Validation of the COVID-19 Digital Health Literacy Instrument in the Italian Language: A Cross-Sectional Study of Italian University Students
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In: International Journal of Environmental Research and Public Health, Vol. 19, No. 10, 6247, 20.05.2022.
Research output: Journal contributions › Journal articles › Research › peer-review
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TY - JOUR
T1 - Validation of the COVID-19 Digital Health Literacy Instrument in the Italian Language
T2 - A Cross-Sectional Study of Italian University Students
AU - Lorini, Chiara
AU - Velasco, Veronica
AU - Bonaccorsi, Guglielmo
AU - Dadaczynski, Kevin
AU - Okan, Orkan
AU - Zanobini, Patrizio
AU - Vecchio, Luca P.
N1 - Publisher Copyright: © 2022 by the authors. Licensee MDPI, Basel, Switzerland.
PY - 2022/5/20
Y1 - 2022/5/20
N2 - The Coronavirus Disease 19 (COVID-19) pandemic and the associated “infodemic” have shown the importance of surveillance and promotion of health literacy, especially for young adults such as university students who use digital media to a very high degree. This study aimed to assess the validity and reliability of the Italian version of the COVID-19 adapted version of the Digital Health Literacy Instrument (DHLI). This cross-sectional study is part of the COVID-19 University Students Survey involving 3985 students from two Italian universities. First, item analysis and internal consistency were assessed. Then, Principal Component Analysis (PCA) and Confirmatory Factor Analyses (CFA) were performed comparing different models. The Italian DHLI showed good psychometric characteristics. The protecting privacy subscale was excluded, given the criticalities presented in the validation process. CFA confirmed the four-factor structure, also including a high-order factor. This result allows using the scale to measure a global level of digital health literacy and consider its levels separately for each construct component: searching the web for information, evaluating reliability, determining personal relevance, and adding self-generated content.
AB - The Coronavirus Disease 19 (COVID-19) pandemic and the associated “infodemic” have shown the importance of surveillance and promotion of health literacy, especially for young adults such as university students who use digital media to a very high degree. This study aimed to assess the validity and reliability of the Italian version of the COVID-19 adapted version of the Digital Health Literacy Instrument (DHLI). This cross-sectional study is part of the COVID-19 University Students Survey involving 3985 students from two Italian universities. First, item analysis and internal consistency were assessed. Then, Principal Component Analysis (PCA) and Confirmatory Factor Analyses (CFA) were performed comparing different models. The Italian DHLI showed good psychometric characteristics. The protecting privacy subscale was excluded, given the criticalities presented in the validation process. CFA confirmed the four-factor structure, also including a high-order factor. This result allows using the scale to measure a global level of digital health literacy and consider its levels separately for each construct component: searching the web for information, evaluating reliability, determining personal relevance, and adding self-generated content.
KW - digital health literacy
KW - COVID-19
KW - university students
KW - infodemic
KW - measurement
KW - scale validation
KW - Health sciences
UR - https://www.mendeley.com/catalogue/5a9079d6-a65c-329c-98ca-17f8a044aa22/
UR - http://www.scopus.com/inward/record.url?scp=85130214877&partnerID=8YFLogxK
U2 - 10.3390/ijerph19106247
DO - 10.3390/ijerph19106247
M3 - Journal articles
C2 - 35627789
VL - 19
JO - International Journal of Environmental Research and Public Health
JF - International Journal of Environmental Research and Public Health
SN - 1661-7827
IS - 10
M1 - 6247
ER -