{"title":"The development and validation of the health literacy questionnaire for kindergarten teachers.","authors":"Han Ying, Yang DeHua, Ou Yang Yi, Wu Song-Wei","doi":"10.3389/fpubh.2025.1414277","DOIUrl":null,"url":null,"abstract":"<p><strong>Background: </strong>Health literacy profoundly influences individuals' health development. As pivotal figures in shaping young children's well-being and delivering health education in kindergartens, kindergarten teachers are essential. Yet, assessing their health literacy remains challenging due to a scarcity of evaluation tools.</p><p><strong>Methods: </strong>Based on existing research, the initial questionnaire was developed through interviews, summaries, and reviews. A total of <i>N</i> = 120 (<i>M</i> <sub>age</sub> = 27.19, <i>SD</i> = 6.75, 94.2% female) kindergarten teachers participated in item analysis and exploratory factor analysis (EFA). <i>N</i> = 642 (<i>M</i> <sub>age</sub> = 28.12, <i>SD</i> = 5.77, 89.7% female) kindergarten teachers were involved in confirmatory factor analysis (CFA) and reliability analysis.</p><p><strong>Results: </strong>The questionnaire on the health literacy of kindergarten teachers consists of 30 items in four dimensions: <i>health concept</i>, <i>health behavior</i>, <i>health ability</i>, and <i>health knowledge</i>. In the EFA, the cumulative variance contribution rate reached 61.220%. The CFA indicators satisfied the fit criteria, indicating a well-fitted model (χ<sup>2</sup>/<i>df</i> = 1.945, CFI = 0.956, TLI = 0.952, SRMR = 0.034, RMSEA = 0.038). The reliability analysis indicated that Cronbach's <i>α</i>, McDonald's <i>ω</i>, and split-half reliability all exceeded 0.8.</p><p><strong>Conclusion: </strong>The Health Literacy Questionnaire for kindergarten teachers, with its strong reliability and validity, serves as a valuable assessment tool for this group's health literacy.</p>","PeriodicalId":12548,"journal":{"name":"Frontiers in Public Health","volume":"13 ","pages":"1414277"},"PeriodicalIF":3.0000,"publicationDate":"2025-03-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11931050/pdf/","citationCount":"0","resultStr":null,"platform":"Semanticscholar","paperid":null,"PeriodicalName":"Frontiers in Public Health","FirstCategoryId":"3","ListUrlMain":"https://doi.org/10.3389/fpubh.2025.1414277","RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"2025/1/1 0:00:00","PubModel":"eCollection","JCR":"Q2","JCRName":"PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH","Score":null,"Total":0}
引用次数: 0
Abstract
Background: Health literacy profoundly influences individuals' health development. As pivotal figures in shaping young children's well-being and delivering health education in kindergartens, kindergarten teachers are essential. Yet, assessing their health literacy remains challenging due to a scarcity of evaluation tools.
Methods: Based on existing research, the initial questionnaire was developed through interviews, summaries, and reviews. A total of N = 120 (Mage = 27.19, SD = 6.75, 94.2% female) kindergarten teachers participated in item analysis and exploratory factor analysis (EFA). N = 642 (Mage = 28.12, SD = 5.77, 89.7% female) kindergarten teachers were involved in confirmatory factor analysis (CFA) and reliability analysis.
Results: The questionnaire on the health literacy of kindergarten teachers consists of 30 items in four dimensions: health concept, health behavior, health ability, and health knowledge. In the EFA, the cumulative variance contribution rate reached 61.220%. The CFA indicators satisfied the fit criteria, indicating a well-fitted model (χ2/df = 1.945, CFI = 0.956, TLI = 0.952, SRMR = 0.034, RMSEA = 0.038). The reliability analysis indicated that Cronbach's α, McDonald's ω, and split-half reliability all exceeded 0.8.
Conclusion: The Health Literacy Questionnaire for kindergarten teachers, with its strong reliability and validity, serves as a valuable assessment tool for this group's health literacy.
期刊介绍:
Frontiers in Public Health is a multidisciplinary open-access journal which publishes rigorously peer-reviewed research and is at the forefront of disseminating and communicating scientific knowledge and impactful discoveries to researchers, academics, clinicians, policy makers and the public worldwide. The journal aims at overcoming current fragmentation in research and publication, promoting consistency in pursuing relevant scientific themes, and supporting finding dissemination and translation into practice.
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