The sinicization of the eHealth Literacy Questionnaire and its reliability and validity testing in stroke patients
10.3760/cma.j.cn211501-20250321-00868
- VernacularTitle:电子健康素养问卷的汉化及在脑卒中患者中的信效度检验
- Author:
Xue SUN
1
;
Chunjuan WANG
;
Xuejiao ZHOU
;
Yi JIN
;
Ran ZHANG
;
Weige SUN
;
Weixin CAI
Author Information
1. 首都医科大学附属北京天坛医院神经病学中心，北京 100070
- Publication Type:Journal Article
- Keywords:
Stroke;
Electronic health literacy;
Scale translation and adaptation;
Reliability;
Validity
- From:
Chinese Journal of Practical Nursing
2025;41(31):2423-2430
- CountryChina
- Language:Chinese
-
Abstract:
Objective:To culturally adapt the eHealth Literacy Questionnaire (eHLQ) into Chinese and validate its reliability and validity in stroke patients, so as to provide a basis for comprehensive evaluation of electronic health literacy in stroke patients.Methods:From May to September 2024, the Brislin translation model was adopted for translation, and the expert consultation was used for cultural adaptation. Followed by preliminary testing to finalize the Chinese version of eHLQ. A convenience sample of the stroke patients was recruited from Beijing Tiantan Hospital, Capital Medical University and Tianjin Huanhu Hospital between October 2024 to February 2025 to conduct a cross-sectional study and evaluate the scale's reliability and validity.Results:Finally, 415 stroke patients were included, with 284 males and 131 females, aged (61.26 ± 9.75) years. The Chinese eHLQ comprised 7 dimensions and 35 items. The item-level content validity index ranged from 0.875 to 1.000, and the scale-level content validity index of universal agreement was 0.857. Exploratory factor analysis revealed KMO value of 0.922, with a cumulative variance contribution rate of 68.90% and factor loading ranging from 0.515 to 0.803. Confirmatory factor analysis demonstrated satisfactory model fit indices: χ2/ df was 1.639, incremental fit index was 0.913, Tucker-Lewis index was 0.902, comparative fit index was 0.912, goodness-of-fit index was 0.812, and root mean square error of approximation was 0.056. The overall Cronbach α coefficient was 0.941, with subscale Cronbach α ranging from 0.825 to 0.894. The test-retest reliability was 0.954. Conclusions:The Chinese version of the eHLQ exhibits excellent reliability and validity, serving as an effective tool for assessing eHealth literacy among stroke patients in China.
