ArticleBMC health services research2020
Translation, cultural adaptation and psychometric properties of the Ghanaian language (Akan; Asante Twi) version of the Health Literacy Questionnaire.
Article in BMC health services research, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 23 papers, 1 of them a synthesis that pooled it.
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Who cites it
23 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
- Translation and Assessment of Structural Validity and Internal Consistency of the Polish Health Literacy Questionnaire (HLQ) in Health Professions Students.Medicina (Kaunas, Lithuania) · 2026Article
- Unified Theory of Acceptance and Use of Technology Questionnaire in Swedish Prehospital Care: Translation, Cross-Cultural Adaptation, and Pilot Psychometric Study.JMIR formative research · 2026Article
- Linking health literacy to malaria prevention and treatment behaviours: evidence from a community-based study in Gabon.BMC health services research · 2026Article
- Utility measurement tools and quality of life assessment of cleft care in Sub-Saharan Africa: A systematic review.Journal of public health research · 2026Review
- Translation and cultural adaptation of the health literacy questionnaire (HLQ) in Morocco.Journal of patient-reported outcomes · 2026Article
- Cognitive Testing of the People's Voice Survey Instrument to Assess Adults' and Adolescents' Experience in European Healthcare Systems.Healthcare (Basel, Switzerland) · 2026Article
- Investigating the role of perceived autonomy support in moderating the association between diabetes stigma and psychological and diabetes self-management outcomes among adults with type 2 diabetes in Ghana.PLOS global public health · 2026Article
- Psychometric properties of the health literacy questionnaire tested in Vietnamese adults with chronic diseases.BMC public health · 2025Article
- Health literacy and household financial loss on malaria treatment for children under five in Ghana: a patients' perspective.International health · 2025Article
- Correlation between Health and eHealth Literacy and a Healthy Lifestyle: A Cross-Sectional Study of Spanish Primary Healthcare Patients.Healthcare (Basel, Switzerland) · 2023Article
- Health literacy strengths and challenges of people in New South Wales prisons: a cross-sectional survey using the Health Literacy Questionnaire (HLQ).BMC public health · 2023Article
- Article
- Health literacy strengths and challenges among residents of a resource-poor village in rural India: Epidemiological and cluster analyses.PLOS global public health · 2023Article
- Health Literacy and Its Sociodemographic Predictors: A Cross-Sectional Study of a Population in Madrid (Spain).International journal of environmental research and public health · 2022Article
- Digital Health Literacy as a Predictor of Awareness, Engagement, and Use of a National Web-Based Personal Health Record: Population-Based Survey Study.Journal of medical Internet research · 2022Article
- Cultural Adaptation and Validity Testing of the Portuguese Version of the Health Literacy Questionnaire (HLQ).International journal of environmental research and public health · 2022Article
- Use of the English Health Literacy Questionnaire (HLQ) with Health Science University Students in Nepal: A Validity Testing Study.International journal of environmental research and public health · 2022Article
- Cultural and linguistic adaption and testing of the Health Literacy Questionnaire (HLQ) among healthy people in Korea.PloS one · 2022Article
- Modelling variance in the multidimensional Health Literacy Questionnaire: Does a General Health Literacy factor account for observed interscale correlations?SAGE open medicine · 2022Article
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Abstract
backgroundPatients' competencies and resources to manage their own health, which is termed health literacy, is a necessity for better health outcomes. Thus, it is relevant to have a comprehensive health literacy measurement tool suitable for populations of interest. The Health Literacy Questionnaire (HLQ) is a tool useful for health literacy assessment covering nine dimensions/scales of health literacy. The HLQ has been translated and validated in diverse contexts but has so far not been assessed in any country in sub-Saharan Africa. We sought to translate this tool into the most common language used in Ghana and assess its validity.
methodsWe carried out a cross-sectional study using the HLQ concurrently with an assessment of a malaria programme for caregivers with children under 5 years. The HLQ was translated using a systematic translation procedure. We analysed the psychometric properties of the HLQ based on data collected by face-to-face interview of 1234 caregivers. The analysis covered tests on difficulty level of scales, composite reliability, Cronbach's alpha and confirmatory factor analysis (CFA).
resultsCognitive testing showed that some words were ambiguous, which led to minor rewording of the questionnaire. A nine-factor CFA model was fitted to the 44 question items with no cross-loadings or correlated residuals allowed. Given the very restricted nature of the model, the fit was quite satisfactory: χ2 DWLS (866 df) = 17,177.58, p < 0.000, CFI = 0.971, TLI = 0.969, RMSEA = 0.126 and SRMR = 0.107. Composite reliability and Cronbach's alpha were > 0.65 for all scales except Cronbach's alpha for scale 9, 'Understanding health information well enough to know what to do' (0.57). The mean differences between most demographic groups among health literacy scales were statistically significant.
conclusionThe Akan-Twi version of HLQ proved relevant in our description of the health literacy levels among the caregivers in our study. This validated tool will be useful to conduct health literacy needs assessments to guide policies addressing such needs. Further work is needed to validate this tool for use in Ghana and similar contexts.
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