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Translation and Assessment of Structural Validity and Internal Consistency of the Polish Health Literacy Questionnaire (HLQ) in Health Professions Students.

Λεπτομέρειες βιβλιογραφικής εγγραφής
Τίτλος: Translation and Assessment of Structural Validity and Internal Consistency of the Polish Health Literacy Questionnaire (HLQ) in Health Professions Students.
Συγγραφείς: Lipiak A; Department of Preventive Medicine, Poznan University of Medical Sciences, 60-781 Poznan, Poland., Karasiewicz M; Department of Preventive Medicine, Poznan University of Medical Sciences, 60-781 Poznan, Poland., Gawłowska B; Department of Preventive Medicine, Poznan University of Medical Sciences, 60-781 Poznan, Poland., Staszewski R; Department of Preventive Medicine, Poznan University of Medical Sciences, 60-781 Poznan, Poland., Wiśniewska-Leśków S; Department of Foreign Language Teaching, Poznan University of Medical Sciences, 61-806 Poznan, Poland., Hawkins M; Global Health and Equity Development Hub, La Trobe Rural Health School, La Trobe University, Bendigo, VIC 3550, Australia., Osborne RH; Global Health and Equity Development Hub, La Trobe Rural Health School, La Trobe University, Bendigo, VIC 3550, Australia., Chawłowska E; Department of Preventive Medicine, Poznan University of Medical Sciences, 60-781 Poznan, Poland.
Πηγή: Medicina (Kaunas, Lithuania) [Medicina (Kaunas)] 2026 Sep 18; Vol. 62 (9). Date of Electronic Publication: 2026 Sep 18.
Τύπος έκδοσης: Journal Article
Γλώσσα: English
Στοιχεία περιοδικού: Publisher: MDPI Country of Publication: Switzerland NLM ID: 9425208 Publication Model: Electronic Cited Medium: Internet ISSN: 1648-9144 (Electronic) Linking ISSN: 1010660X NLM ISO Abbreviation: Medicina (Kaunas) Subsets: MEDLINE
Imprint Name(s): Publication: 2018- : Basel, Switzerland : MDPI
Original Publication: Kaunas : Lietuvos gydytojų sąjunga
Ιατρικοί όροι (MeSH): Psychometrics*/methods , Psychometrics*/instrumentation , Psychometrics*/standards , Health Literacy*/standards , Health Literacy*/methods , Health Literacy*/statistics & numerical data , Students, Health Occupations*/statistics & numerical data , Students, Health Occupations*/psychology, Humans ; Poland ; Surveys and Questionnaires ; Reproducibility of Results ; Female ; Cross-Sectional Studies ; Male ; Adult ; Factor Analysis, Statistical ; Translations ; Translating
Περίληψη: Background and Objectives: Assessing health literacy requires valid measurement tools that capture its multidimensional nature. The nine-scale Health Literacy Questionnaire (HLQ) is globally used for this purpose. This study reports on the initial psychometric assessment of the Polish version of the HLQ. Materials and Methods: The HLQ was translated using the developers' Translation Integrity Procedure and administered to 918 health professions students in a cross-sectional survey. Confirmatory factor analyses (CFA) and reliability tests were conducted. Results: One-factor CFAs generally supported the intended structure of the individual HLQ scales, although some variation in model fit was observed across scales. A full, restrictive nine-factor CFA supported the original nine-factor model, with good fit indices: χ2WLSMV (866 df) = 1752.08, p < 0.0001, CFI = 0.973, TLI = 0.970, SRMR = 0.045, RMSEA = 0.035. Factor loadings were generally acceptable (≥0.50), with only two items below the threshold. Internal consistency of scales was good to acceptable in all but one domain marginally lower than desired: "Appraisal of health information" (Cronbach's α = 0.69, composite reliability 0.68). Conclusions: The findings provide initial evidence supporting structural validity and internal consistency of the Polish HLQ in this sample. Further testing in other Polish populations is recommended.
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Patient Educ Couns. 2022 Jul;105(7):1793-1800. (PMID: 34862114)
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BMC Public Health. 2017 Mar 3;17(1):230. (PMID: 28253883)
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Fam Med Community Health. 2020 May;8(2):. (PMID: 32414834)
Ann Intern Med. 2011 Jul 19;155(2):97-107. (PMID: 21768583)
Health Promot Int. 2021 Oct 13;36(5):1219-1230. (PMID: 33370429)
PLoS One. 2022 Jul 15;17(7):e0271524. (PMID: 35839272)
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Contributed Indexing: Keywords: Health Literacy Questionnaire (HLQ); health literacy measurement; psychometrics; university students; validation
Entry Date(s): Date Created: 20260926 Date Completed: 20260926 Latest Revision: 20260929
Update Code: 20260929
PubMed Central ID: PMC13608996
DOI: 10.3390/medicina62091801
PMID: 42796406
Βάση Δεδομένων: MEDLINE
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  Data: Translation and Assessment of Structural Validity and Internal Consistency of the Polish Health Literacy Questionnaire (HLQ) in Health Professions Students.
