ArticleInternational journal of environmental research and public health2022
Cultural Adaptation and Validity Testing of the Portuguese Version of the Health Literacy Questionnaire (HLQ).
Article in International journal of environmental research and public health, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 8 papers.
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Who cites it
8 citing papers in PubMed.
- Translation and cultural adaptation of the health literacy questionnaire (HLQ) in Morocco.Journal of patient-reported outcomes · 2026Article
- Developing a validity testing plan for a patient-reported outcome measure in a new context using the argument-based approach to validity.Quality of life research : an international journal of quality of life aspects of treatment, care and rehabilitation · 2026Article
- Maternal Health Literacy among Migrant Women: A Co-Design Study in Portugal.Portuguese journal of public health · 2026Article
- Understanding Health Literacy Among Migrants in Portugal: The Impact of Environmental Issues.Nursing reports (Pavia, Italy) · 2024Article
- Health literacy strengths and needs among migrant communities from Portuguese-speaking African countries in Portugal: a cross-sectional study.Frontiers in public health · 2024Article
- Cardiovascular disease risk perception among community adults in South China: a latent profile analysis.Frontiers in public health · 2023Article
- Psychometric properties of the Chinese version of Attitudes and Beliefs about Cardiovascular Disease Risk Perception Questionnaire.Scientific reports · 2022Article
- Why Employees Experience Burnout: An Explanation of Illegitimate Tasks.International journal of environmental research and public health · 2022Article
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Authors and funding
6 authors.
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Abstract
backgroundHealth literacy is considered a determinant of self-management behaviors and health outcomes among people with diabetes. The assessment of health literacy is central to understanding the health needs of a population. This study aimed to adapt the Health Literacy Questionnaire (HLQ) to the Portuguese context and to examine the psychometric properties of a population of people with diabetes.
methodsData were collected using a self-administrated questionnaire from 453 people with diabetes in a specialized diabetes care unit. Analysis included item difficulty level, composite scale reliability, and confirmatory factor analysis (CFA).
resultsThe HLQ showed that the items were easily understood by participants. Composite reliability ranged from 0.74 to 0.83. A nine-factor CFA model was fitted to the 44 items. Given the very restricted model, the fit was quite satisfactory [χ
conclusionThe Portuguese version of the HLQ has shown satisfactory psychometric properties across its nine separate scales in people with diabetes. Given the strong observed properties of the HLQ across cultures, languages, and diseases, the HLQ is likely to be a useful tool in a range of Portuguese settings.
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