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Development and Psychometric Validation of the Physical Activity and Health Literacy Scale (PA-HLS) for College Students

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  • Pei Duan
  • Xia Song
  • Xinrui Zhang
  • Liqian Ruan
  • Song Chen

Abstract

BackgroundDeclining physical fitness among college students has become a global public health concern. Existing physical literacy and health literacy instruments do not adequately capture the competencies required to access, interpret, and critically evaluate physical activity–related health information in contemporary digital environments.ObjectiveThis study aimed to develop and psychometrically validate the Physical Activity and Health Literacy Scale (PA-HLS) for college students based on Nutbeam’s hierarchical model of health literacy.MethodsAn initial item pool was generated through a systematic literature review and refined via two rounds of Delphi expert consultation (n = 19) and pilot testing (n = 30). The final 15-item PA-HLS was administered to 442 Chinese college students. Psychometric evaluation included content validity assessment, item analysis, exploratory and confirmatory factor analyses, internal consistency reliability (Cronbach’s α and McDonald’s ω), discriminant validity testing, and Rasch model analysis.ResultsAll items demonstrated good discrimination (critical ratios = 6.74–31.90, p

Suggested Citation

  • Pei Duan & Xia Song & Xinrui Zhang & Liqian Ruan & Song Chen, 2026. "Development and Psychometric Validation of the Physical Activity and Health Literacy Scale (PA-HLS) for College Students," Nursing Research and Practice, Hindawi, vol. 2026, pages 1-11, May.
    • Handle: RePEc:hin:jnlnrp:9980613
    DOI: 10.1155/nrp/9980613
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