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Portuguese cultural adaptation and validation of the European Health Literacy Survey (HLS-EU) for children aged 9 to 10 (HLS-EU-PTc)

Saboga-Nunes, Luís; Dias, H.; Andrade, C.; Okan, O.; Bollweg, T.; Carvalho, Graça S.; Bittlingmayer, U.

Abstract

Introduction: To measure Health literacy (HL) as proposed in the context of the European Health Literacy Survey/questionnaire (HLS-EU-Q), the Health Literacy for Children and Adolescents (HLCA) Consortium (GE) adapted it for children. A trans-cultural adaptation and validation to Portuguese (HLS-EU-PTc), will supply policy makers, experts and health professionals with information that can promote healthier communities while fighting health disparities. Methods: After permission was granted from the HLCA Consortium the TRAPD model was used (eg parallel translation, focus groups, two back translations). An assessment and pretesting of HLS-EU-PTc was done with 16 children for cognitive testing. A qualitative explanatory (n = 16) and quantitative, cross-sectional study (n = 82), age mean 13, SD 0.96, from Portugal (mainland) was implemented for proceed with the validation process. A variety of measures were obtained like internal consistency and mean scores. Results: Preliminary results for evaluation of the psychometric properties of the HLS-EU-PTc show satisfactory internal consistency (Cronbach’s alpha coefficient 0.87). In a scale from 1 (very difficult) to 4 (very easy) for indicators of the HLS-EU-PTc, we have a mean of 3.25 and a SD of .478. Conclusions: This is the first study to examine the feasibility of a Portuguese version (HLS-EU-PTc) of the HLS-EU-Q adapted for children and it indicates high internal consistency and level of self-reported HL. The usefulness of the HLS-EU-PTc instrument can be further discussed while planning public health policy strategies from the HL standpoint. The validated HLS-EU-PTc version of the HLS-EU-Qc survey, with the user’s manual can be accessed at www.literacia-saude.info.

