Pui Hing Chau|Angela Yee Man Leung|Holly L. H. Li|Mandy Man-Mei Sea|Ruth Chan|Jean Woo
Development and Validation of Chinese Health Literacy Scale for Low Salt Consumption - Hong Kong Population (CHLSalt-HK)
University of Hong Kong|University of Hong Kong|Department of Health|Chinese University of Hong Kong|Chinese University of Hong Kong|Chinese University of Hong Kong
globally sodium intake far exceeds level recommended world health organization assessing health literacy related salt consumption among older adults could guide development interventions target knowledge gaps misconceptions poor dietary practices study aimed develop validate chinese health literacy scale low salt consumptionhong kong population chlsalthk based previous studies salt intake nutrition label reading countries developed similar questions appropriate chinese population hong kong questions covered following eight broad areas functional literacy term recognition nutrition label reading knowledge salt content foods knowledge diseases related high salt intake knowledge international standards myths salt intake attitudes toward salt intake salty food consumption practices nutrition label reading practices eight professionals including doctors nurses dietitians provided feedback scale psychometric properties scale assessed based data collected convenience sample 603 chinese elderly adults recruited elderly health centres hong kong 49item chlsalthk possible score range 0 98 higher score indicating higher health literacy related salt intake chlsalthk acceptable content validity itemlevel content validity index ranged 0857 1000 scalelevel content validity index 0994 additionally good internal consistency cronbachs alpha 0799 good testretest reliability intraclass correlation coefficient 0846 mean chlsalthk score among aware public education slogan nutrition labels sodium intake higher 3928 points 95 confidence interval 1742 6115 among aware slogan supports adequate discriminant validity validated chlsalthk acceptable content validity acceptable construct validity good internal consistency good testretest reliability adequate discriminant validity scale could completed 1015 minutes easy administer compared collection biomarkers food diaries research investigate concurrent validity predictive validity development scale supports first step salt intake reduction among older chinese adults hong kong enabling assessment health literacy related salt consumption health screenings health assessments used evaluate salt reduction interventions