数字健康素养量表的汉化、修订及信效度检验

doi:10.3761/j.issn.1672-9234.2024.01.015

Abstract

Abstract:

Objective To translate and revise the Digital Health Literacy Instrument(DHLI) into Chinese and test its reliability and validity. Methods Literal translation, back translation and cultural adjustment of the DHLI were carried out based on the Brislin translation model. From July 2022 to August 2022, the convenience sampling method was used to investigate 458 respondents with the online survey platform, 25 respondents of them were randomly selected to retest after two weeks, and the data was collected to analyze the reliability and validity. Results The Chinese version of the DHLI had 28 items (21 self-assessment items and 7 performance-based items), and the exploratory factor analysis(EFA) extracted four factors with a cumulative variance contribution rate of 71.630% for self-assessinent items. Confirmatory factor analysis showed a good fitness of the constructed model(χ²/df=2.850, CFI=0.924, IFI=0.924, TLI=0.904, RMSEA=0.088, RMR=0.046). The I-CVI was 0.833~1.00; the S-CVI/UA was 0.964; the S-CVI/Ave was 0.994; the Cronbach’s α coefficient of the total scale was 0.929; the test-retest reliability was 0.828. Conclusion The reliability and validity of the Chinese version of DHLI are satisfactory, and it can serve as a valid assessment instrument for the implementation of digital health services.

Key words: Digital health literacy, eHealth literacy, Reliability, Validity, Instrument

ZHAO Bingyue, XU Qin, WANG Xiaojuan, HUANG Long, ZHANG Yuhong, HU Rongfang. The sinicization of the Digital Health Literacy Instrument and the test of its reliability and validity[J].Chinese Journal of Nursing Education, 2024, 21(1): 89-95.

