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Measuring COVID-19 Related Health Literacy in Healthcare Professionals—Psychometric Evaluation of the HL-COV-HP Instrument

Author

Listed:
  • Kati Hiltrop

    (Center for Health Communication and Health Services Research (CHSR), Department for Psychosomatic Medicine and Psychotherapy, University Hospital Bonn, 53127 Bonn, Germany)

  • Nina Hiebel

    (Department for Psychosomatic Medicine and Psychotherapy, University Hospital Bonn, 53127 Bonn, Germany)

  • Franziska Geiser

    (Department for Psychosomatic Medicine and Psychotherapy, University Hospital Bonn, 53127 Bonn, Germany)

  • Milena Kriegsmann-Rabe

    (Department for Psychosomatic Medicine and Psychotherapy, University Hospital Bonn, 53127 Bonn, Germany)

  • Nikoloz Gambashidze

    (Institute for Patient Safety, University Hospital Bonn, 53127 Bonn, Germany)

  • Eva Morawa

    (Department of Psychosomatic Medicine and Psychotherapy, University Hospital of Erlangen, Friedrich-Alexander University Erlangen-Nürnberg (FAU), 91054 Erlangen, Germany)

  • Yesim Erim

    (Department of Psychosomatic Medicine and Psychotherapy, University Hospital of Erlangen, Friedrich-Alexander University Erlangen-Nürnberg (FAU), 91054 Erlangen, Germany)

  • Kerstin Weidner

    (Department for Psychotherapy and Psychosomatic Medicine, Carl Gustav Carus Faculty of Medicine, Technische Universität Dresden, 01307 Dresden, Germany)

  • Christian Albus

    (Department of Psychosomatics and Psychotherapy, Medical Faculty and University Hospital Cologne, 50931 Cologne, Germany)

  • Nicole Ernstmann

    (Center for Health Communication and Health Services Research (CHSR), Department for Psychosomatic Medicine and Psychotherapy, University Hospital Bonn, 53127 Bonn, Germany)

Abstract

Background: Thus far, there is no instrument available measuring COVID-19 related health literacy of healthcare professionals. Therefore, the aim of this study was to develop an instrument assessing COVID-19 related health literacy in healthcare professionals (HL-COV-HP) and evaluate its psychometric properties. Methods: An exploratory factor analysis, a confirmatory factor analysis, and descriptive analyses were conducted using data from n = 965 healthcare professionals. Health literacy related to COVID-19 was measured with 12 items, which were adapted from the validated HLS-EU-Q16 instrument measuring general health literacy. Results: Exploratory factor analysis demonstrated that 12 items loaded on one component. After removing one item due to its high standardized residual covariance, the confirmatory factor analysis of a one-factor model with 11 items showed satisfactory model fit (χ 2 = 199.340, df = 41, χ 2 /df = 4.862, p < 0.001, RMSEA = 0.063, CFI = 0.963 and TLI = 0.951). The HL-COV-HP instrument showed good internal consistency (Cronbach’s alpha 0.87) and acceptable construct reliability. Conclusions: The HL-COV-HP is a reliable, valid, and feasible instrument to assess the COVID-19 related health literacy in healthcare professionals. It can be used in hospitals or other healt hcare settings to assess the motivation and ability of healthcare professionals to find, understand, evaluate, and use COVID-19 information.

Suggested Citation

  • 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.
    • Handle: RePEc:gam:jijerp:v:18:y:2021:i:22:p:11959-:d:678999
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    References listed on IDEAS

    as
    1. Patrizio Zanobini & Chiara Lorini & Alberto Baldasseroni & Claudia Dellisanti & Guglielmo Bonaccorsi, 2020. "A Scoping Review on How to Make Hospitals Health Literate Healthcare Organizations," IJERPH, MDPI, vol. 17(3), pages 1-16, February.
    2. 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.
    3. 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.
    4. 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.
    5. Caterina Schug & Eva Morawa & Franziska Geiser & Nina Hiebel & Petra Beschoner & Lucia Jerg-Bretzke & Christian Albus & Kerstin Weidner & Susann Steudte-Schmiedgen & Andrea Borho & Marietta Lieb & Yes, 2021. "Social Support and Optimism as Protective Factors for Mental Health among 7765 Healthcare Workers in Germany during the COVID-19 Pandemic: Results of the VOICE Study," IJERPH, MDPI, vol. 18(7), pages 1-18, April.
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