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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社区老年人主观临终健康素养量表的信度与效度评估

主观临终健康素养调查个体在临终阶段与健康相关的知识、沟通和决策能力。本研究旨在将主观临终健康素养量表（S-EOL-HLS）在中国文化背景下进行调整，包括在老年人社区人群中进行信度和效度评估。方法采用Brislin翻译模型对英文译本（S-EOL-HLS）进行翻译、反译和跨文化改编。随后，在社区的老年人中进行了一项调查，以评估量表的可靠性。结果各条目的内容效度指数为0.714 ~ 1.000，总量表指数为0.928。探索性因子分析确定了特征值≥1的三个主要因素，累积方差为67.131%。验证性因子分析表明，所有拟合指标均符合要求标准，Cronbach’s α系数为0.945。半分离信度为0.956，重测信度为0.905。HLS-EU-Q16效度评价与中国临终健康素养量表得分呈正相关（r = 0.821, p < 0.001）。结论中文版S-EOL-HLS量表在老年人中具有较强的信度和效度。它适合在中国文化背景下评估临终健康素养。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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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.