Mariane Carolina Faria Barbosa, Ana Luiza Peres Baldiotti, Ramon Targino Firmino, Saul Martins Paiva, Ana Flávia Granville-Garcia, Fernanda de Morais Ferreira
{"title":"评估用于巴西青少年的数字健康素养工具（DHLI-BrA）的心理测量特性。","authors":"Mariane Carolina Faria Barbosa, Ana Luiza Peres Baldiotti, Ramon Targino Firmino, Saul Martins Paiva, Ana Flávia Granville-Garcia, Fernanda de Morais Ferreira","doi":"10.3390/ijerph21111458","DOIUrl":null,"url":null,"abstract":"<p><p>This study evaluated the psychometric properties of the Portuguese version of Digital Health Literacy Instrument for Brazilian Adolescents (DHLI-BrA). Two hundred and sixty Brazilian adolescents answered the DHLI-BrA and the Brazilian version of quality-of-life and health literacy instruments: WHOQOL-Bref, eHEALS-BrA, NVS-BR, and REALMD-20. Then, they answered a questionnaire on sociodemographics, health, Internet access, and digital health aspects. The data collection was conducted between September and December of 2022.The statistical test assessed internal consistency, stability, discriminant and convergent validities, exploratory factor analysis (EFA), and confirmatory factor analysis (CFA). Item response theory (IRT) analysis using 2PL was applied to performance-based DHLI-BrA. The DHLI-BrA self-reported questions demonstrated almost perfect internal consistency (α and ω = 0.83) and good stability (ICC = 0.906; 95% CI: 0.75-0.95). In EFA and CFA, the best-adjusted model was composed of six factors (χ<sup>2</sup> = 229.173 (df = 174, <i>p</i> = 0.003), CFI = 0.944, TLI = 0.933, RMSEA = 0.035, and RMSR = 0.047). The performance-based DHLI-BrA demonstrated moderate internal consistency (α = 0.57 and KR20 = 0.56) and good stability (ICC = 0.86, 95% CI: 0.76-0.92). In EFA and CFA, the best-adjusted model was composed of a single factor (χ<sup>2</sup> = 17.901 (df = 14, <i>p</i> = 0.2113), CFI = 0.952, TLI = 0.927, RMSEA = 0.033, and RMSR = 0.038). IRT analyses revealed item discrimination ranging from -0.71 to 1.83 and difficulty from -1.53 to 1.02. Convergent validity of the self-reported DHLI-BrA was obtained by its correlation with the eHEALS-BrA (r = 0.45) and REALMD-20 (r = 0.19), besides the performance-based DHLI-BrA with its correlation with the NVS (r = 0.47) and REALMD-20 (r = 0.44). The DHLI-BrA demonstrated adequate psychometric properties to measure the self-reported, performance-based digital health literacy of Brazilian typically developing adolescents.</p>","PeriodicalId":49056,"journal":{"name":"International Journal of Environmental Research and Public Health","volume":"21 11","pages":""},"PeriodicalIF":0.0000,"publicationDate":"2024-10-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11594048/pdf/","citationCount":"0","resultStr":"{\"title\":\"Evaluation of the Psychometric Properties of the Digital Health Literacy Instrument (DHLI-BrA) for Use in Brazilian Adolescents.\",\"authors\":\"Mariane Carolina Faria Barbosa, Ana Luiza Peres Baldiotti, Ramon Targino Firmino, Saul Martins Paiva, Ana Flávia Granville-Garcia, Fernanda de Morais Ferreira\",\"doi\":\"10.3390/ijerph21111458\",\"DOIUrl\":null,\"url\":null,\"abstract\":\"<p><p>This study evaluated the psychometric properties of the Portuguese version of Digital Health Literacy Instrument for Brazilian Adolescents (DHLI-BrA). Two hundred and sixty Brazilian adolescents answered the DHLI-BrA and the Brazilian version of quality-of-life and health literacy instruments: WHOQOL-Bref, eHEALS-BrA, NVS-BR, and REALMD-20. Then, they answered a questionnaire on sociodemographics, health, Internet access, and digital health aspects. The data collection was conducted between September and December of 2022.The statistical test assessed internal consistency, stability, discriminant and convergent validities, exploratory factor analysis (EFA), and confirmatory factor analysis (CFA). Item response theory (IRT) analysis using 2PL was applied to performance-based DHLI-BrA. The DHLI-BrA self-reported questions demonstrated almost perfect internal consistency (α and ω = 0.83) and good stability (ICC = 0.906; 95% CI: 0.75-0.95). In EFA and CFA, the best-adjusted model was composed of six factors (χ<sup>2</sup> = 229.173 (df = 174, <i>p</i> = 0.003), CFI = 0.944, TLI = 0.933, RMSEA = 0.035, and RMSR = 0.047). The performance-based DHLI-BrA demonstrated moderate internal consistency (α = 0.57 and KR20 = 0.56) and good stability (ICC = 0.86, 95% CI: 0.76-0.92). In EFA and CFA, the best-adjusted model was composed of a single factor (χ<sup>2</sup> = 17.901 (df = 14, <i>p</i> = 0.2113), CFI = 0.952, TLI = 0.927, RMSEA = 0.033, and RMSR = 0.038). IRT analyses revealed item discrimination ranging from -0.71 to 1.83 and difficulty from -1.53 to 1.02. Convergent validity of the self-reported DHLI-BrA was obtained by its correlation with the eHEALS-BrA (r = 0.45) and REALMD-20 (r = 0.19), besides the performance-based DHLI-BrA with its correlation with the NVS (r = 0.47) and REALMD-20 (r = 0.44). 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Evaluation of the Psychometric Properties of the Digital Health Literacy Instrument (DHLI-BrA) for Use in Brazilian Adolescents.
