IDEAS home Printed from https://ideas.repec.org/a/gam/jijerp/v19y2022i10p6247-d820491.html
   My bibliography  Save this article

Validation of the COVID-19 Digital Health Literacy Instrument in the Italian Language: A Cross-Sectional Study of Italian University Students

Author

Listed:
  • Chiara Lorini

    (Department of Health Science, University of Florence, 50134 Florence, Italy)

  • Veronica Velasco

    (Department of Psychology, University of Milano-Bicocca, 20123 Milan, Italy)

  • Guglielmo Bonaccorsi

    (Department of Health Science, University of Florence, 50134 Florence, Italy)

  • Kevin Dadaczynski

    (Department of Health Science, Fulda University of Applied Sciences, 36037 Fulda, Germany
    Centre for Applied Health Science, Leuphana University Lueneburg, 21335 Lueneburg, Germany)

  • Orkan Okan

    (Department of Sports and Health Science, Technical University Munich, 80992 Munich, Germany)

  • Patrizio Zanobini

    (Department of Health Science, University of Florence, 50134 Florence, Italy)

  • Luca P. Vecchio

    (Department of Psychology, University of Milano-Bicocca, 20123 Milan, Italy)

Abstract

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.

Suggested Citation

  • Chiara Lorini & Veronica Velasco & Guglielmo Bonaccorsi & Kevin Dadaczynski & Orkan Okan & Patrizio Zanobini & Luca P. Vecchio, 2022. "Validation of the COVID-19 Digital Health Literacy Instrument in the Italian Language: A Cross-Sectional Study of Italian University Students," IJERPH, MDPI, vol. 19(10), pages 1-17, May.
    • Handle: RePEc:gam:jijerp:v:19:y:2022:i:10:p:6247-:d:820491
    as

    Download full text from publisher

    File URL: https://www.mdpi.com/1660-4601/19/10/6247/pdf
    Download Restriction: no
    File URL: https://www.mdpi.com/1660-4601/19/10/6247/
    Download Restriction: no
    ---><---

    References listed on IDEAS

    as
    1. Rubeena Zakar & Sarosh Iqbal & Muhammad Zakria Zakar & Florian Fischer, 2021. "COVID-19 and Health Information Seeking Behavior: Digital Health Literacy Survey amongst University Students in Pakistan," IJERPH, MDPI, vol. 18(8), pages 1-20, April.
    2. Nutbeam, Don, 2008. "The evolving concept of health literacy," Social Science & Medicine, Elsevier, vol. 67(12), pages 2072-2078, December.
    3. Tetine Sentell & Sandra Vamos & Orkan Okan, 2020. "Interdisciplinary Perspectives on Health Literacy Research Around the World: More Important Than Ever in a Time of COVID-19," IJERPH, MDPI, vol. 17(9), pages 1-13, April.
    4. Orkan Okan & Torsten Michael Bollweg & Eva-Maria Berens & Klaus Hurrelmann & Ullrich Bauer & Doris Schaeffer, 2020. "Coronavirus-Related Health Literacy: A Cross-Sectional Study in Adults during the COVID-19 Infodemic in Germany," IJERPH, MDPI, vol. 17(15), pages 1-20, July.
    5. Rachael H. Dodd & Kevin Dadaczynski & Orkan Okan & Kirsten J. McCaffery & Kristen Pickles, 2021. "Psychological Wellbeing and Academic Experience of University Students in Australia during COVID-19," IJERPH, MDPI, vol. 18(3), pages 1-12, January.
    6. Mitja Vrdelja & Sanja Vrbovšek & Vito Klopčič & Kevin Dadaczynski & Orkan Okan, 2021. "Facing the Growing COVID-19 Infodemic: Digital Health Literacy and Information-Seeking Behaviour of University Students in Slovenia," IJERPH, MDPI, vol. 18(16), pages 1-16, August.
    7. Uday Patil & Uliana Kostareva & Molly Hadley & Jennifer A. Manganello & Orkan Okan & Kevin Dadaczynski & Philip M. Massey & Joy Agner & Tetine Sentell, 2021. "Health Literacy, Digital Health Literacy, and COVID-19 Pandemic Attitudes and Behaviors in U.S. College Students: Implications for Interventions," IJERPH, MDPI, vol. 18(6), pages 1-14, March.
    8. Lee Cronbach, 1951. "Coefficient alpha and the internal structure of tests," Psychometrika, Springer;The Psychometric Society, vol. 16(3), pages 297-334, September.
    9. Rafaela Rosário & Maria R. O. Martins & Cláudia Augusto & Maria José Silva & Silvana Martins & Ana Duarte & Inês Fronteira & Neida Ramos & Orkan Okan & Kevin Dadaczynski, 2020. "Associations between COVID-19-Related Digital Health Literacy and Online Information-Seeking Behavior among Portuguese University Students," IJERPH, MDPI, vol. 17(23), pages 1-11, December.
    10. Palumbo, Rocco & Annarumma, Carmela & Adinolfi, Paola & Musella, Marco & Piscopo, Gabriella, 2016. "The Italian Health Literacy Project: Insights from the assessment of health literacy skills in Italy," Health Policy, Elsevier, vol. 120(9), pages 1087-1094.
    11. Kris Hartley & Minh Khuong Vu, 2020. "Fighting fake news in the COVID-19 era: policy insights from an equilibrium model," Policy Sciences, Springer;Society of Policy Sciences, vol. 53(4), pages 735-758, December.
    Full references (including those not matched with items on IDEAS)

