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Disaster Health Literacy Questionnaire

Characteristics

Domains assessed: Application/function, Conceptual Knowledge, Information seeking: Document
Specific context: Diabetes
Validation sample population age: Adults: 18 to 64 years
Modes of administration in validation study : Paper and pencil
Assessment: Self-reported

Psychometrics

Number of items: 30
Sample size in validation study: 570
Language of validated version: Persian

Main article reference

Panahi S, Heidari Z, Heidarpour M, et al. Design and validation of the Disaster Health Literacy Questionnaire for diabetes patients in Iran: a mixedmethods study. BMJ Open 2025;15:e106100. doi:10.1136/ bmjopen-2025-106100

Link to article

Corresponding author

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Hasan Ashrafi-Rizi
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Description

A 30 item questionnaire consisting of a three factor structure (disaster perception risk, medication-nutritional literacy, and self help/emergency literacy) to assess the disaster health literacy level of Iranians with diabetes.

Year Measure first Published: 2026

About This Measure

Scoring categories: Each correct question is 1 point, total score ranges from 0-30. Scores are categorized as low DHL: total score ≤18; medium DHL: total score 19–21, and high DHL: total score ≥22.

About the Validation of this Measure

Country where validated: Iran
Content validity: Content was verified by 15 experts and 15 diabetic patients with the final version obtaining a CVI =1. 
Reliability (Cronbach Alpha): 0.606
Reliability notes: 30 diabetics given the questionnaire at 2 timepoints within a two week interval obtaining a test-retest Kappa score of Kappa=0.35–1, p<0.05. 
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