Spanish version of the short European Health Literacy Survey Questionnaire HLS-Q12 : Transcultural adaptation and psychometric properties
Muñoz-Villaverde, Sergio (Institut Germans Trias i Pujol. Hospital Universitari Germans Trias i Pujol)
Serrano-Oviedo, Leticia (Hospital General Universitario de Ciudad Real)
Martínez-García, María (Hospital del Mar (Barcelona, Catalunya))
Pardo Cladellas, Yolanda (Universitat Autònoma de Barcelona. Departament de Psiquiatria i de Medicina Legal)
Tares-Montserrat, Lluïsa (Institut Hospital del Mar d'Investigacions Mèdiques)
Gómez-Romero, Francisco Javier (Universidad de Castilla-La Mancha)
Garcimartin, Paloma (Hospital del Mar (Barcelona, Catalunya))

Data:	2024
Resum:	Health literacy has a direct impact on the health of populations. It is related to education, capacity for self-care, and management of health resources. The Health Literacy Survey Questionnaire HLS-Q12 is one of the reference instruments but has not yet been adapted to Spanish. The aims of the study were to cross-culturally adapt and evaluate the psychometric properties of the Spanish version of the HLS-Q12. Data was collected from June 2020 to March 2022. The sample consisted of 60 patients who initiated cancer treatment for the first time within a clinical trial. Double direct translation, back-translation, cognitive debriefing with a 10-patient sample, and an expert committee were used for cross-cultural adaptation. For validation of the HLS-Q12, a psychometric analysis was performed to assess feasibility, reliability, sensitivity to change and construct validity with other measures such as health-related quality of life, empowerment, and health needs. The HLS-Q12 is equivalent at the semantic, conceptual, and content level to the original version and its psychometric properties demonstrated good internal consistency with a Cronbach's alpha of 0. 88 and a McDonald's omega of 0. 91, a high degree of fit for the confirmatory factor analysis, and a statistically significant sensitivity to change (p = 0. 025). Based on robust psychometric values, the Spanish version of HLS-Q12 was found to be a good cross-culturally adapted tool for collecting correct information on health literacy in cancer patients regardless of tumour type or stage. Although more studies are needed, this version of HLS-Q12 could be used in research for collecting data on the health literacy needs of Spanish-speaking patients.
Drets:	Aquest document està subjecte a una llicència d'ús Creative Commons. Es permet la reproducció total o parcial, la distribució, la comunicació pública de l'obra i la creació d'obres derivades, fins i tot amb finalitats comercials, sempre i quan es reconegui l'autoria de l'obra original.
Llengua:	Anglès
Document:	Article ; recerca ; Versió publicada
Publicat a:	PloS one, Vol. 19 (february 2024) , ISSN 1932-6203

DOI: 10.1371/journal.pone.0299736
PMID: 38421993

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