    Most related items

    These are the items that most often cite the same works as this one and are cited by the same works as this one.
    1. Carsten K. Bak & Jeanne Ø. Krammer & Kevin Dadaczynski & Okan Orkan & Jesper von Seelen & Christina Prinds & Lene M. Søbjerg & Heidi Klakk, 2022. "Digital Health Literacy and Information-Seeking Behavior among University College Students during the COVID-19 Pandemic: A Cross-Sectional Study from Denmark," IJERPH, MDPI, vol. 19(6), pages 1-14, March.
    2. Pilar Bas-Sarmiento & María José Lamas-Toranzo & Martina Fernández-Gutiérrez & Miriam Poza-Méndez, 2022. "Health Literacy, Misinformation, Self-Perceived Risk and Fear, and Preventive Measures Related to COVID-19 in Spanish University Students," IJERPH, MDPI, vol. 19(22), pages 1-18, November.
    3. Mitja Vrdelja & Sanja Vrbovšek & Vito Klopčič & Kevin Dadaczynski & Orkan Okan, 2021. "Facing the Growing COVID-19 Infodemic: Digital Health Literacy and Information-Seeking Behaviour of University Students in Slovenia," IJERPH, MDPI, vol. 18(16), pages 1-16, August.
    4. Sheng-Chih Chen & Le Duc Huy & Cheng-Yu Lin & Chih-Feng Lai & Nhi Thi Hong Nguyen & Nhi Y. Hoang & Thao T. P. Nguyen & Loan T. Dang & Nguyen L. T. Truong & Tan N. Phan & Tuyen Van Duong, 2022. "Association of Digital Health Literacy with Future Anxiety as Mediated by Information Satisfaction and Fear of COVID-19: A Pathway Analysis among Taiwanese Students," IJERPH, MDPI, vol. 19(23), pages 1-16, November.
    5. María F. Rivadeneira & María J. Miranda-Velasco & Hiram V. Arroyo & José D. Caicedo-Gallardo & Carmen Salvador-Pinos, 2022. "Digital Health Literacy Related to COVID-19: Validation and Implementation of a Questionnaire in Hispanic University Students," IJERPH, MDPI, vol. 19(7), pages 1-14, March.
    6. Guglielmo Bonaccorsi & Veronica Gallinoro & Andrea Guida & Chiara Morittu & Valerio Ferro Allodola & Vieri Lastrucci & Patrizio Zanobini & Orkan Okan & Kevin Dadaczynski & Chiara Lorini, 2023. "Digital Health Literacy and Information-Seeking in the Era of COVID-19: Gender Differences Emerged from a Florentine University Experience," IJERPH, MDPI, vol. 20(3), pages 1-12, January.
    7. Rafaela Rosário & Inês Fronteira & Maria R. O. Martins & Cláudia Augusto & Maria José Silva & Melanie Messer & Silvana Martins & Ana Duarte & Neida Ramos & Katharina Rathmann & Orkan Okan & Kevin Dada, 2022. "Infodemic Preparedness and COVID-19: Searching about Public Health and Social Measures Is Associated with Digital Health Literacy in University Students," IJERPH, MDPI, vol. 19(19), pages 1-9, September.
    8. Shuaijun Guo & Xiaoming Yu & Orkan Okan, 2020. "Moving Health Literacy Research and Practice towards a Vision of Equity, Precision and Transparency," IJERPH, MDPI, vol. 17(20), pages 1-14, October.
    9. Rafaela Rosário & Maria R. O. Martins & Cláudia Augusto & Maria José Silva & Silvana Martins & Ana Duarte & Inês Fronteira & Neida Ramos & Orkan Okan & Kevin Dadaczynski, 2020. "Associations between COVID-19-Related Digital Health Literacy and Online Information-Seeking Behavior among Portuguese University Students," IJERPH, MDPI, vol. 17(23), pages 1-11, December.
    10. Sofia Almeida & Elisabete Pinto & Marta Correia & Nélio Veiga & Armando Almeida, 2024. "Evaluating E-Health Literacy, Knowledge, Attitude, and Health Online Information in Portuguese University Students: A Cross-Sectional Study," IJERPH, MDPI, vol. 21(3), pages 1-11, February.
    11. Rubeena Zakar & Sarosh Iqbal & Muhammad Zakria Zakar & Florian Fischer, 2021. "COVID-19 and Health Information Seeking Behavior: Digital Health Literacy Survey amongst University Students in Pakistan," IJERPH, MDPI, vol. 18(8), pages 1-20, April.
    12. Kati Hiltrop & Nina Hiebel & Franziska Geiser & Milena Kriegsmann-Rabe & Nikoloz Gambashidze & Eva Morawa & Yesim Erim & Kerstin Weidner & Christian Albus & Nicole Ernstmann, 2021. "Measuring COVID-19 Related Health Literacy in Healthcare Professionals—Psychometric Evaluation of the HL-COV-HP Instrument," IJERPH, MDPI, vol. 18(22), pages 1-10, November.
