1
Assistant Professor of Educational Administration, Department of Educational Administration, Farhangian University, Tehran, Iran
2
Bachelor student, Department of English Language Teaching, Farhangian University, Tehran, Iran
Abstract
Background: The concept of digital health literacy has become more important with pandemic. There are no valid tools to analyze digital literacy levels, based on this, the aim of this study is to translate, adapt and validate the Latin version of the (DHLI) used in the global COVID-HL Network. Methods: This study was carried out in terms of practical purpose and data collection method using a quantitative (survey- descriptive) method of cross-sectional study. The statistical population was students of educational sciences, management, nursing and physical education. The Latin version of the DHLI consisted of five dimensions, each containing three items. In order to validate this version, an online survey (N: 1815 (was conducted among students of Azad University. Data analysis was done using exploratory and confirmatory factor analysis and Pearson correlation was also checked. Results: Two questionnaire items had symmetry and tension problems and were excluded from the analysis. Several samples of exploratory factor analysis were conducted in order to extract two models (three-factor and four-factor) for the confirmatory factor analysis test. The four-factor structure of the tools, including information search, self-made content, reliability assessment and determination of relevance were confirmed and had good internal consistency. Conclusion: The results of the present study showed that the Latin version of the DHLI has adequate psychometric criteria. Thus, it can be used with confidence in evaluating the DHL of University students. According to the findings, studies on various target groups are necessary to determine the dimensions of using this tool among them.
Mahmoudi, Hassan, Taheri. Investigating the relationship between information literacy and health literacy in graduate students of Ferdowsi University of Mashhad. Human and information interaction. 2015;2(2):31-41 Sørensen K, Van den Broucke S, Fullam J, Doyle G, Pelikan J, Slonska Z, et al. (HLS-EU) Consortium Health Literacy Project European.Health literacy and public health: A systematic review and integration of definitions and models. BMC Public Health.2012;12(1):80 Tavousi M, Ebadi M, Fatahia A, Jahangiri L, Hashemi A, Parast Meh, et al. Health literacy tools: a systematic review. his foot 2015;14(4):485- Nafchi R, Danai, Zargar. Compilation and validation of media health literacy tool with a critical approach for secondary school students. his foot 2021;20(5):609-17. Nekozad, Ahmadi, Suleiman, Hosseini, Mohammadkhani, Kamran. Analyzing lived experiences in improving e-health literacy of medical students: a conceptual model. Quarterly Journal of Research and Planning in Higher Education. 2019;25(1):97-122 Sharif Moghadam H, Shakiba E, Salami M. The study of health literacy among medical and science students in university of science in Rafsanjan: 2016. Journal of Health Literacy. 2017;2(2):73-80. Ramezankhani A, Ghafari M, Rakhshani F, Ghanbari S, Azimi S. Comparison of health literacy between medical and non-medical students in Shahid Beheshti Universities in the academic year 92-93. Pajoohandeh Journal. 2015;20(2):78-85. Haun JN, Patel NR, French DD, Campbell RR, Bradham DD, Lapcevic WA. Association between health literacy and medical care costs in an integrated healthcare system: a regional population based study. BMC health services research. 2015;15:1-11 Palumbo R. Examining the impacts of health literacy on healthcare costs. An evidence synthesis. Health services management research. 2017;30(4):197-212. Norman CD, Skinner HA. eHealth literacy: essential skills for consumer health in a networked world. Journal of medical Internet research. 2006;8(2):e506. Svendsen MT, Bak CK, Sørensen K, Pelikan J, Riddersholm SJ, Skals RK, et al. Associations of health literacy with socioeconomic position, health risk behavior, and health status: a large national population-based survey among Danish adults. BMC public health. 