ArticlePloS one2020
Development and psychometric properties of maternal health literacy inventory in pregnancy.
Article in PloS one, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 22 papers, 1 of them a synthesis that pooled it.
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Who cites it
22 citing papers in PubMed, 1 synthesis or guideline pooled it.
- Measuring health literacy: A systematic review and bibliometric analysis of instruments from 1993 to 2021.PloS one · 2022Pooled it
- Using the teach-back method to improve postpartum maternal-infant health among women with limited maternal health literacy: a randomized controlled study.BMC pregnancy and childbirth · 2023Trial
- Investigation of the Effect of Pregnant Women's Maternal Health Literacy on Healthy Lifestyle Behaviors.Healthcare (Basel, Switzerland) · 2026Article
- Evaluation of maternal health literacy and its impact on pregnancy outcomes: A longitudinal study in a tertiary care hospital, Karachi.BMC pregnancy and childbirth · 2026Observational
- Testing the Turkish version of the breastfeeding literacy assessment instrument: a validity and reliability study.BMC pregnancy and childbirth · 2026Article
- Health literacy and prenatal screening acceptability for hemoglobinopathies in Tunisia: a pilot mediation study.Journal of community genetics · 2026Article
- The maternal health knowledge of pregnant women attending the antenatal clinics in the Western Cape: A cross-sectional study.Journal of public health in Africa · 2026Article
- Quantifying Maternal Health Using Digital Phenotyping: Protocol for a Longitudinal Observational Study.JMIR research protocols · 2025Article
- Perinatal Women's Perception of Maternal Health Information Quality on Digital Media: Scoping Review.Journal of medical Internet research · 2025Article
- The effect of pregnancy health literacy on risk perception in pregnancy and pregnancy anxiety.BMC pregnancy and childbirth · 2025Article
- Determinants of well-being in pregnancy: the impact of sociodemographic and obstetric variables and maternal health literacy, cross sectional study.BMC pregnancy and childbirth · 2025Article
- Impact of health literacy and subjective happiness in pregnancy on neonatal anthropometry: a cohort study.Discover mental health · 2025Article
- Validity and reliability of the Turkish version of the Maternal Health Literacy Inventory in Pregnancy scale: a methodological study.Women's health nursing (Seoul, Korea) · 2024Article
- Maternal Health Literacy in Pregnant Women: A Concept Analysis.Maternal and child health journal · 2024Review
- Health Literacy Levels of Women Attending a Perinatology Outpatient Clinic for High-Risk Pregnancy Follow-Up.Cureus · 2024Article
- Article
- Development and Validation of the Breastfeeding Literacy Assessment Instrument (BLAI) for Obstetric Women.International journal of environmental research and public health · 2023Article
- A Community Collaborative for the Exploration of Local Factors Affecting Black Mothers' Experiences with Perinatal Care.Maternal and child health journal · 2022Article
- Development and psychometric properties of Iranian midwives job satisfaction instrument (MJSI): A sequential exploratory study.PloS one · 2022Article
- Maternal health literacy and pregnancy outcomes in Afghanistan.Journal of education and health promotion · 2022Article
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Authors and funding
7 authors.
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Abstract
backgroundPregnancy is one of the most sensitive and important stages of women's life. Maternal health literacy is the key to achieving a healthy pregnancy. It also affects pregnancy outcomes by improving the quality of health care in this period. The aim of this study was to develop and evaluate the psychometric properties of maternal health literacy inventory in pregnancy (MHELIP).
methodsThis sequential, exploratory and mixed study was carried out in two parts (qualitative study and psychometric evaluation of the tool) in Tehran in 2016-18. The first part involved a qualitative content analysis with a traditional approach using in-depth, semi-structured and personal interviews with 19 eligible pregnant women. Then, the pool of items extracted from the qualitative part was completed by reviewing the existing literature and tools. In the second part, the overlapping items were summarized and the tool was validated. In order to evaluate the construct validity, a cross-sectional study was conducted with the participation of 320 pregnant women. Data analysis was performed by SPSS-19 software using exploratory factor analysis and reliability tests (Cronbach's alpha and ICC).
resultsFindings of qualitative part produced a pool of 120 items that reached to 124 items after reviewing the literature. After confirming face and content validity by calculating CVI and CVR for each item, 53 items remained in the pool. Finally, the results of exploratory factor analysis confirmed a tool with 48 items in four factors, explaining 46.49% of the variance of total variables of the tool. Reliability of the tool was approved by Cronbach's alpha = 0.94 and test-retest with 2-weeks intervals, indicating an appropriate stability for the scale (ICC = 0.96). Finally, the tool was finalized with 48 items in 4 dimensions, including "Maternal Health Knowledge", "Maternal Health Information Search", "Maternal Health Information Assessment" and "Maternal Health Decision Making and Behavior".
conclusionThe designed tool is a multidimensional, reliable and validated scale for assessing maternal health literacy during pregnancy. This tool can be used to evaluate different aspects of maternal health literacy in pregnant women, which was prepared based on their experiences during a qualitative study.
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