Research in Community and Public Health Nursing

Original Articles

Reliability and Validity of the Korean Version of 8-item Health Literacy Assessment Tool (K-HLAT-8): Mirae Jo, Eun-mi Kwak; Res Community Public Health Nurs. 2024;35(4):351-362. Published online December 30, 2024; DOI: https://doi.org/10.12799/rcphn.2024.00682

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Abstract PDF: Purpose
The purpose of this study was to evaluate the validity and reliability of the Korean version of the Health Literacy Assessment Tool (K-HLAT-8) for Korean adults.
Methods
The survey was conducted from April 1, 2020 to May 30, 2020 at a university hospital, a university, and one community picnic area with adults who understood the purpose of the study and voluntarily agreed to participate. A total of 220 adults participated in this study. After forward and backward translation of the original version of the Health Literacy Assessment Tool 8 (HLAT-8) into Korean, construct validity (confirmatory factor analysis), convergent validity, and reliability were evaluated. Convergent validity was confirmed through the correlation between the K-HLAT-8 and the Self-As Carer Inventory (SCI).
Results
Construct validity, evaluated using confirmatory factor analysis, showed good fit. The K-HLAT-8 showed a positive correlation with the SCI score. In terms of internal consistency, Cronbach’s α of the K-HLAT-8 was 0.85. For test-retest reliability, the intraclass correlation coefficient (ICC) was .99 (95% CI: 0.97~0.99).
Conclusion
The reliability and validity were confirmed, so K-HLAT-8 can be applied to evaluate the health literacy of Korean adults. Furthermore, these assessment results should be used as basic data to implement programs that can improve health literacy.

Development and Evaluation of Eating Traits Scale for Adult in Republic of Korea: Youngwon Kim, Eunok Park; Res Community Public Health Nurs. 2024;35(4):339-350. Published online December 30, 2024; DOI: https://doi.org/10.12799/rcphn.2024.00521

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Abstract PDF: Purpose
The purpose of this study was to develop eating traits scale for Korean adults and verify its validity and reliability.
Methods
The initial items were developed based on the literature reviews. The first preliminary scale has consisted of 78 items and the second preliminary scale consisted of 50 items selected by 13 experts who were formed to evaluate the content validity. To review whether they could understand the questionnaires at their reading level, 27 sixth-grade elementary school students were asked to be involved in this study. The questionnaire was revised through the consultation of Korean language teachers, and the final preliminary scale was composed of 50 items. Data were collected from 329 adults aged 19 to 65 years to test validity and reliability of the scale The item analysis and exploratory factor analysis were applied.
Results
Exploratory factor analysis showed 5 factors of 35 items. The factors (No. of items) were ‘Mood states (6)’, ‘Pursuit of health (6)’, ‘Stimulation of food (9)’, ‘Social situations (5)’, ‘Desire satisfaction (9)’. These 5 factors explained 55.04% of the total variance. Eating traits scale developed in this study was established construct validity. The reliability of the scale, Cronbach's alpha coefficient was .92 and the factor’s ranged from .77 to .87.
Conclusions
Eating traits scale developed in this study was verified by content validity, construct validity and reliability. It is expected to be useful measuring eating traits of Korean adults in clinical practice and research.

Development of an Assessment Tool for Drinking Motives and Problem Drinking in Female University Students: Seoung Uk Wie, Moon Hee Jung; J Korean Acad Community Health Nurs. 2014;25(4):225-236. Published online December 31, 2014; DOI: https://doi.org/10.12799/jkachn.2014.25.4.225

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Abstract PDF: PURPOSE
The purpose of the study is to develop a tool that can identify drinking motives and measure the degree of problem drinking in female university students.
METHODS
From June 25th, 2012 to September 21st, 2012, a methodological study was carried out on this subject. A basic questionnaire was made based on research literature and interviews with 8 female university students. The subjects who participated in the survey for factor analysis were 397 female university students from 2 universities in G Metropolitan City.
RESULTS
Exploratory and confirmatory factor analyses were conducted using PASW and AMOS 18.0. The developed tool was found to be acceptable in terms of construct validity and modeling suitability. The questionnaire comprised 16 questions on drinking motives in 4 sub-categories including 'relief' (4 questions), 'friendship' (3 questions), 'consolation' (4 questions), and 'escape' (5 questions). Problem drinking consisted of 11 questions in 3 different sub-categories including 'loss of control,' 'health hazards,' and 'sexual hazards.' CONCLUSION: The questionnaire was proved to have reliability and validity. Finally, the researcher suggests that this questionnaire is adequate for assessing drinking motives and problem drinking of female university students.

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