Millicent Addai Boateng|Peter Agyei?Baffour|Sanne Angel|Ulrika Enemark
Translation, cultural adaptation and psychometric properties of the Ghanaian language (Akan; Asante Twi) version of the Health Literacy Questionnaire
Aarhus University|Kwame Nkrumah University of Science and Technology|Aarhus University|Aarhus University
abstract background patients competencies resources manage health termed health literacy necessity better health outcomes thus relevant comprehensive health literacy measurement tool suitable populations interest health literacy questionnaire hlq tool useful health literacy assessment covering nine dimensionsscales health literacy hlq translated validated diverse contexts far assessed country subsaharan africa sought translate tool common language used ghana assess validity methods carried crosssectional study using hlq concurrently assessment malaria programme caregivers children 5 years hlq translated using systematic translation procedure analysed psychometric properties hlq based data collected facetoface interview 1234 caregivers analysis covered tests difficulty level scales composite reliability cronbachs alpha confirmatory factor analysis cfa results cognitive testing showed words ambiguous led minor rewording questionnaire ninefactor cfa model fitted 44 question items crossloadings correlated residuals allowed given restricted nature model fit quite satisfactory 2 dwls 866 df 1717758 p lt 0000 cfi 0971 tli 0969 rmsea 0126 srmr 0107 composite reliability cronbachs alpha gt 065 scales except cronbachs alpha scale 9 understanding health information well enough know 057 mean differences demographic groups among health literacy scales statistically significant conclusion akantwi version hlq proved relevant description health literacy levels among caregivers study validated tool useful conduct health literacy needs assessments guide policies addressing needs work needed validate tool use ghana similar contexts