Establishment and reliability and validity of a monitoring questionnaire on health literacy about adult basic medical care in Huangpu District of Shanghai Municipality
ZHU Yan-hong1, TAN Hui2, ZHAO Jia-kui1
1. Huangpu District Center for Disease Control and Prevention, Shanghai 200023, China; 2. School of Public Health, Fudan University, Shanghai 200032, China
Abstract：Objective To test the measurement performance of a monitoring questionnaire on health literacy regarding adult basic medical care by using a self-designed questionnaire so as to provide a measurement tool for investigating the level of health literacy concerning basic medical care among residents in Huangpu District. Methods An initial assessment questionnaire (including 57 questions) was designed according to the established assessment index system for health literacy about basic medical care in Huangpu District. A pre-test was conducted among 200 community residents selected by a convenient sampling method. The redundant items were screened out through item analysis, and the assessment questionnaire on basic medical literacy (including 38 questions) was formed. The questionnaire was used to survey the above-mentioned 200 community residents, and then 50 residents sampled were retested after two weeks. The reliability and validity of the questionnaire were analyzed. 100 medical professionals from a secondary hospital and 50 community patients with chronic diseases in Huangpu District were selected by a convenient sampling method, and then the discriminatory validity was analyzed. SPSS17.0 software was employed for analyzing the project difficulty, discrimination, reliability and validity. The reliability was determined by means of Cronbach's α coefficient, Guttman split-half coefficient and intraclass correlation coefficient (ICC). Content validity, structural validity and discriminant validity analyses were performed to test the validity. Results A total of 22 items were removed through the project analysis, and 3 items were added in combination with expert opinions and professional knowledge. Finally, 38 items were included in the final draft of the indicator system, forming the evaluation questionnaire on monitoring project of health literacy about adult basic medical care in Huangpu District. The Cronbach's α coefficient of the questionnaire was 0.709, and the test-retest reliability was 0.994. The correlation coefficients of the first-level index score and the total score were 0.728 and 0.643, respectively, and the correlation coefficient of score of two first-level indexes was 0.213. Conclusions The questionnaire developed in the study is designed to measure the basic medical literacy of urban residents, and it is an effective tool to evaluate the residents’ basic medical literacy. It enriches the content of domestic basic medical literacy survey, possesses good reliability and validity, and has theoretical and practical guiding significance for conducting evaluation and intervention measures of basic medical literacy in the residents.
朱燕红, 谭晖, 赵加奎. 上海市黄浦区成人基本医疗健康素养监测问卷编制及信效度分析[J]. 实用预防医学, 2021, 28(1): 57-61.
ZHU Yan-hong, TAN Hui, ZHAO Jia-kui. Establishment and reliability and validity of a monitoring questionnaire on health literacy about adult basic medical care in Huangpu District of Shanghai Municipality. , 2021, 28(1): 57-61.
[1] Steckelberg A, Hülfenhaus C, Kasper J, et al. How to measure critical health competences: development and validation of the Critical Health Competence Test (CHC Test) [J]. Adv Health Sci Educ Theory Pract, 2009,14(1):11-22. [2] Wolf MS, Wilson EA, Rapp DN, et al. Literacy and learning in health care[J]. Pediatrics, 2009,124 Suppl 3(3):S275-S281. [3] 肖瓅,陶茂萱. 健康素养研究进展与展望[J]. 中国健康教育, 2008,(5):361-364. [4] Sanders LM, Federico S, Klass P, et al. Literacy and child health: a systematic review[J]. Arch Pediatr Adolesc Med, 2009,163(2):131-140. [5] 李赢,邓湘穗,胡凤姣,等.高职院校护生职业心理素质量表的初步编制[J].实用预防医学,2018,25(10):1267-1270. [6] 顾保娣,刘谆谆,夏玲. 下肢静脉溃疡患者生命质量问卷的汉化及信效度检验[J]. 中国实用护理杂志, 2015,31(14):1080-1084. [7] 戎艳鸣,张玉侠,楼建华,等.以患儿和家庭为中心护理过程量表研制及其信度效度评价[J].中国循证儿科杂志,2015,10(2):136-141. [8] 吴明隆. 问卷统计分析实务-SPSS操作与应用[M].重庆:重庆大学出版社,2010:205-208. [9] 张玮,张丽娟,王俐琼,等. 慢性乙肝患者中医生存质量的构建和信度效度检验[C]//世界中联第四届肝病国际学术大会暨海峡两岸中医肝病研讨会论文集, 厦门,2011:267-275. [10] 赵莉丽. 艾滋病健康教育服务利用评价指标体系的研究[D]. 武汉:华中科技大学, 2007. [11] 徐鹭,丁筱竹,徐斐.南京市儿童家长预防接种KAP问卷的信效度分析[J].实用预防医学,2016,23(3):324-327. [12] 王玉日,孙宏伟,李慧慧. 疾病专用生活质量量表的评价方法[J].中国医药科学, 2013,3(7):179-181. [13] 徐爱萍,刘志永,段丽娥,等. 大学生就业压力应对方式问卷的信效度检验[J].临床医药实践,2012,21(01):28-31. [14] 谭晖. 上海小学生视力保健行为流行特点及干预探索研究[D]. 上海:复旦大学, 2010.
2021, Vol. 28 