2020;20(1):1-12. Faiz Abadi M, Gohari H, Sakhaei A, Wasfi M. Investigating the extent of internet use for health information search among women based on the Technology Acceptance Model (TAM). Sabzevar University of Medical Sciences[Internet]. 2016;24(6):51-62. Available from: https://sid.ir/paper/82277/fa Huang Y-T, Su S-F. Motives for Instagram use and topics of interest among young adults. Future internet. 2018;10(8):77. Villanti AC, Johnson AL, Ilakkuvan V, Jacobs MA, Graham AL, Rath JM. Social media use and access to digital technology in US young adults in 2016. Journal of medical Internet research. 2017;19(6):e196. Coronavirus WN. situation report–13. 2020. World Health Organization. 2019;2. Rasouli HR, Farajzadeh M, Tadayon AH. Evaluation of e-health literacy and its predictor factors among patients referred to a military hospital in Tehran, Iran, 2017. Journal of Military Medicine. 2018;20(1):83-92 Tavousi M, Seddighi J, Montazeri Z, et al. Psychometrics of health literacy tools in Persian language articles: a systematic review of research literature. his foot 2021;20(6):773-85. Tehrani Bani Hashemi, Seyed Arash and colleagues.. Health literacy in 5 provinces of the country and its treatment factors, Medical Development Steps Magazine, 4(1), 2007, pp. 1-9. ]in Persian[ Afshari, Maryam and colleagues. (2013). Survey of health literacy of adults in Tuiserkan city, Journal of Education and Community Health, 1(2), pp. 55-48. ]in Persian[ Ghanbari, Shahla et al. Examining the health literacy of pregnant women covered by health care centers of Shahid Beheshti University, the bimonthly scientific-research journal of the medical scholar of Shahid University, 19(97), 2011, pp. 1-13. ]in Persian[ Raisi, Mahnoosh et al. The relationship between health literacy and general health status and health behaviors in the elderly of Isfahan city, Nizam Salamat Research Magazine, 2011, 7(4), pp. 469-480. ]in Persian[ Isazadeh M, Asadi ZS, Jamshidian A, Khademi Geshlagh R..[The relation ship between students’ E-health literacy and general health in a Military university of medical sciences (Persian)]. 2019. Mil Caring Sci.; 6(3):228- 37. [doi:10.29252/mcs.6.3.9] Hong KJ, Park NL, Heo SY, Jung SH, Lee YB, Hwang JH. Effect of e Health literacy on COVID-19 infection-preventive behaviors of under graduate students majoring in healthcare. 2021. Healthcare.; 9(5):573. [DOI:10.3390/healthcare9050573] [PMID] [PMCID] Özkan O, Özer Ö, Özmen S, Budak F.Investigation of the perceived Coro navirus threat, E-health literacy, and psychological well-being in Turkey. Soc Work Public Health. 2022; 37(2):122-34. [DOI:10.1080/19371918.2021.1986451] [PMID] Kim KA, Kim YJ, Choi M. Association of electronic health literacy with health-promoting behaviors in patients with type 2 Diabetes: A cross sectional study. Comput Inform Nurs. 2018; 36(9):438-47. [DOI:10.1097/ CIN.0000000000000438] [PMID] Boudaghi A, Arabi A. (2021). [The mediating role of COVID-19 attitudes in the relation of health literacy with citizens’ health behaviors during pandemic COVID-19 (case study: 15-65-year-old citizens in Ahva Strateg Res Soc Probl Iran.; 10(3):45-68. [doi:10.22108/sr spi.2021.130196.1729] ]in Persian[ Tubaishat A, Habiballah L. eHealth literacy among undergraduate nursing students. Nurse Educ Today. 2016;42:47-52. http:// dx.doi.org/10.1016/j.nedt.2016.04.003 www.ncbi.nlm.nih.gov/ pubmed/27237352 Park H, Lee E. Self-reported eHealth literacy among undergraduate nursing students in South Korea: a pilot study. Nurse Educ Today. 2015;35(2):408-13. http://dx.doi.org/10.1016/j.nedt.2014.10.022 www.ncbi.nlm.nih.gov/pubmed/25466791 Rasouli H, Abbasi Farajzadeh M, Tadayon A. Evaluation of e-Health Literacy and Its Predictor Factors among Patients Referred To a Military Hospital in Tehran, Iran, 2017. J Military Med. 2018;20(1):83-92. ]in Persian[ Rivadeneira MF, Miranda-Velasco MJ, Arroyo HV, Caicedo-Gallardo JD, Salvador-Pinos C. Digital health literacy related to COVID-19: validation and implementation of a questionnaire in hispanic university students. International Journal of Environmental Research and Public Health. 2022;19(7):4092. Park E, Kwon M. Testing the digital health literacy instrument for adolescents: cognitive interviews. Journal of Medical Internet Research. 