Chinese Journal of Nursing Education >
The sinicization of the Digital Health Literacy Instrument and the test of its reliability and validity
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
Bingyue ZHAO , Qin XU , Xiaojuan WANG , Long HUANG , Yuhong ZHANG , Rongfang HU . 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 . DOI: 10.3761/j.issn.1672-9234.2024.01.015
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