Academic Journal
Validation of the Spanish Subjective End-of-Life Health Literacy Scale through community-based workshops in Argentina.
| Τίτλος: | Validation of the Spanish Subjective End-of-Life Health Literacy Scale through community-based workshops in Argentina. |
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| Συγγραφείς: | Meier C; Faculty of Business and Economics (HEC), University of Lausanne, and Swiss Centre of Expertise in the Social Sciences (FORS), University of Lausanne (HEC), Lausanne, Switzerland.; Instituto Pallium Latinoamérica, Ciudad de Buenos Aires, Argentina., Veloso VI; Instituto Pallium Latinoamérica, Ciudad de Buenos Aires, Argentina.; Instituto de Investigaciones Médicas Alfredo Lanari, Universidad de Buenos Aires, Buenos Aires, Argentina., Carballo B; Instituto de Investigaciones Médicas Alfredo Lanari, Universidad de Buenos Aires, Buenos Aires, Argentina., Tripodoro VA; Instituto Pallium Latinoamérica, Ciudad de Buenos Aires, Argentina.; ATLANTES Global Observatory of Palliative Care, University of Navarra, Navarra, Spain. |
| Πηγή: | Palliative & supportive care [Palliat Support Care] 2026 Sep 21; Vol. 24, pp. e231. Date of Electronic Publication: 2026 Sep 21. |
| Τύπος έκδοσης: | Journal Article |
| Γλώσσα: | English |
| Στοιχεία περιοδικού: | Publisher: Cambridge University Press Country of Publication: England NLM ID: 101232529 Publication Model: Electronic Cited Medium: Internet ISSN: 1478-9523 (Electronic) Linking ISSN: 14789515 NLM ISO Abbreviation: Palliat Support Care Subsets: MEDLINE |
| Imprint Name(s): | Original Publication: Cambridge : Cambridge University Press, c2003- |
| Ιατρικοί όροι (MeSH): | Health Literacy*/standards , Health Literacy*/methods , Health Literacy*/statistics & numerical data , Psychometrics*/instrumentation , Psychometrics*/methods , Psychometrics*/standards , Terminal Care*/methods , Terminal Care*/standards , Terminal Care*/psychology, Education/methods ; Humans ; Argentina ; Surveys and Questionnaires ; Female ; Reproducibility of Results ; Male ; Middle Aged ; Aged ; Adult ; Translating |
| Περίληψη: | Objectives: To culturally adapt and validate the Spanish version of the Subjective End-of-Life Health Literacy Scale (S-EOL-HLS) through community-based workshops in Argentina. Methods: The S-EOL-HLS was translated following the forward-backward method and iteratively refined through community workshops conducted in urban and rural settings. Initial testing took place in 5 workshops (n = 57), followed by face validity assessment by an expert panel (n = 11). Based on this feedback, additional workshops were conducted alongside cognitive interviews, and a subset of participants completed a test-retest assessment. Participants completed the adapted scale and a brief sociodemographic questionnaire. Psychometric evaluation was performed using exploratory factor analysis on the initial sample and confirmatory factor analysis on a second sample (n = 120), together with assessments of internal consistency and construct validity. Results: The analyses supported a 3-factor structure representing functional, interactive, and critical dimensions of end-of-life health literacy. Factor loadings ranged from 0.57 to 0.91, with items loading primarily on their intended domains. The model demonstrated acceptable fit and high internal consistency (Cronbach's α = 0.89). Qualitative feedback from participants and experts improved the clarity and contextual relevance of the Spanish version. While most participants reported ease in understanding technical end-of-life terminology, greater uncertainty was observed for interactive and decision-making items, indicating challenges in applying information to personal treatment choices. Significance of Results: The Spanish S-EOL-HLS demonstrated evidence of content validity, construct validity, and good psychometric performance in an Argentine context. Beyond its measurement properties, the scale also served as a structured prompt for reflection and dialogue in community settings. |
| Contributed Indexing: | Keywords: Argentina; End-of-life health literacy; Spanish-speaking populations; community-based workshops; cultural adaptation; palliative care; scale validation |
| Entry Date(s): | Date Created: 20260921 Date Completed: 20260921 Latest Revision: 20260921 |
| Update Code: | 20260921 |
| DOI: | 10.1017/S147895152610340X |
| PMID: | 42764784 |
| Βάση Δεδομένων: | MEDLINE |
| ISSN: | 1478-9523 |
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| DOI: | 10.1017/S147895152610340X |