Reliability and Validity Assessments of the Subjective End-Of-Life Health Literacy Scale in Community Older Adults

IF 1.6 4区医学 Q4 GERIATRICS & GERONTOLOGY

International Journal of Older People Nursing Pub Date : 2025-03-31 DOI:10.1111/opn.70025

Haojie Wang, Weiqing Zhang, Kun Wang, Jielu Song, Yabing Cao, Zhihua Wei

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引用次数: 0

Abstract

Background

Subjective end-of-life health literacy investigates individuals' abilities in knowledge, communication and decision-making related to health during the end-of-life stage. This study aims to culturally adapt the Subjective End-of-Life Health Literacy Scale (S-EOL-HLS) for a Chinese context, including reliability and validity assessments among older adult community populations.

Methods

We translated, back-translated and cross-culturally adapted the English version (S-EOL-HLS) using Brislin's translation model. Subsequently, a survey was conducted among older adults in the community to assess the scale's reliability.

Results

The content validity index for each item ranged from 0.714 to 1.000, with a total scale index of 0.928. Exploratory factor analysis identified three main factors with eigenvalues ≥ 1, contributing to a cumulative variance of 67.131%. Confirmatory factor analysis demonstrated that all fit indices met the required criteria, resulting in a Cronbach's α coefficient of 0.945. The half-split reliability was 0.956, and test–retest reliability reached 0.905. Validity evaluation using the HLS-EU-Q16 demonstrated a positive correlation with the scores of the Chinese End-of-Life Health Literacy Scale (r = 0.821, p < 0.001).

Conclusion

The Chinese version of the S-EOL-HLS exhibits strong reliability and validity among older individuals. It is suitable for evaluating end-of-life health literacy within the Chinese cultural context.

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来源期刊

International Journal of Older People Nursing Nursing-Gerontology

CiteScore

3.60

自引率

9.10%

发文量

期刊介绍： International Journal of Older People Nursing welcomes scholarly papers on all aspects of older people nursing including research, practice, education, management, and policy. We publish manuscripts that further scholarly inquiry and improve practice through innovation and creativity in all aspects of gerontological nursing. We encourage submission of integrative and systematic reviews; original quantitative, qualitative, and mixed methods research; secondary analyses of existing data; historical works; theoretical and conceptual analyses; evidence based practice projects and other practice improvement reports; and policy analyses. All submissions must reflect consideration of IJOPN''s international readership and include explicit perspective on gerontological nursing. We particularly welcome submissions from regions of the world underrepresented in the gerontological nursing literature and from settings and situations not typically addressed in that literature. Editorial perspectives are published in each issue. Editorial perspectives are submitted by invitation only.