Adaptation and validation of the Digital Health Literacy Instrument for Portuguese university students
Publikation: Beiträge in Zeitschriften › Zeitschriftenaufsätze › Forschung › begutachtet
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in: Health Promotion Journal of Australia, Jahrgang 33, Nr. S1, 01.10.2022, S. 390-398.
Publikation: Beiträge in Zeitschriften › Zeitschriftenaufsätze › Forschung › begutachtet
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TY - JOUR
T1 - Adaptation and validation of the Digital Health Literacy Instrument for Portuguese university students
AU - Martins, Silvana
AU - Augusto, Cláudia
AU - Martins, Maria R.O.
AU - José Silva, Maria
AU - Okan, Orkan
AU - Dadaczynsky, Kevin
AU - Duarte, Ana
AU - Fronteira, Inês
AU - Ramos, Neida
AU - Rosário, Rafaela
N1 - Special Issue:Learning and Teaching in Health Promotion
PY - 2022/10/1
Y1 - 2022/10/1
N2 - Background: Health literacy is an important skill to deal with information and positively influences individual and community health. Information concerning health is available from a plethora of online resources. The concept of digital health literacy has gained prominence with the pandemic. The absence of valid tools to analyse digital literacy levels are scant. This study aims to translate, adapt and validate the Portuguese version of the Digital Health Literacy Instrument (DHLI) as used in the global COVID-HL Network. Methods: Participants were mostly students from social sciences, psychology, education and health sciences. The Portuguese version of the DHLI contained five dimensions each consisting of three items. An online survey with university students (n = 1815, 75.1% female, average age: 24.15 years) was administered to test the validity of the Portuguese version of the DHLI. Data were analysed using exploratory and confirmatory factor analysis. Pearson correlations were also studied. Results: Two items revealed symmetry and kurtosis problems. We chose to eliminate them from the analysis. Different exploratory factor analysis attempts were made, obtaining two possible models to be tested in the confirmatory factor analysis: a three-factor model and a four-factor model. A four-factor structure of the instrument (information searching, adding self-generated content, evaluating reliability, determining relevance) was supported by confirmatory factor analysis and had good internal consistency. Conclusions: The Portuguese version of the Digital Health Literacy Instrument met adequate psychometric criteria. Therefore, it can be confidently used in Portuguese students' assessment of digital health literacy. Representative studies are needed to shed light on different target groups and their COVID-19–related DHLI.
AB - Background: Health literacy is an important skill to deal with information and positively influences individual and community health. Information concerning health is available from a plethora of online resources. The concept of digital health literacy has gained prominence with the pandemic. The absence of valid tools to analyse digital literacy levels are scant. This study aims to translate, adapt and validate the Portuguese version of the Digital Health Literacy Instrument (DHLI) as used in the global COVID-HL Network. Methods: Participants were mostly students from social sciences, psychology, education and health sciences. The Portuguese version of the DHLI contained five dimensions each consisting of three items. An online survey with university students (n = 1815, 75.1% female, average age: 24.15 years) was administered to test the validity of the Portuguese version of the DHLI. Data were analysed using exploratory and confirmatory factor analysis. Pearson correlations were also studied. Results: Two items revealed symmetry and kurtosis problems. We chose to eliminate them from the analysis. Different exploratory factor analysis attempts were made, obtaining two possible models to be tested in the confirmatory factor analysis: a three-factor model and a four-factor model. A four-factor structure of the instrument (information searching, adding self-generated content, evaluating reliability, determining relevance) was supported by confirmatory factor analysis and had good internal consistency. Conclusions: The Portuguese version of the Digital Health Literacy Instrument met adequate psychometric criteria. Therefore, it can be confidently used in Portuguese students' assessment of digital health literacy. Representative studies are needed to shed light on different target groups and their COVID-19–related DHLI.
KW - COVID-19
KW - digital health literacy
KW - infodemic
KW - Portuguese students
KW - validation study
KW - Health sciences
UR - http://www.scopus.com/inward/record.url?scp=85124708801&partnerID=8YFLogxK
UR - https://www.mendeley.com/catalogue/440a6438-7454-3419-a927-ee18c04a55de/
U2 - 10.1002/hpja.580
DO - 10.1002/hpja.580
M3 - Journal articles
C2 - 35124876
AN - SCOPUS:85124708801
VL - 33
SP - 390
EP - 398
JO - Health Promotion Journal of Australia
JF - Health Promotion Journal of Australia
SN - 1036-1073
IS - S1
ER -