discriminant validity pearson correlations navhl general health literacy genhl scales computed concurrent predictive validity estimated testing whether hls19nav like general hl measures follows social gradient whether forms predictor general health status healthrelated outcome general hl countries adjustments item level may beneficial