2021;23(3):e17856 Agormedah EK, Quansah F, Ankomah F, Hagan JE, Srem-Sai M, Abieraba RSK, et al. Assessing the validity of digital health literacy instrument for secondary school students in Ghana: The polychoric factor analytic approach. Frontiers in digital health. 2022;4. Nguyen HT, Do BN, Pham KM, Kim GB, Dam HT, Nguyen TT, et al. Fear of COVID-19 scale—associations of its scores with health literacy and health-related behaviors among medical students. International journal of environmental research and public health. 2020;17(11):4164. Chun H, Park E-J, Choi SK, Yoon H, Okan O, Dadaczynski K. Validating the digital health literacy instrument in relation to COVID-19 information (COVID-DHL-K) among south Korean undergraduates. International Journal of Environmental Research and Public Health. 2022;19(6):3437. Lorini C, Velasco V, Bonaccorsi G, Dadaczynski K, Okan O, Zanobini P, et al. Validation of the COVID-19 digital health literacy instrument in the Italian language: a cross-sectional study of Italian university students. International Journal of Environmental Research and Public Health. 2022;19(10):6247. Dadaczynski K, Okan O, Rathmann K. COVID-19 health literacy survey: university students (COVID-HL-survey). Questionnaire and Scale Documentation [Internet]. 2020. Dadaczynski K, Okan O, Messer M, Leung AY, Rosário R, Darlington E, etal. Digital health literacy and web-based information-seeking behaviors of university students in Germany during the COVID-19 pandemic: cross-sectional survey study. Journal of medical Internet research. 2021;23(1):e24097. Van Der Vaart R, Drossaert C. Development of the digital health literacy instrument: measuring a broad spectrum of health 1.0 and health 2.0 skills. Journal of medical Internet research. 2017;19(1):e27. Kline R. Principles and Practice of Structural Equation Modeling (Fourth; TD Little, Ed.). New York (UK): The Guilford Press; 2016. Hu Lt, Bentler PM. Cutoff criteria for fit indexes in covariance structure analysis: Conventional criteria versus new alternatives. Structural equation modeling: a multidisciplinary journal. 1999;6(1):1-55. Schober P, Boer C, Schwarte LA. Correlation coefficients: appropriate use and interpretation. Anesthesia & analgesia. 2018;126(5):1763-8. Nunnally JC. Psychometric Theory 2nd ed: Mcgraw hill book company; 1978. Tabachnick BG, Fidell LS, Ullman JB. Using multivariate statistics: pearson Boston, MA; 2013. Patil U, Kostareva U, Hadley M, Manganello JA, Okan O, Dadaczynski K, et al. Health literacy, digital health literacy, and COVID-19 pandemic attitudes and behaviors in US college students: implications for interventions. International Journal of Environmental Research and Public Health. 2021;18(6):3301. Raubenheimer J. An item selection procedure to maximize scale reliability and validity. SA Journal of Industrial Psychology. 2004;30(4):59-64. Loewenthal K, Lewis CA. An introduction to psychological tests and scales: Psychology press; 2018. Norman CD, Skinner HA. eHEALS: the eHealth literacy scale. Journal of medical Internet research. 2006;8(4):e507. Rasouli HR, Farajzadeh M, Tadayon AH. Evaluation of e-health literacy and its predictor factors among patients referred to a military hospital in Tehran, Iran, 2017. Journal of Military Medicine. 2018;20(1):83-92. Sudore RL, Landefeld CS, Perez-Stable EJ, Bibbins-Domingo K, Williams BA, Schillinger D. Unraveling the relationship between literacy, language proficiency, and patient–physician communication. Patient education and counseling. 2009;75(3):398-402.
Ramazani,A. and omidinia,A. (2024). Accreditation of digital health literacy measure of students. Islamic lifestyle with a focus on health, 8(2), 342-356.
MLA
Ramazani,A. , and omidinia,A. . "Accreditation of digital health literacy measure of students", Islamic lifestyle with a focus on health, 8, 2, 2024, 342-356.
HARVARD
Ramazani A., omidinia A. (2024). 'Accreditation of digital health literacy measure of students', Islamic lifestyle with a focus on health, 8(2), pp. 342-356.
CHICAGO
A. Ramazani and A. omidinia, "Accreditation of digital health literacy measure of students," Islamic lifestyle with a focus on health, 8 2 (2024): 342-356,
VANCOUVER
Ramazani A., omidinia A. Accreditation of digital health literacy measure of students. Islamic lifestyle with a focus on health, 2024; 8(2): 342-356.