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Development and Psychometric Properties of a Questionnaire Assessing Self-Reported Generic Health Literacy in Adolescence

Author

Listed:
  • Olga Maria Domanska

    (Department of Epidemiology and Health Monitoring, Robert Koch Institute, 12101 Berlin, Germany)

  • Torsten Michael Bollweg

    (Centre for Prevention and Intervention in Childhood and Adolescence (CPI), Faculty of Educational Science, Bielefeld University, 33615 Bielefeld, Germany)

  • Anne-Kathrin Loer

    (Department of Epidemiology and Health Monitoring, Robert Koch Institute, 12101 Berlin, Germany)

  • Christine Holmberg

    (Institute of Social Medicine and Epidemiology, Brandenburg Medical School Theodor Fontane, 14770 Brandenburg an der Havel, Germany)

  • Liane Schenk

    (Institute of Medical Sociology and Rehabilitation Science, Charité – Universitätsmedizin Berlin, 10117 Berlin, Germany)

  • Susanne Jordan

    (Department of Epidemiology and Health Monitoring, Robert Koch Institute, 12101 Berlin, Germany)

Abstract

Health literacy is a promising approach to promoting health and preventing disease among children and adolescents. Promoting health literacy in early stages of life could contribute to reducing health inequalities. However, it is difficult to identify concrete needs for action as there are few age-adjusted measures to assess generic health literacy in young people. Our aim was to develop a multidimensional measure of health literacy in German to assess generic health literacy among 14- to 17-year-old adolescents, namely, the “Measurement of Health Literacy Among Adolescents Questionnaire” (MOHLAA-Q). The development process included two stages. Stage 1 comprised the development and validation using a literature review, two rounds of cognitive interviews, two focus groups and two rounds of expert assessments by health literacy experts. Stage 2 included a standard pretest ( n = 625) of the questionnaire draft to examine the psychometric properties, reliability and different validity aspects. The MOHLAA-Q consists of 29 items in four scales: (A) “Dealing with health-related information (HLS-EU-Q12-adolescents-DE)”; (B) “Communication and interaction skills”, (C) “Attitudes toward one’s own health and health information”, and (D) “Health-related knowledge”. The confirmatory factor analysis indicated a multidimensional structure of the MOHLAA-Q. The internal consistency coefficients (Cronbach’s α) of the scales varied from 0.54 to 0.77. The development of the MOHLAA-Q constitutes a significant step towards the comprehensive measurement of adolescents’ health literacy. However, further research is necessary to re-examine its structural validity and to improve the internal consistency of two scales.

Suggested Citation

  • Olga Maria Domanska & Torsten Michael Bollweg & Anne-Kathrin Loer & Christine Holmberg & Liane Schenk & Susanne Jordan, 2020. "Development and Psychometric Properties of a Questionnaire Assessing Self-Reported Generic Health Literacy in Adolescence," IJERPH, MDPI, vol. 17(8), pages 1-26, April.
    • Handle: RePEc:gam:jijerp:v:17:y:2020:i:8:p:2860-:d:348457
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    References listed on IDEAS

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    1. Anders L. Hage Haugen & Kirsti Riiser & Marc Esser-Noethlichs & Ove Edvard Hatlevik, 2022. "Developing Indicators to Measure Critical Health Literacy in the Context of Norwegian Lower Secondary Schools," IJERPH, MDPI, vol. 19(5), pages 1-18, March.
    2. Anne-Kathrin M. Loer & Olga M. Domanska & Christiane Stock & Susanne Jordan, 2020. "Subjective Generic Health Literacy and Its Associated Factors among Adolescents: Results of a Population-Based Online Survey in Germany," IJERPH, MDPI, vol. 17(22), pages 1-23, November.
    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. Anne-Kathrin M. Loer & Olga Maria Domanska & Ronny Kuhnert & Robin Houben & Stefan Albrecht & Susanne Jordan, 2020. "Online Survey for the Assessment of Generic Health Literacy among Adolescents in Germany (GeKoJu): Study Protocol," IJERPH, MDPI, vol. 17(5), pages 1-13, February.

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