    13. Veronica Velasco & Andrea Gragnano & Gruppo Regionale HBSC Lombardia 2018 & Luca Piero Vecchio, 2021. "Health Literacy Levels among Italian Students: Monitoring and Promotion at School," IJERPH, MDPI, vol. 18(19), pages 1-13, September.
    14. Aldo Rosano & Chiara Lorini & Brigid Unim & Robert Griebler & Chiara Cadeddu & Luca Regazzi & Daniela Galeone & Luigi Palmieri, 2022. "Coronavirus-Related Health Literacy: A Cross-Sectional Study during the COVID-19 Pandemic in Italy," IJERPH, MDPI, vol. 19(7), pages 1-13, March.
    15. Francesca Gallè & Patrizia Calella & Christian Napoli & Fabrizio Liguori & Eduardo Alfonso Parisi & Giovanni Battista Orsi & Giorgio Liguori & Giuliana Valerio, 2020. "Are Health Literacy and Lifestyle of Undergraduates Related to the Educational Field? An Italian Survey," IJERPH, MDPI, vol. 17(18), pages 1-9, September.
    16. Josefin Wångdahl & Per Lytsy & Lena Mårtensson & Ragnar Westerling, 2018. "Poor health and refraining from seeking healthcare are associated with comprehensive health literacy among refugees: a Swedish cross-sectional study," International Journal of Public Health, Springer;Swiss School of Public Health (SSPH+), vol. 63(3), pages 409-419, April.
    17. Heeran Chun & Eun-Ja Park & Seul Ki Choi & Hyeran Yoon & Orkan Okan & Kevin Dadaczynski, 2022. "Validating the Digital Health Literacy Instrument in Relation to COVID-19 Information (COVID-DHL-K) among South Korean Undergraduates," IJERPH, MDPI, vol. 19(6), pages 1-9, March.
    18. Elisabeth Rohwer & Natascha Mojtahedzadeh & Felix Alexander Neumann & Albert Nienhaus & Matthias Augustin & Volker Harth & Birgit-Christiane Zyriax & Stefanie Mache, 2021. "The Role of Health Literacy among Outpatient Caregivers during the COVID-19 Pandemic," IJERPH, MDPI, vol. 18(22), pages 1-25, November.
    19. Vicente Javier Clemente-Suárez & Eduardo Navarro-Jiménez & Juan Antonio Simón-Sanjurjo & Ana Isabel Beltran-Velasco & Carmen Cecilia Laborde-Cárdenas & Juan Camilo Benitez-Agudelo & Álvaro Bustamante-, 2022. "Mis–Dis Information in COVID-19 Health Crisis: A Narrative Review," IJERPH, MDPI, vol. 19(9), pages 1-24, April.
    20. Maria João Silva & Paulo Santos, 2021. "The Impact of Health Literacy on Knowledge and Attitudes towards Preventive Strategies against COVID-19: A Cross-Sectional Study," IJERPH, MDPI, vol. 18(10), pages 1-12, May.

    Corrections

    All material on this site has been provided by the respective publishers and authors. You can help correct errors and omissions. When requesting a correction, please mention this item's handle: RePEc:gam:jijerp:v:19:y:2022:i:10:p:6247-:d:820491. See general information about how to correct material in RePEc.

    If you have authored this item and are not yet registered with RePEc, we encourage you to do it here. This allows to link your profile to this item. It also allows you to accept potential citations to this item that we are uncertain about.

    If CitEc recognized a bibliographic reference but did not link an item in RePEc to it, you can help with this form .

    If you know of missing items citing this one, you can help us creating those links by adding the relevant references in the same way as above, for each refering item. If you are a registered author of this item, you may also want to check the "citations" tab in your RePEc Author Service profile, as there may be some citations waiting for confirmation.

    For technical questions regarding this item, or to correct its authors, title, abstract, bibliographic or download information, contact: MDPI Indexing Manager (email available below). General contact details of provider: https://www.mdpi.com .

    Please note that corrections may take a couple of weeks to filter through the various RePEc services.

    IDEAS is a RePEc service. RePEc uses bibliographic data supplied by the respective publishers.