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Article

Measuring and Exploring Children’s Health Literacy in The Netherlands: Translation and Adaptation of the HLS-Child-Q15

1
Department of Family Medicine, Care and Public Health Research Institute (CAPHRI), Maastricht University, P.O. Box 616, 6200 MD Maastricht, The Netherlands
2
Netherlands Institute for Health Services Research (NIVEL), P.O. Box 1568, 3500 BN Utrecht, The Netherlands
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Centre for Prevention and Intervention in Childhood and Adolescence, Faculty of Educational Science, Bielefeld University, Universitätsstrasse 25, 33615 Bielefeld, Germany
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Interdisciplinary Centre for Health Literacy Research, Bielefeld University, Universitätsstrasse 25, 33615 Bielefeld, Germany
*
Author to whom correspondence should be addressed.
Academic Editors: Desirée Valera-Gran and Eva Maria Navarrete-Munoz
Int. J. Environ. Res. Public Health 2021, 18(10), 5244; https://0-doi-org.brum.beds.ac.uk/10.3390/ijerph18105244
Received: 8 April 2021 / Revised: 12 May 2021 / Accepted: 13 May 2021 / Published: 14 May 2021
(This article belongs to the Special Issue Instruments for Measuring Health)
As health literacy (HL) is hypothesized to develop throughout life, enhancement during childhood will improve HL and health during life. There are few valid, age-appropriate tools to assess children’s HL. The German-language European Health Literacy Survey Questionnaire Adapted for Children (HLS-Child-Q15-DE) is a self-report questionnaire adapted from the adult European Health Literacy Survey Questionnaire. This study aims to translate the HLS-Child-Q15 to Dutch and explore the sample’s HL distribution. The HLS-Child-Q15-DE was translated following WHO guidelines and administered digitally to 209 Dutch schoolchildren (eight-to-eleven-year-olds). Its psychometric properties were assessed and the sample’s HL distribution was explored by demographic characteristics. The HLS-Child-Q15-NL had high internal consistency (α = 0.860) and moderate to strong item-total correlations (mean = 0.499). For 6 of the 15 items, >10% of participants answered “do not know”, indicating comprehension problems. Higher HL scores were observed for ten-to-eleven-year-olds (compared with eight-to-nine-year-olds; p = 0.021) and fourth-grade students (compared with third-grade; p = 0.019). This supports the idea that HL evolves throughout life and the importance of schools in this process. With the HLS-Child-Q15-NL, a Dutch measurement instrument of children’s HL is available, although it needs further tailoring to the target group. More research is needed to decrease comprehension problems and to investigate retest reliability and construct validity. View Full-Text
Keywords: health literacy; child; surveys and questionnaires; Netherlands; assessment health literacy; child; surveys and questionnaires; Netherlands; assessment
MDPI and ACS Style

Hahnraths, M.T.H.; Heijmans, M.; Bollweg, T.M.; Okan, O.; Willeboordse, M.; Rademakers, J. Measuring and Exploring Children’s Health Literacy in The Netherlands: Translation and Adaptation of the HLS-Child-Q15. Int. J. Environ. Res. Public Health 2021, 18, 5244. https://0-doi-org.brum.beds.ac.uk/10.3390/ijerph18105244

AMA Style

Hahnraths MTH, Heijmans M, Bollweg TM, Okan O, Willeboordse M, Rademakers J. Measuring and Exploring Children’s Health Literacy in The Netherlands: Translation and Adaptation of the HLS-Child-Q15. International Journal of Environmental Research and Public Health. 2021; 18(10):5244. https://0-doi-org.brum.beds.ac.uk/10.3390/ijerph18105244

Chicago/Turabian Style

Hahnraths, Marla T.H., Monique Heijmans, Torsten M. Bollweg, Orkan Okan, Maartje Willeboordse, and Jany Rademakers. 2021. "Measuring and Exploring Children’s Health Literacy in The Netherlands: Translation and Adaptation of the HLS-Child-Q15" International Journal of Environmental Research and Public Health 18, no. 10: 5244. https://0-doi-org.brum.beds.ac.uk/10.3390/ijerph18105244

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