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Portuguese cultural adaptation and validation of the European Health Literacy Survey (HLS-EU) for children aged 9 to 10 (HLS-EU-PTc)

Saboga-Nunes, Luís; Dias, H.; Andrade, C.; Okan, O.; Bollweg, T.; Carvalho, Graça S.; Bittlingmayer, U.

Abstract

Introduction: To measure Health literacy (HL) as proposed in the context of the European Health Literacy Survey/questionnaire (HLS-EU-Q), the Health Literacy for Children and Adolescents (HLCA) Consortium (GE) adapted it for children. A trans-cultural adaptation and validation to Portuguese (HLS-EU-PTc), will supply policy makers, experts and health professionals with information that can promote healthier communities while fighting health disparities. Methods: After permission was granted from the HLCA Consortium the TRAPD model was used (eg parallel translation, focus groups, two back translations). An assessment and pretesting of HLS-EU-PTc was done with 16 children for cognitive testing. A qualitative explanatory (n = 16) and quantitative, cross-sectional study (n = 82), age mean 13, SD 0.96, from Portugal (mainland) was implemented for proceed with the validation process. A variety of measures were obtained like internal consistency and mean scores. Results: Preliminary results for evaluation of the psychometric properties of the HLS-EU-PTc show satisfactory internal consistency (Cronbach’s alpha coefficient 0.87). In a scale from 1 (very difficult) to 4 (very easy) for indicators of the HLS-EU-PTc, we have a mean of 3.25 and a SD of .478. Conclusions: This is the first study to examine the feasibility of a Portuguese version (HLS-EU-PTc) of the HLS-EU-Q adapted for children and it indicates high internal consistency and level of self-reported HL. The usefulness of the HLS-EU-PTc instrument can be further discussed while planning public health policy strategies from the HL standpoint. The validated HLS-EU-PTc version of the HLS-EU-Qc survey, with the user’s manual can be accessed at www.literacia-saude.info.

