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Chinese Health Literacy Scale for Diabetes (Mandarin)

Characteristics

Domains assessed: Application/function, Appraisal, Comprehension
Specific context: Diabetes
Validation sample population age: Adults: 18 to 64 years
Assessment: Self-reported

Psychometrics

Number of items: 32
Sample size in validation study: 221
Language of validated version: Mandarin

Main article reference

Ma R, Yu X, Zhang L, Hu Z, Zhang Y, Luo Q, Huang J, Li C, Li J. Cross-Cultural Adaptation and Psychometric Validation of a Diabetes-Specific Health Literacy Scale in Mainland China. Patient Prefer Adherence. 2026;20:586903 https://doi.org/10.2147/PPA.S586903 

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Corresponding author

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Description

A 34 item scale for assessing diabetes health literacy covering four domains: remembering, understanding, applying, and analyzing.

Year Measure first Published: 2026

About This Measure

Reliability: Test-retest correlation: 82%

About the Validation of this Measure

Country where validated: China
Content validity: A two round content validation process was conducted using a Delphi panel with experts in medicine, nursing, public health, and psychology (17 experts in round one and 10 in round two).
Criterion validity: Criterion validity was evaluated by comparing M-CHLSD to 3 clinical benchmarks: (1) Chinese Health Literacy Scale scores, (2) fasting plasma glucose (FPG) levels, and (3) 2-hour postprandial glucose (2-h PG) levels. 
Reliability (Cronbach Alpha): 0.884
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