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children, adolescents, and professionals working in education, health, and social care settings. Following the track left by Nairobi (2009) and the Shangai declarations (2016) HL has evolved into a significant public health and health promotion goal which has been included to several public health policies (eg. in Portugal, the General Health Directorate of Health (GHDH), established its first policy that focused on children and adolescents HL PNSE|2015, 8815/2015 DR, II, n154, 10-08-2015). Present first time empirical findings and developments of these projects and open the floor for further discussion. On top of this, LS will be addressed from the methodological perspective. Thereby, it will shed light on the HL and LS of children and adolescents and link the current debate with contemporary public health approaches to advance the field of HL and LS in childhood and adolescence. The round table will include 3 presentations with up to 15 minutes input followed by discussion. The first presentation is a theory-driven project about developing a conceptual LS model adaptation for children and adolescents in France. The second will introduce a HL questionnaire and its validation data from a pilot study in 4th grade (9-10 y.o.). The third presentation will explore findings of a pilot study by using a HL measure in children (9-10 y.o.) and the relationship between functional HL and subjective health. This round table offers a forum for researchers, practitioners and policy-makers interested in HL and health promotion. By dialogue and two-way communication lively interaction and vivid discussions will be facilitated. This will allow discussing results regarding their benefit for improving HL research, practice, and policy-making, support further synergies, facilitate networking and collaboration, and support international capacity building. Key messages: There is need for empirical health literacy and life skills research in children and adolescents. A more broad discussion needs to be developed regarding concepts, instruments and strategies for health literacy and life skills promotion. French validation of a measurement scale of life skills for children Carine Simar C Simar 1 , J Masson 1 , J Pironom 1 , C N’Sambu 1 , D Tessier 1 1 Universite ´Clermont Auvergne, Clermont-Ferrand, France Contact: [email protected] Background: According to WHO (2003), ‘Life skills’ are defined as psychosocial abilities for adaptive and positive behaviour that enable individuals to deal effectively with the demands and challenges of everyday life. They are loosely grouped into three broad categories: cognitive for analyzing and using information, personal for developing personal agency and managing oneself, and inter-personal skills for communicating and interacting effectively with others. Skills-based health education is an approach to creating or maintaining healthy lifestyles and conditions through the development of knowledge, attitudes, and especially skills, using a variety of learning experiences, with an emphasis on participatory methods. Our aim was to develop an integrated measure of the life skills grouped into three broad categories of skills for children who are at least 9 years old. The present communication is focused on the validation in a French validation of a tool measuring social competencies in children - Weiss et al. (2014) - which represents one of the three categories of psychosocial competencies (emotional and cognitive competencies). Methods: Data were collected three times during year 2017-2018: 614 questionnaire (T1), 564 (T2), 331 (T3) - 311 children filled the questionnaire three times. Three types of analyses were conducted in order to assess the validity and reliability of social competence (SPSS version 23 et AMOS version 21): Validity of construct, concurrent validity and reliability. Results: The results show a high reliability and a good validity of construct and concurrent, thus indicating satisfactory psychomotor qualities. Conclusions: This compendium will also assess the validity and reliability of this scale with the data collected at the other two measurement times and study the predictive validity of the scale. The same process will be applied to the cognitive skills measurement scale for validation. Acknowledgment: CPS team and schools and pupils involved. Portuguese cultural adaptation and validation of the European Health Literacy Survey (HLS-EU) for children aged 9 to 10 (HLS-EU-PTc) Luı ´s Saboga-Nunes L Saboga-Nunes 1,6 , H Dias 2 , C Andrade 3 , O Okan 4 , T Bollweg 4 , G Carvalho 5 , U Bittlingmayer 6 1 ProLiSa, Public Health Research Centre, National School of Public Health, Universidade NOVA de Lisboa, Lisbon, Portugal 2 Health School, IPsantare ´m, Santare ´m, Portugal 3 Universidade dos Ac¸ores, UA, Ponta Delgada, Portugal 4 Centre for Prevention and Intervention in Childhood and Adoloscence, Bielefeld University, Bielefeld, Germany 5 Universidade do Minho, Braga, Portugal 6 Institute of Sociology, University of Education Freiburg, Freiburg, Germany Contact: [email protected] Introduction: To measure Health literacy (HL) as proposed in the context of the European Health Literacy Survey/questionnaire (HLS-EUQ), the Health Literacy for Children and Adolescents (HLCA) Consortium (GE) adapted it for children. A trans-cultural adaptation and validation to Portuguese (HLS-EU-PTc), will supply policy makers, experts and health professionals with information that can promote healthier communities while fighting health disparities. Methods: After permission was granted from the HLCA Consortium the TRAPD model was used (eg parallel translation, focus groups, two back translations). An assessment and pretesting of HLSEU-PTc was done with 16 children for cognitive testing. A qualitative explanatory (n = 16) and quantitative, crosssectional study (n = 82), age mean 13, SD 0.96, from Portugal (mainland) was implemented for proceed with the validation process. A variety of measures were obtained like internal consistency and mean scores. Results: Preliminary results for evaluation of the psychometric properties of the HLS-EU-PTc show satisfactory internal consistency (Cronbach’s alpha coefficient 0.87). In a scale from 1 (very difficult) to 4 (very easy) for indicators of the HLS-EU-PTc, we have a mean of 3.25 and a SD of .478. Conclusions: This is the first study to examine the feasibility of a Portuguese version (HLS-EU-PTc) of the HLS-EU-Q adapted for children and it indicates high internal consistency and level of selfreported HL. The usefulness of the HLS-EU-PTc instrument can be further discussed while planning public health policy strategies from the HL standpoint. The validated HLS-EU-PTc version of the HLS-EU-Qc survey, with the user’s manual can be accessed at www.literacia-saude.info. Health Literacy questionnaire development for 9 and 10 years old: a discussion of assessment tools! Alcinda Reis A Reis 1 , I Barroso 1 , L Saboga-Nunes 2,4 , O Okan 3 , T Bollweg 3 , U Bittlingmayer 4 1 Santare ´m Health School, IPsantare ´m, Santare ´m, Portugal 2 ProLiSa, Public Health Research Centre, National School of Public Health, Universidade NOVA de Lisboa, Lisbon, Portugal 3 Centre for Prevention and Intervention in Childhood and Adoloscence, Bielefeld University, Bielefeld, Germany 148 European Journal of Public Health, Vol. 29, Supplement 4, 2019 Downloaded from https://academic.oup.com/eurpub/article/29/Supplement_4/ckz185.394/5624770 by 01000 Universidade do Minho user on 29 September 2023