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child en, adolescen s, and p o essionals wo king in educa ion, heal h, and social ca e se ings. Following he ack le by Nai obi (2009) and he Shangai decla a ions (2016) HL has e ol ed in o a signi ican public heal h and heal h p omo ion goal which has been included o se e al public heal h policies (eg. in Po ugal, he Gene al Heal h Di ec o a e o Heal h (GHDH), es ablished i s i s policy ha ocused on child en and adolescen s HL PNSE|2015, 8815/2015 DR, II, n154, 10-08-2015). P esen i s ime empi ical indings and de elopmen s o hese p ojec s and open he loo o u he discussion. On op o his, LS will be add essed om he me hodological pe spec i e. The eby, i will shed ligh on he HL and LS o child en and adolescen s and link he cu en deba e wi h con empo a y public heal h app oaches o ad ance he ield o HL and LS in childhood and adolescence. The ound able will include 3 p esen a ions wi h up o 15 minu es inpu ollowed by discussion. The i s p esen a ion is a heo y-d i en p ojec abou de eloping a concep ual LS model adap a ion o child en and adolescen s in F ance. The second will in oduce a HL ques ionnai e and i s alida ion da a om a pilo s udy in 4 h g ade (9-10 y.o.). The hi d p esen a ion will explo e indings o a pilo s udy by using a HL measu e in child en (9-10 y.o.) and he ela ionship be ween unc ional HL and subjec i e heal h. This ound able o e s a o um o esea che s, p ac i ione s and policy-make s in e es ed in HL and heal h p omo ion. By dialogue and wo-way communica ion li ely in e ac ion and i id discussions will be acili a ed. This will allow discussing esul s ega ding hei bene i o imp o ing HL esea ch, p ac ice, and policy-making, suppo u he syne gies, acil- i a e ne wo king and collabo a ion, and suppo in e na ional capaci y building. Key messages: The e is need o empi ical heal h li e acy and li e skills esea ch in child en and adolescen s. A mo e b oad discussion needs o be de eloped ega ding concep s, ins umen s and s a egies o heal h li e acy and li e skills p omo ion. F ench alida ion o a measu emen scale o li e skills o child en Ca ine Sima C Sima 1 , J Masson 1 , J Pi onom 1 , C N’Sambu 1 , D Tessie 1 1 Uni e si e ´Cle mon Au e gne, Cle mon -Fe and, F ance Con ac : [email p o ec ed] Backg ound: Acco ding o WHO (2003), ‘Li e skills’ a e de ined as psychosocial abili ies o adap i e and posi i e beha iou ha enable indi iduals o deal e ec i ely wi h he demands and challenges o e e yday li e. They a e loosely g ouped in o h ee b oad ca ego ies: cogni i e o analyzing and using in o ma ion, pe sonal o de eloping pe sonal agency and managing onesel , and in e -pe sonal skills o commu- nica ing and in e ac ing e ec i ely wi h o he s. Skills-based heal h educa ion is an app oach o c ea ing o main aining heal hy li es yles and condi ions h ough he de elopmen o knowledge, a i udes, and especially skills, using a a ie y o lea ning expe iences, wi h an emphasis on pa icipa o y me hods. Ou aim was o de elop an in eg a ed measu e o he li e skills g ouped in o h ee b oad ca ego ies o skills o child en who a e a leas 9 yea s old. The p esen communica ion is ocused on he alida ion in a F ench alida ion o a ool measu ing social compe encies in child en - Weiss e al. (2014) - which ep esen s one o he h ee ca ego ies o psychosocial compe encies (emo ional and cogni i e compe encies). Me hods: Da a we e collec ed h ee imes du ing yea 2017-2018: 614 ques ionnai e (T1), 564 (T2), 331 (T3) - 311 child en illed he ques ionnai e h ee imes. Th ee ypes o analyses we e conduc ed in o de o assess he alidi y and eliabili y o social compe ence (SPSS e sion 23 e AMOS e sion 21): Validi y o cons uc , concu en alidi y and eliabili y. Resul s: The esul s show a high eliabili y and a good alidi y o cons uc and concu en , hus indica ing sa is ac o y psycho- mo o quali ies. Conclusions: This compendium will also assess he alidi y and eliabili y o his scale wi h he da a collec ed a he o he wo measu emen imes and s udy he p edic i e alidi y o he scale. The same p ocess will be applied o he cogni i e skills measu emen scale o alida ion. Acknowledgmen : CPS eam and schools and pupils in ol ed. Po uguese cul u al adap a ion and alida ion o he Eu opean Heal h Li e acy Su ey (HLS-EU) o child en aged 9 o 10 (HLS-EU-PTc) Luı ´s Saboga-Nunes L Saboga-Nunes 1,6 , H Dias 2 , C And ade 3 , O Okan 4 , T Bollweg 4 , G Ca alho 5 , U Bi lingmaye 6 1 P oLiSa, Public Heal h Resea ch Cen e, Na ional School o Public Heal h, Uni e sidade NOVA de Lisboa, Lisbon, Po ugal 2 Heal h School, IPsan a e ´m, San a e ´m, Po ugal 3 Uni e sidade dos Ac¸o es, UA, Pon a Delgada, Po ugal 4 Cen e o P e en ion and In e en ion in Childhood and Adoloscence, Biele eld Uni e si y, Biele eld, Ge many 5 Uni e sidade do Minho, B aga, Po ugal 6 Ins i u e o Sociology, Uni e si y o Educa ion F eibu g, F eibu g, Ge many Con ac : [email p o ec ed] In oduc ion: To measu e Heal h li e acy (HL) as p oposed in he con ex o he Eu opean Heal h Li e acy Su ey/ques ionnai e (HLS-EU- Q), he Heal h Li e acy o Child en and Adolescen s (HLCA) Conso ium (GE) adap ed i o child en. A ans-cul u al adap a ion and alida ion o Po uguese (HLS-EU-PTc), will supply policy make s, expe s and heal h p o essionals wi h in o ma ion ha can p omo e heal hie communi ies while igh ing heal h dispa i ies. Me hods: A e pe mission was g an ed om he HLCA Conso ium he TRAPD model was used (eg pa allel ansla ion, ocus g oups, wo back ansla ions). An assessmen and p e es ing o HLS- EU-PTc was done wi h 16 child en o cogni i e es ing. A quali a i e explana o y (n = 16) and quan i a i e, c oss- sec ional s udy (n = 82), age mean 13, SD 0.96, om Po ugal (mainland) was implemen ed o p oceed wi h he alida ion p ocess. A a ie y o measu es we e ob ained like in e nal consis ency and mean sco es. Resul s: P elimina y esul s o e alua ion o he psychome ic p ope - ies o he HLS-EU-PTc show sa is ac o y in e nal consis ency (C onbach’s alpha coe icien 0.87). In a scale om 1 ( e y di icul ) o 4 ( e y easy) o indica o s o he HLS-EU-PTc, we ha e a mean o 3.25 and a SD o .478. Conclusions: This is he i s s udy o examine he easibili y o a Po uguese e sion (HLS-EU-PTc) o he HLS-EU-Q adap ed o child en and i indica es high in e nal consis ency and le el o sel - epo ed HL. The use ulness o he HLS-EU-PTc ins umen can be u he discussed while planning public heal h policy s a egies om he HL s andpoin . The alida ed HLS-EU-PTc e sion o he HLS-EU-Qc su ey, wi h he use ’s manual can be accessed a www.li e acia-saude.in o. Heal h Li e acy ques ionnai e de elopmen o 9 and 10 yea s old: a discussion o assessmen ools! Alcinda Reis A Reis 1 , I Ba oso 1 , L Saboga-Nunes 2,4 , O Okan 3 , T Bollweg 3 , U Bi lingmaye 4 1 San a e ´m Heal h School, IPsan a e ´m, San a e ´m, Po ugal 2 P oLiSa, Public Heal h Resea ch Cen e, Na ional School o Public Heal h, Uni e sidade NOVA de Lisboa, Lisbon, Po ugal 3 Cen e o P e en ion and In e en ion in Childhood and Adoloscence, Biele eld Uni e si y, Biele eld, Ge many 148 Eu opean Jou nal o Public Heal h, Vol. 29, Supplemen 4, 2019 Downloaded om h ps://academic.oup.com/eu pub/a icle/29/Supplemen _4/ckz185.394/5624770 by 01000 Uni e sidade do Minho use on 29 Sep embe 2023