Margarita Echeverri|David V. Anderson|Anna María Nápoles
Cancer Health Literacy Test-30-Spanish (CHLT-30-DKspa), a New Spanish-Language Version of the Cancer Health Literacy Test (CHLT-30) for Spanish-Speaking Latinos
Xavier University of Louisiana|Xavier University of Louisiana|University of California, San Francisco
article describes adaptation initial validation cancer health literacy test chlt spanish speakers crosssectional field test spanish version chlt chlt30dkspa conducted among healthy latinos louisiana diagonally weighted least squares used confirm factor structure item response analysis using 2parameter logistic estimates used identify questions may require modification avoid bias cronbachs alpha coefficients estimated scale internal consistency reliability analysis variance used test significant differences chlt30dkspa scores gender origin age education mean chlt30dkspa score n 400 1713 range 030 sd 665 results confirmed unidimensional structure 2405 46155 p 027 comparative fit index 993 tuckerlewis index 992 root mean square error approximation 0180 cronbachs alpha 88 items q1high calorie q15tumor spread lowest itemscale correlations 148 288 respectively standardized factor loadings 152 302 respectively items q19smoking risk q8palliative care q1high calorie highest item difficulty parameters difficulty 112 121 240 respectively results generally support applicability chlt30dkspa healthy spanishspeaking populations exception 4 items need deleted revised studied q1 q8 q15 q19