Development and Psychometric Properties of Lifestyle Health Literacy Questionnaire (LHLQ-33) among Iranian Soldiers

Karimi, Leila; Yaghoubi, Maryam; Rahmati, Fatemeh; Jafari, Kosar

doi:10.22038/jhl.2022.67709.1353

	Development and Psychometric Properties of Lifestyle Health Literacy Questionnaire (LHLQ-33) among Iranian Soldiers
Journal of Health Literacy
دوره 8، شماره 1 - شماره پیاپی 29، تیر 2023، صفحه 84-96 اصل مقاله (481.27 K)
نوع مقاله: Original Article
شناسه دیجیتال (DOI): 10.22038/jhl.2022.67709.1353
نویسندگان
Leila Karimi¹؛ Maryam Yaghoubi²؛ Fatemeh Rahmati^* ³؛ Kosar Jafari⁴
¹Behavioral Sciences Research Center, Life Style Institute, Nursing Faculty, Baqiyatallah University of Medical Sciences, Tehran, Iran
²Health management research center, Baqiyatallah University of Medical2 Sciences, Tehran, Iran
³Health Research Center, Life Style Institute, Baqiyatallah University of Medical Sciences Tehran, Iran
⁴Medical college, Babol University of Medical Sciences, babol, Iran. orcid.org /0000-0002-8321-800X
چکیده
Background and Objectives: Even though there are existing studies on the correlation between health literacy (HL) and lifestyle, to this day, the concept of Lifestyle health literacy (LHL) has not been considered. This study was conducted to design and evaluate the validity and reliability of the LHLQ among military bases of Tehran. Material and methods: In the present study, first the questionnaire was designed, and then the validity and reliability of the LHLQ in soldiers were evaluated from 2020 to 2021. The face and content validity and quantitative and qualitative content validity were performed and eventually 33 questions were examined for reliability. The Cronbach’s alpha and Intra-class Correlation Coefficient (ICC) were used. Factor analysis was performed on 300 soldiers who were available through four selected garrisons in Tehran. Results: The mean of CVI was 0.92 and CVR was 0.71. Also, in the ICC reliability study, the total questions were 0.85 and the Cronbach's alpha’s questions were 0.93. The exploratory factor analysis identified a 6-factor structure of responsibility, nutrition, physical activity, stress control, spiritual growth, and interpersonal relationships for the LHLQ, which were plotted in 33 terms and explained 58.58% of the total variance. The 6 factors model was approved via the confirmatory factor analysis method X2/df=2.974 RMSEA=0.77, GFI=0.870, and NFI= 0.902. Conclusion: The questionnaire's indices have an acceptable level of validity and reliability, therefore the soldiers' LHLQ can be used to measure the LHL of this group.
کلیدواژه‌ها
Health literacy؛ Lifestyle؛ Psychometrics؛ Soldier

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Development and Psychometric Properties of Lifestyle Health Literacy Questionnaire (LHLQ-33) among Iranian Soldiers