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  Data: Background and Objectives: Assessing health literacy requires valid measurement tools that capture its multidimensional nature. The nine-scale Health Literacy Questionnaire (HLQ) is globally used for this purpose. This study reports on the initial psychometric assessment of the Polish version of the HLQ. Materials and Methods: The HLQ was translated using the developers&#39; Translation Integrity Procedure and administered to 918 health professions students in a cross-sectional survey. Confirmatory factor analyses (CFA) and reliability tests were conducted. Results: One-factor CFAs generally supported the intended structure of the individual HLQ scales, although some variation in model fit was observed across scales. A full, restrictive nine-factor CFA supported the original nine-factor model, with good fit indices: χ&lt;superscript&gt;2&lt;/superscript&gt;&lt;subscript&gt;WLSMV&lt;/subscript&gt; (866 df) = 1752.08, p &amp;lt; 0.0001, CFI = 0.973, TLI = 0.970, SRMR = 0.045, RMSEA = 0.035. Factor loadings were generally acceptable (≥0.50), with only two items below the threshold. Internal consistency of scales was good to acceptable in all but one domain marginally lower than desired: &quot;Appraisal of health information&quot; (Cronbach&#39;s α = 0.69, composite reliability 0.68). Conclusions: The findings provide initial evidence supporting structural validity and internal consistency of the Polish HLQ in this sample. Further testing in other Polish populations is recommended.
– Name: Ref
  Label: References
  Group: RefInfo
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  Data: &lt;i&gt;Keywords: &lt;/i&gt;Health Literacy Questionnaire (HLQ); health literacy measurement; psychometrics; university students; validation
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  Data: 20260929
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  Data: 10.3390/medicina62091801
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  Data: 42796406
PLink https://search.ebscohost.com/login.aspx?direct=true&site=eds-live&db=cmedm&AN=42796406
RecordInfo BibRecord:
  BibEntity:
    Identifiers:
      – Type: doi
        Value: 10.3390/medicina62091801
    Languages:
      – Code: eng
        Text: English
    Subjects:
      – SubjectFull: Humans
        Type: general
      – SubjectFull: Poland
        Type: general
      – SubjectFull: Surveys and Questionnaires
        Type: general
      – SubjectFull: Reproducibility of Results
        Type: general
      – SubjectFull: Female
        Type: general
      – SubjectFull: Cross-Sectional Studies
        Type: general
      – SubjectFull: Male
        Type: general
      – SubjectFull: Adult
        Type: general
      – SubjectFull: Factor Analysis, Statistical
        Type: general
      – SubjectFull: Translations
        Type: general
      – SubjectFull: Translating
        Type: general
      – SubjectFull: Psychometrics methods
        Type: general
      – SubjectFull: Psychometrics instrumentation
        Type: general
      – SubjectFull: Psychometrics standards
        Type: general
      – SubjectFull: Health Literacy standards
        Type: general
      – SubjectFull: Health Literacy methods
        Type: general
      – SubjectFull: Health Literacy statistics & numerical data
        Type: general
      – SubjectFull: Students, Health Occupations statistics & numerical data
        Type: general
      – SubjectFull: Students, Health Occupations psychology
        Type: general
    Titles:
      – TitleFull: Translation and Assessment of Structural Validity and Internal Consistency of the Polish Health Literacy Questionnaire (HLQ) in Health Professions Students.
        Type: main
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          Name:
            NameFull: Lipiak A
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            NameFull: Karasiewicz M
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            NameFull: Gawłowska B
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            NameFull: Wiśniewska-Leśków S
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            NameFull: Hawkins M
      – PersonEntity:
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            NameFull: Osborne RH
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            NameFull: Chawłowska E
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          Dates:
            – D: 18
              M: 09
              Text: 2026 Sep 18
              Type: published
              Y: 2026
          Identifiers:
            – Type: issn-electronic
              Value: 1648-9144
          Numbering:
            – Type: volume
              Value: 62
            – Type: issue
              Value: 9
          Titles:
            – TitleFull: Medicina (Kaunas, Lithuania)
              Type: main
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