Preliminary development of Health Literacy Evaluation Scale for Chinese High School Students

GUO Shihao; ZHU Fan; ZHU Guiyin; QI Tiantian; YANG Shuang; HU Bin; WU Huiyun; JIANG He; MA Yinghua

doi:10.16835/j.cnki.1000-9817.2025145

Volume 46 Issue 5

May 2025

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Article Navigation > CHINESE JOURNAL OF SCHOOL HEALTH > 2025 > 46(5): 676-680

GUO Shihao, ZHU Fan, ZHU Guiyin, QI Tiantian, YANG Shuang, HU Bin, WU Huiyun, JIANG He, MA Yinghua. Preliminary development of Health Literacy Evaluation Scale for Chinese High School Students[J]. CHINESE JOURNAL OF SCHOOL HEALTH, 2025, 46(5): 676-680. doi: 10.16835/j.cnki.1000-9817.2025145

Citation:

GUO Shihao, ZHU Fan, ZHU Guiyin, QI Tiantian, YANG Shuang, HU Bin, WU Huiyun, JIANG He, MA Yinghua. Preliminary development of Health Literacy Evaluation Scale for Chinese High School Students[J]. CHINESE JOURNAL OF SCHOOL HEALTH, 2025, 46(5): 676-680. doi: 10.16835/j.cnki.1000-9817.2025145

Citation:

GUO Shihao, ZHU Fan, ZHU Guiyin, QI Tiantian, YANG Shuang, HU Bin, WU Huiyun, JIANG He, MA Yinghua. Preliminary development of Health Literacy Evaluation Scale for Chinese High School Students[J]. CHINESE JOURNAL OF SCHOOL HEALTH, 2025, 46(5): 676-680. doi: 10.16835/j.cnki.1000-9817.2025145

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Preliminary development of Health Literacy Evaluation Scale for Chinese High School Students

doi: 10.16835/j.cnki.1000-9817.2025145

1.
Institute of Child and Adolescent Health, School of Public Health of Peking University, Beijing (100191), China

Received Date: 2024-12-02
Rev Recd Date: 2025-04-08

Available Online: 2025-06-07

Publish Date: 2025-05-25

Abstract

Abstract

Objective To develop a health literacy evaluation scale for Chinese high school students, providing a tool for dynamic monitoring of health literacy among high school students and evaluating the effectiveness of health school construction. Methods Through theoretical research, an evaluation index system for health literacy of Chinese high school students was constructed. Two rounds of Delphi expert consultations were conducted to quantitatively screen the items, and the item pool was revised based on expert opinions to compile the health literacy evaluation scale for Chinese students. Two focus group interviews were held to collect suggestions from health educators, high school teachers, and high school students regarding optimized scale length, question types, difficulty and wording of the scale. The scale was revised accordingly. A pilot survey was conducted in Beijing and Tianjin in November 2024, and the reliability and validity of the scale were evaluated based on the pilot survey data. Results The response rate in both rounds of Delphi expert consultations was over 80%, and the expert authority coefficient was over 0.70. The expert opinions were highly concentrated, and the dispersion was small. The revised item pool based on expert opinions contained 39 items. The revised scale based on the suggestions and opinions collected from the focus group interviews had a moderate number of questions and difficulty level. The pilot survey obtained 800 valid responses, with the response rate of 89.39%. The Cronbach α coefficient of the scale was 0.911, χ²/df=3.321, the root mean square error of approximation was 0.054, the adjusted goodness-of-fit index was 0.991, and the factor loadings of some items were less than 0.40. Conclusion The health literacy evaluation scale for Chinese high school students demonstrates scientific rigor and practical applicability, with good internal consistency and structural validity.
- Health education,
- Questionnaires,
- Delphi technique,
- Students

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References(24)

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