Anders Lund Hage Haugen|Kirsti Riiser|Marc Esser-Noethlichs|Ove Edvard Hatlevik
Developing Indicators to Measure Critical Health Literacy in the Context of Norwegian Lower Secondary Schools
OsloMet – Oslo Metropolitan University|OsloMet – Oslo Metropolitan University|OsloMet – Oslo Metropolitan University|OsloMet – Oslo Metropolitan University
critical health literacy chl approach recommended promoting health school context construct complex includes three interconnected domains appraisal critical information b awareness social determinants health sdh c collective action promote health wellbeing recent literature reviews measurement instrument covers three domains chl schoolcontext found aim develop selfreported measurement scales domain chl development process reported study conducted two stages first stage initial item pool generated based literature reviews focus group interviews n 15 adolescents steps 12 next steps items adjusted removed based feedback expert panel representatives target group steps 35 stage two aimed reduce number items develop scales domain piloted current draft consists 28 items n 114 subsample n 10 participants interviewed completed survey examine instruments face validity cronbachs used assess internal reliability scales reliability promising scales 083 c 085 recommended value scale b 061 model fit indices promising tliscalea 097 rsmeascalea 0055 tliscaleb 105 rmseascaleb 000 tliscalec 095 rmseascalec 0074 piloted version scales c positively correlated subjective health literacy healthrelated quality life subjective health however found correlations scale b postsurvey group interviews led adjustments scales b revised version chlaq must tested using larger sample enable robust statistical testing properties items scale