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Validity testing of the Korean version of the Health Literacy Questionnaire (HLQ) and its application in people with chronic diseases

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  • Yon Hee Seo
  • Richard H Osborne
  • Yeunhee Kwak
  • Jung-Won Ahn

Abstract

Health literacy plays a crucial role in promoting and maintaining the health of patients with chronic illnesses. Therefore, adequate assessments and the application of interventions based on people’s health literacy strengths, needs, and preferences are required to improve health outcomes. This study aimed to evaluate the psychometrical properties of the Health Literacy Questionnaire (HLQ) in Koreans with chronic diseases. Data were collected from 278 patients (57.04±15.22 years) diagnosed with chronic disease, including kidney disease, hypertension, and diabetes, who visited the outpatient clinic of a university hospital from June to December 2020. For validity assessment, construct, convergent, and discriminant validities were evaluated, along with the HLQ reliability using Cronbach’s α. One-way analysis of variance was used to evaluate mean differences in the HLQ scale scores based on patients’ characteristics. The confirmatory factor analysis (CFA) indicated that all items were loaded on their respective factors. The model fit of a full nine-factor CFA model showed satisfactory or better fit compared with nine one-factor CFA model; χ2WLSMV (866) = 576.596 (p 0.950), Tucker–Lewis index of 0.981 (reference: >0.950), root mean square error of approximation of 0.066 (reference:

Suggested Citation

  • Yon Hee Seo & Richard H Osborne & Yeunhee Kwak & Jung-Won Ahn, 2024. "Validity testing of the Korean version of the Health Literacy Questionnaire (HLQ) and its application in people with chronic diseases," PLOS ONE, Public Library of Science, vol. 19(8), pages 1-15, August.
    • Handle: RePEc:plo:pone00:0308086
    DOI: 10.1371/journal.pone.0308086
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    References listed on IDEAS

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    1. Ha T.T. Dinh & Nguyet T. Nguyen & Ann Bonner, 2020. "Health literacy profiles of adults with multiple chronic diseases: A cross‐sectional study using the Health Literacy Questionnaire," Nursing & Health Sciences, John Wiley & Sons, vol. 22(4), pages 1153-1160, December.
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