Development and validation of the Chinese Rural Middle-aged and Elderly Health Literacy Scale
Introduction A notable deficiency lies in the absence of tailored instruments for comprehensively evaluating the health literacy of middle-aged and elderly residents in rural areas of China. Given the context of China’s ageing demographic and the increasing urban–rural disparities, it becomes impera...
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| Format: | Article |
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BMJ Publishing Group
2024-04-01
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| Series: | BMJ Public Health |
| Online Access: | https://bmjpublichealth.bmj.com/content/2/1/e000797.full |
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| author | Rui Li Fei Wang Jie Huang Zhengyu Wu Wenjuan Gong Yoshida Koki Yi-Chen Chiang Maoming Jiang Jiannan Ma Zhengkui Liu Dewen Wang |
| author_facet | Rui Li Fei Wang Jie Huang Zhengyu Wu Wenjuan Gong Yoshida Koki Yi-Chen Chiang Maoming Jiang Jiannan Ma Zhengkui Liu Dewen Wang |
| author_sort | Rui Li |
| collection | DOAJ |
| description | Introduction A notable deficiency lies in the absence of tailored instruments for comprehensively evaluating the health literacy of middle-aged and elderly residents in rural areas of China. Given the context of China’s ageing demographic and the increasing urban–rural disparities, it becomes imperative to formulate a dedicated assessment tool for appraising the health literacy of rural middle-aged and elderly populations.Methods A systematic and rigorously structured development approach was used. First, the concept of health literacy was used to create a pool of items. Second, the Delphi method was used to revise and finalise the initial version of the Chinese Rural Middle-aged and Elderly Health Literacy Scale (CREHLS). Third, pretesting was used to assess the rationality of the item settings within the CREHLS. Finally, a large-sample survey was used to assess the reliability and validity of the finalisation CREHLS.Results The CREHLS, which comprises 26 items distributed across four dimensions, is designed to evaluate the capacity to access, comprehend, assess and apply pertinent health information related to disease treatment, disease prevention, health promotion and environmental health. Multiple test results affirm the robust reliability and validity of the CREHLS, adhering to the established development standards.Conclusions This study expects that the CREHLS will be validated in different rural regions of China and will be a reference for assessing the health literacy of rural middle-aged and elderly people in other countries, thereby increasing our attention to the health literacy of rural people. |
| format | Article |
| id | doaj-art-804744542a7148f2a9d8edb13212054a |
| institution | Kabale University |
| issn | 2753-4294 |
| language | English |
| publishDate | 2024-04-01 |
| publisher | BMJ Publishing Group |
| record_format | Article |
| series | BMJ Public Health |
| spelling | doaj-art-804744542a7148f2a9d8edb13212054a2025-01-29T02:35:10ZengBMJ Publishing GroupBMJ Public Health2753-42942024-04-012110.1136/bmjph-2023-000797Development and validation of the Chinese Rural Middle-aged and Elderly Health Literacy ScaleRui Li0Fei Wang1Jie Huang2Zhengyu Wu3Wenjuan Gong4Yoshida Koki5Yi-Chen Chiang6Maoming Jiang7Jiannan Ma8Zhengkui Liu9Dewen Wang10School of Public Affairs, Xiamen University, Xiamen, ChinaSchool of Public Affairs, Xiamen University, Xiamen, ChinaDepartment of Systems Biology, School of Life Sciences, Southern University of Science and Technology, Shenzhen, ChinaSchool of Public Affairs, Xiamen University, Xiamen, ChinaSchool of Sociology and Anthropology, Xiamen University, Xiamen, ChinaSchool of Medicine, Peking University, Beijing, Beijing, ChinaSchool of Public Health, Xiamen University, Xiamen, ChinaSchool of Public Affairs, Xiamen University, Xiamen, ChinaXiamen University of Technology, Xiamen, ChinaInstitute of Psychology Chinese Academy of Sciences, Beijing, ChinaSchool of Public Affairs, Xiamen University, Xiamen, ChinaIntroduction A notable deficiency lies in the absence of tailored instruments for comprehensively evaluating the health literacy of middle-aged and elderly residents in rural areas of China. Given the context of China’s ageing demographic and the increasing urban–rural disparities, it becomes imperative to formulate a dedicated assessment tool for appraising the health literacy of rural middle-aged and elderly populations.Methods A systematic and rigorously structured development approach was used. First, the concept of health literacy was used to create a pool of items. Second, the Delphi method was used to revise and finalise the initial version of the Chinese Rural Middle-aged and Elderly Health Literacy Scale (CREHLS). Third, pretesting was used to assess the rationality of the item settings within the CREHLS. Finally, a large-sample survey was used to assess the reliability and validity of the finalisation CREHLS.Results The CREHLS, which comprises 26 items distributed across four dimensions, is designed to evaluate the capacity to access, comprehend, assess and apply pertinent health information related to disease treatment, disease prevention, health promotion and environmental health. Multiple test results affirm the robust reliability and validity of the CREHLS, adhering to the established development standards.Conclusions This study expects that the CREHLS will be validated in different rural regions of China and will be a reference for assessing the health literacy of rural middle-aged and elderly people in other countries, thereby increasing our attention to the health literacy of rural people.https://bmjpublichealth.bmj.com/content/2/1/e000797.full |
| spellingShingle | Rui Li Fei Wang Jie Huang Zhengyu Wu Wenjuan Gong Yoshida Koki Yi-Chen Chiang Maoming Jiang Jiannan Ma Zhengkui Liu Dewen Wang Development and validation of the Chinese Rural Middle-aged and Elderly Health Literacy Scale BMJ Public Health |
| title | Development and validation of the Chinese Rural Middle-aged and Elderly Health Literacy Scale |
| title_full | Development and validation of the Chinese Rural Middle-aged and Elderly Health Literacy Scale |
| title_fullStr | Development and validation of the Chinese Rural Middle-aged and Elderly Health Literacy Scale |
| title_full_unstemmed | Development and validation of the Chinese Rural Middle-aged and Elderly Health Literacy Scale |
| title_short | Development and validation of the Chinese Rural Middle-aged and Elderly Health Literacy Scale |
| title_sort | development and validation of the chinese rural middle aged and elderly health literacy scale |
| url | https://bmjpublichealth.bmj.com/content/2/1/e000797.full |
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