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[1]	Norman CD, Skinner HA. eHealth literacy:essential skills for consumer health in a networked world[J]. J Med Internet Res, 2006, 8(2):e9. doi: 10.2196/jmir.8.2.e9
[2]	Yang K, Hu YK, Qi HY. Digital health literacy:bibliometric analysis[J]. J Med Internet Res, 2022, 24(7):e35816. doi: 10.2196/35816
[3]	Xiong ZH, Zhang L, Li Z, et al. Frequency of online health information seeking and types of information sought among the general Chinese population:cross-sectional study[J]. J Med Internet Res, 2021, 23(12):e30855. doi: 10.2196/30855
[4]	中国科普研究所. 中国科协科普部中国网民科普需求搜索行为报告(2019年第三季度)[EB/OL].[2022-08-29]. https://www.163.com/dy/article/F24ASOQG0511D9E4.html.
[5]	李红敏, 孟庆跃, 王书平, 等. 农村居民电子健康素养对健康水平影响研究[J]. 医学信息学杂志, 2019, 40(7):68-72.
	Li HM, Meng QY, Wang SP, et al. Study on influences on health level by eHealth literacy of rural residents[J]. J Med Intell, 2019, 40(7):68-72.
[6]	郭帅军, 余小鸣, 孙玉颖, 等. eHEALS健康素养量表的汉化及适用性探索[J]. 中国健康教育, 2013, 29(2):106-108,123.
	Guo SJ, Yu XM, Sun YY, et al. Adaptation and evaluation of Chinese version of eHEALS and its usage among senior high school students[J]. Chin J Health Educ, 2013, 29(2):106-108,123.
[7]	李美茜, 李春玉, 周丽, 等. 国内外数字健康素养评估工具的研究进展[J]. 全科护理, 2022, 20(7):906-910.
	Li MQ, Li CY, Zhou L, et al. Research progress on digital health literacy assessment tools at home and abroad[J]. Chin Gen Pract Nurs, 2022, 20(7):906-910.
[8]	Norman C. eHealth literacy 2.0:problems and opportunities with an evolving concept[J]. J Med Internet Res, 2011, 13(4):e125. doi: 10.2196/jmir.2035
[9]	Liu P, Yeh LL, Wang JY, et al. Relationship between levels of digital health literacy based on the Taiwan digital health literacy assessment and accurate assessment of online health information:cross-sectional questionnaire study[J]. J Med Internet Res, 2020, 22(12):e19767. doi: 10.2196/19767
[10]	Chen YC, Cheng C, Osborne RH, et al. Validity testing and cultural adaptation of the eHealth literacy questionnaire (eHLQ) among people with chronic diseases in Taiwan:mixed methods study[J]. J Med Internet Res, 2022, 24(1):e32855. doi: 10.2196/32855
[11]	van der Vaart R, Drossaert C. Development of the digital health literacy instrument:measuring a broad spectrum of health 1.0 and health 2.0 skills[J]. J Med Internet Res, 2017, 19(1):e27. doi: 10.2196/jmir.6709
[12]	Rivadeneira MF, Miranda-Velasco MJ, Arroyo HV, et al. Digital health literacy related to COVID-19:validation and imple-mentation of a questionnaire in hispanic university students[J]. Int J Environ Res Public Health, 2022, 19(7):4092. doi: 10.3390/ijerph19074092
[13]	Chun H, Park EJ, Choi SK, et al. Validating the Digital Health Literacy Instrument in relation to COVID-19 information (COVID-DHL-K) among South Korean undergraduates[J/OL]. International Journal of Environmental Research and Public Health, 2022, 19(6). https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8950100/.
[14]	Brislin RW. Back-translation for cross-cultural research[J]. J Cross Cult Psychol, 1970, 1(3):185-216. doi: 10.1177/135910457000100301
[15]	李峥, 刘宇. 护理学研究方法[M]. 北京: 人民卫生出版社, 2012.
[16]	史静琤, 莫显昆, 孙振球. 量表编制中内容效度指数的应用[J]. 中南大学学报(医学版), 2012, 37(2):152-155.
[17]	金勇进, 刘晓宇. 大数据背景下的抽样调查[J]. 系统科学与数学, 2022, 42(1):2-16.
	Jin YJ, Liu XY. Sampling survey in the context of big data[J]. J Syst Sci Math Sci, 2022, 42(1):2-16.
[18]	约翰·罗斯特, 苏珊·格伦博. 现代心理测量学[M]. 李晓,缪晶晶,译. 北京: 中国人民大学出版社, 2011.
[19]	Chan CV, Kaufman DR. A framework for characterizing eHealth literacy demands and barriers[J]. J Med Internet Res, 2011, 13(4):e94. doi: 10.2196/jmir.1750
[20]	van Dijk JAGM. Internet skills performa-nce tests:are people ready for eHealth?[J]. J Med Internet Res, 2011, 13(2):e35. doi: 10.2196/jmir.1581
[21]	DeVon HA, Block ME, Moyle-Wright P, et al. A psychometric toolbox for testing validity and reliability[J]. J Nurs Scholarsh, 2007, 39(2):155-164. doi: 10.1111/jnu.2007.39.issue-2
[22]	国务院办公厅. 国务院办公厅关于促进“互联网+医疗健康”发展的意见(国办发〔2018〕26号)_政府信息公开专栏[EB/OL]. (2018-04-28)[2022-08-28]. http://www.gov.cn/zhengce/content/2018-04/28/content_5286645.htm.
[23]	王刚, 高皓宇, 李英华. 国内外电子健康素养研究进展[J]. 中国健康教育, 2017, 33(6):556-558,565.
	Wang G, Gao HY, Li YH. Review of e-health literacy in China and abroad[J]. Chin J Health Educ, 2017, 33(6):556-558,565.
[24]	Shiferaw KB, Mehari EA, Eshete T. eHealth literacy and In-ternet use among undergraduate nursing students in a re-source limited country:a cross-sectional study[J]. Inform Med Unlocked, 2020, 18:100273. doi: 10.1016/j.imu.2019.100273
[25]	Rathnayake S, Senevirathna A. Self-reported eHealth literacy skills among nursing students in Sri Lanka:a cross-sectional study[J]. Nurse Educ Today, 2019, 78:50-56. doi: 10.1016/j.nedt.2019.04.006
[26]	Kritsotakis G, Andreadaki E, Linardakis M, et al. Nurses’ ehealth literacy and associations with the nursing practice environ-ment[J]. Int Nurs Rev, 2021, 68(3):365-371. doi: 10.1111/inr.12650 pmid: 34004022
[27]	Shiu LS, Liu CY, Lin CJ, et al. What are the roles of eHealth literacy and empowerment in self-management in an eHealth care context? A cross-sectional study[J]. J Clin Nurs, 2023, 32(23/24):8043-8053. doi: 10.1111/jocn.v32.23-24
[28]	Navarro Martínez O, Igual García J, Salcedo VT. Nurses’ view of benefits,enablers and constraints to the use of digital health tools with patients:a cross-sectional study[J]. Digital Health, 2023, 9:20552076231197339.
[29]	Mitsutake S, Shibata A, Ishii K, et al. Association of eHealth literacy with colorectal cancer knowledge and screening practice among Internet users in Japan[J]. J Med Internet Res, 2012, 14(6):e153. doi: 10.2196/jmir.1927
[30]	Kim H, Yang E, Ryu H, et al. Psychometric comparisons of measures of eHealth literacy using a sample of Korean older adults[J]. Int J Older People Nurs, 2021, 16(3):e12369. doi: 10.1111/opn.v16.3
[31]	Dadaczynski K, Okan O, Messer M, et al. Digital health literacy and web-based information-seeking behaviors of university students in Germany during the COVID-19 pandemic:cross-sectional survey study[J]. J Med Internet Res, 2021, 23(1):e24097. doi: 10.2196/24097

The sinicization of the Digital Health Literacy Instrument and the test of its reliability and validity

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