European Health Literacy Survey Questionnaire (traditional Chinese version)

Domains assessed: Application/function, Appraisal, Comprehension, Information seeking: Document, Information seeking: Interactive media navigation

Specific context: General

Validation sample population age: Adults: 18 to 64 years

Modes of administration in validation study : Face-to-face, Paper and pencil

Time Cut-off: 0 minutes

Assessment: Self-reported

Number of items: 47

Sample size in validation study: 475

Language of validated version: Taiwanese

Categorical scoring: Yes

Scoring categories: 1=very difficult, 2=difficult, 3=easy, and 4=very easy

Country where validated: Taiwan

Content validity: The traditional Chinese version of the HLS-EU-Q was used in this study. IT was developed using the translation-back translation method from the original English version. It was verified by a panel of public health experts in Taiwan, and then pretested and readability and understandability.

Criterion validity: The first-order CFA fitted with the HLS-EU-Q containing 47 items. However, Item 29, with a low factor loading (-0.05), was deleted. The modified first-order CFA adequately fitted the data of the HLS-EU-Q with 46 items. The second-order CFA model acceptably fitted with the data, but the 3 domains with high correlations (0.92-1.00) were merged into a single domain, Health Literacy. The factorial validity of the 12-subdomain HLS-EU-Q with 46 items in women with breast cancer.

Reliability (Cronbach Alpha): 0.75