Torsten Michael Bollweg|Orkan Okan|A Fre?ian|Janine Bröder|Olga Maria Doma?ska|Susanne Jordan|Dirk Bruland|Paulo Pinheiro|Ullrich Bauer
Adapting the European Health Literacy Survey Questionnaire for Fourth-Grade Students in Germany: Validation and Psychometric Analysis
background children younger age 13 years received little attention research health literacy although tools assess childrens health literacy validated tool available assesses selfreported health literacy systematic comparable way european health literacy survey questionnaire hlseuq valid reliable measure adults selfreported health literacy also used among adolescents never adapted use children believe would worth adapting younger age groups selfreported health literacy could assessed continuously objective study aimed quantitatively test adapted scale based hlseuq developed germanspeaking children age 9 10 years methods adapted 26item hlseuq scale given paperandpencil survey 907 fourthgrade students north rhinewestphalia germany psychometric properties scale investigated item analysis factor analyses convergent discriminant validity assessed key results 26 tested items 9 discarded due poor performance terms missing values item difficulty factor structure left 15item scale high internal consistency 791 takes short time administer scale called hlschildq15 low correlation functional health literacy r 107 p lt 001 moderate correlation indicators selfefficacy 280 306 p lt 001 latter indicates adequate discriminant validity whereas former points need investigate convergent validity conclusions first study apply ageadapted version hlseuq children statistical analyses indicated successful development promising instrument research needed factor structure validity study contributes significantly comparative assessment health literacy across life course providing measurement tool children age 9 10 years hlrp health literacy research practice 202043e144e159 plain language summary european health literacy survey questionnaire adapted germanspeaking 9 10yearold children 26 adapted items tested written survey 907 children item analysis resulted 15item scale satisfactory psychometric properties scale hlschildq15 shows high internal consistency used assess selfreported health literacy germanspeaking 9 10yearold children nonetheless studies needed validate results