E Archer, A M S Schmutz, M Volschenk, C Jacobs
How the mapping of threshold concepts across a master's programme in health professions education could support the development of mastersness
BMC medical education
health literacy hl identified important modifiable determinant health succeed promoting hl crucial evaluate interventions addressing hl using validated instruments however hl measurement underresearched area among adolescents health literacy schoolaged children hlsac scale developed finland measure subjective hl levels schoolaged children hlsac used validated across europe validated instrument measuring hl among norwegian adolescents identified therefore aim study assess psychometric properties hlsac among norwegian adolescents upper secondary schools crosssectional data collected 2017 1 054 adolescents response rate 935 participants students aged 1621 mean 173 years four upper secondary schools urban area midnorway confirmatory factor analysis cfa utilized investigate underlying dimensionality data together composite reliability based raykovs reliability coefficient certain aspects construct validity original tenitem onedimensional version hlsac revealed poor fit onedimensional version including six original ten items presented best fit data demonstrating good reliability construct validity validation study suggests onedimensional solution hlsac scale including six original ten items ie hlsac6 statistical valid reliable measure hl among adolescents upper secondary schools however modifications instrument indicate need investigation hlsac age group ie conducting cognitive interviews focusgroup discussions concept hl among adolescents testing wording hlsac prior additional psychometric evaluations original hlsac suggested hlsac6 recommended finally developing ageappropriate items measurement hl agegroup suggested