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4 "Validation study"
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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
  • 230 View
  • 8 Download
AbstractAbstract 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.
Validity and Reliability of the Korean Version of the Diabetes Acceptance and Action Scale (DAAS-K)
Kawoun Seo
Res Community Public Health Nurs. 2024;35(1):76-83.   Published online March 29, 2024
DOI: https://doi.org/10.12799/rcphn.2023.00430
  • 1,038 View
  • 17 Download
AbstractAbstract PDF
Purpose
The purpose of this study was to evaluate the validity and reliability of the Korean version of the Diabetes Acceptance and Action Scale-Revised (DAAS-R) for Korean patients with type 2 diabetes.
Methods
The survey was conducted from September 1, 2021, to September 30, 2021, through a survey institution for patients diagnosed with diabetes who understood the purpose of the study and voluntarily agreed to participate. A total of 231 individuals with type 2 diabetes participated in this study. After performing forward and backward translations of the original version of the Diabetes Acceptance and Action Scale-Revised (DAAS-R) into Korean, its constructive validity (confirmatory factor analysis), concurrent validity and reliability were assessed. Concurrent validity was confirmed through the correlation between acceptance and action, quality of life, diabetes self-stigma, and experiential avoidance.
Results
Construct validity, measured using confirmatory factor analysis, showed a good fit. The DAAS-K was positively correlated with acceptance and action, quality of life, and negatively correlated with diabetes self-stigma and experiential avoidance. As for internal reliability, the Cronbach’s α of the DAAS-K was .95.
Conclusion
The DAAS-K can be applied to assess diabetes acceptance and action in Korean patients with type 2 diabetes and to compare the levels of psychological flexibility of patients with diabetes internationally.
Development of the Self-Care Non-adherence Risk Assessment Scale for Patients with Chronic Illness
Mi Rae Jo, Hee Young Oh
J Korean Acad Community Health Nurs. 2021;32(4):415-429.   Published online December 31, 2021
DOI: https://doi.org/10.12799/jkachn.2021.32.4.415
  • 1,395 View
  • 66 Download
  • 2 Citations
AbstractAbstract PDF
Purpose
The purpose of this study was to develop the Self-Care Non-adherence Risk Assessment Scale (SCNRAS) for patients with chronic illness in South Korea.
Methods
This study was conducted from April to July, 2020 and utilized a convenience sampling method to recruit 336 patients with chronic illness from three hospitals located in South Korea. The content, factorial structure, item-convergent/discriminant validity, convergent validity, internal consistency reliability, and test-retest reliability of the scale were evaluated. The data were analyzed using exploratory and confirmatory factor analyses, Pearson’s correlation coefficient, Cronbach’s ⍺, and intra-class correlation coefficient.
Results
The exploratory and confirmatory factor analyses yielded six-factors. Convergent validity was demonstrated using measures of defining issues. Internal consistency reliability and test-retest reliability were found to be acceptable, as indicated by a Cronbach’s ⍺ of .65~.81 and an intra-class correlation coefficient of .93~.98. The Self-Care Non-adherence Risk Assessment Scale for patients with chronic illness is a new instrument that comprehensively measures the knowledge, skill, physical function status, access to health care, social support, motivation, and confidence. It comprises 18 items scored on a 5-point Likert scale. The validity and reliability of the scale were verified. Conclusion: The scale developed through this study is expected to screen those who need nursing intervention early by predicting the self-care non-adherence risk group.

Citations

Citations to this article as recorded by  
  • Effects of self-care intervention using a mobile instant messenger on hemodialysis patient’s knowledge, self-efficacy, self-care behavior and physiological index
    Yu Kyung Shin, Mi Young Kim
    Journal of Korean Biological Nursing Science.2024; 26(2): 123.     CrossRef
  • Development of a Conceptual Framework for Non-Adherence to Self-Management in Patients with Chronic Obstructive Pulmonary Disease: An Exploratory Study
    Ja Yun Choi, Eui Jeong Ryu, So Young Yun, Sehyun Cho
    Korean Journal of Adult Nursing.2024; 36(2): 126.     CrossRef
Reliability and Validity of the Korean version of Short-Form Health Literacy Scale for Adults
Young Joo Seo, Eun Mi Kwak, Mi Rae Jo, A-Ra Ko, Soon Hwan Kim, Hee Young Oh
J Korean Acad Community Health Nurs. 2020;31(4):416-426.   Published online December 31, 2020
DOI: https://doi.org/10.12799/jkachn.2020.31.4.416
  • 2,951 View
  • 189 Download
  • 5 Citations
AbstractAbstract PDF
Purpose
The aim of this study was to evaluate the validity and reliability of the Korean version of Short-form Health Literacy Scale (HLS-SF-K12) for Adults.
Methods
The English HLS-SF12 was translated into Korean with forward and backward translation. Survey data were collected from 204 adults who visited two hospitals in Korea. Content validity, construct validity, and known-groups validity were evaluated. Cronbach's ⍺ for internal consistency and test-retest were used to assess reliability. SPSS 21.0 and AMOS 21.0 software were used for data analysis.
Results
The HLS-SF-K12 was composed of 12 items, and three subscales (health care, disease prevention, and health promotion). The instrument explained reliable internal consistency with Cronbach’s ⍺ for the total scale of .89, and .74~.81 for subscales. The model of three subscales for the HLS-SF-K12 was validated by confirmatory factor analysis (Normed x 2 =2.14 (p<.001), GFI=.92, RMR=.04, RMSEA=.08, CFI=.94, TLI=.92, IFI=.94). The hypothesis testing which analyzed the differences in health literacy by age and education level was satisfied.
Conclusion
The HLS-SF-K12 is a valid and reliable instrument for measuring health information comprehension for adults in Korea.

Citations

Citations to this article as recorded by  
  • The effects of health literacy on medication compliance in the independent living: Mediating effect of e-health literacy: A cross-sectional descriptive study
    Woo Joo Nam, Ju Young Ha
    Journal of Korean Gerontological Nursing.2024; 26(2): 180.     CrossRef
  • Factors influencing self-management behaviors in older people with multiple chronic conditions based on the individual and family self-management theory: A cross-sectional study
    Youngji Seo, Sunyoung Jung
    Journal of Korean Gerontological Nursing.2024; 26(3): 332.     CrossRef
  • Development and validation of the Health Literacy Index for the Community for the Korean National Health and Nutrition and Examination Survey
    Junghee Yoon, Soo Jin Kang, Mangyeong Lee, Juhee Cho
    Epidemiology and Health.2024; 46: e2024061.     CrossRef
  • Cultural and linguistic adaption and testing of the Health Literacy Questionnaire (HLQ) among healthy people in Korea
    Jin-Hee Park, Richard H. Osborne, Hee-Jun Kim, Sun Hyoung Bae, Sonu Goel
    PLOS ONE.2022; 17(8): e0271549.     CrossRef
  • Health literacy measures in South Korea: A scoping review
    Heeran Chun, Su Hyun Kim, Eunja Park
    Korean Journal of Health Education and Promotion.2022; 39(4): 39.     CrossRef

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