This study evaluated the psychometric properties of the Portuguese version of Digital Health Literacy Instrument for Brazilian Adolescents (DHLI-BrA). Two hundred and sixty Brazilian adolescents answered the DHLI-BrA and the Brazilian version of quality-of-life and health literacy instruments: WHOQOL-Bref, eHEALS-BrA, NVS-BR, and REALMD-20. Then, they answered a questionnaire on sociodemographics, health, Internet access, and digital health aspects. The data collection was conducted between September and December of 2022.The statistical test assessed internal consistency, stability, discriminant and convergent validities, exploratory factor analysis (EFA), and confirmatory factor analysis (CFA). Item response theory (IRT) analysis using 2PL was applied to performance-based DHLI-BrA. The DHLI-BrA self-reported questions demonstrated almost perfect internal consistency (α and ω = 0.83) and good stability (ICC = 0.906; 95% CI: 0.75-0.95). In EFA and CFA, the best-adjusted model was composed of six factors (χ2 = 229.173 (df = 174, p = 0.003), CFI = 0.944, TLI = 0.933, RMSEA = 0.035, and RMSR = 0.047). The performance-based DHLI-BrA demonstrated moderate internal consistency (α = 0.57 and KR20 = 0.56) and good stability (ICC = 0.86, 95% CI: 0.76-0.92). In EFA and CFA, the best-adjusted model was composed of a single factor (χ2 = 17.901 (df = 14, p = 0.2113), CFI = 0.952, TLI = 0.927, RMSEA = 0.033, and RMSR = 0.038). IRT analyses revealed item discrimination ranging from -0.71 to 1.83 and difficulty from -1.53 to 1.02. Convergent validity of the self-reported DHLI-BrA was obtained by its correlation with the eHEALS-BrA (r = 0.45) and REALMD-20 (r = 0.19), besides the performance-based DHLI-BrA with its correlation with the NVS (r = 0.47) and REALMD-20 (r = 0.44). The DHLI-BrA demonstrated adequate psychometric properties to measure the self-reported, performance-based digital health literacy of Brazilian typically developing adolescents.
期刊介绍：
International Journal of Environmental Research and Public Health (IJERPH) (ISSN 1660-4601) is a peer-reviewed scientific journal that publishes original articles, critical reviews, research notes, and short communications in the interdisciplinary area of environmental health sciences and public health. It links several scientific disciplines including biology, biochemistry, biotechnology, cellular and molecular biology, chemistry, computer science, ecology, engineering, epidemiology, genetics, immunology, microbiology, oncology, pathology, pharmacology, and toxicology, in an integrated fashion, to address critical issues related to environmental quality and public health. Therefore, IJERPH focuses on the publication of scientific and technical information on the impacts of natural phenomena and anthropogenic factors on the quality of our environment, the interrelationships between environmental health and the quality of life, as well as the socio-cultural, political, economic, and legal considerations related to environmental stewardship and public health.
The 2018 IJERPH Outstanding Reviewer Award has been launched! This award acknowledge those who have generously dedicated their time to review manuscripts submitted to IJERPH. See full details at http://www.mdpi.com/journal/ijerph/awards.
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