中文多面向健康識能量表（MMHLQ）之發展

Development of Mandarin Multidimensional Health Literacy Questionnaire (MMHLQ)

魏米秀(Mi-Hsiu Wei) ； 王英偉(Ying-Wei Wang) ； 張美娟(Mei-Chuan Chang) ； 謝至鎠(Jyh -Gang Hsieh)

《台灣公共衛生雜誌》 36卷6期 (2017/12) Pp. 556-570

https://doi.org/10.6288/TJPH201736106061

摘要

目標：本研究目的在發展一個適用於台灣成人的中文多面向健康識能量表。方法：首先經焦點團體訪談、專家內容效度、語文適讀修正等程序發展檢測題目；接著以566名成人為測定樣本，用以檢測量表心理計量特質及檢定測量模型適配度；最後以2,394名成人為效化樣本，用以檢測量表複核效度。結果：結果顯示二階五因素的測量模型適配度良好。量表包含五個面向：「獲取健康資訊」、「理解健康資訊」、「評估健康資訊」、「應用健康資訊」及「溝通與互動」，共20題自陳式題目。心理計量分析顯示量表的內部一致性信度、再測信度、建構效度、聚斂效度、區辨效度、效標關聯效度及已知群組效度表現良好。複核效度檢定結果，符合跨樣本的量尺不變性。最後，以標準參照方式訂出健康識能程度分級的切分點。結論：MMHLQ為具有良好信、效度的多面向健康識能測量工具，可用以評量群體的健康識能程度，也可做為教育介入的需求評估工具。

關鍵字

健康識能 ； 測量 ； 多面向 ； 中文 ； 成人

並列摘要

Objectives: The objective of this study was to develop a tool capable of measuring multidimensional health literacy among adults in Taiwan. Methods: In the first phrase, we adopted focus-group interviews, consultations with experts, and readability check to formulate calibration items. In the second phrase, a calibration sample of 566 adults was recruited to examine the psychometric characteristics of the items and test the fitness of the measurement model. In the last phrase, a validation sample of 2394 adults was used for evaluating cross-validation. Results: CFA demonstrated the high degree of fitness of the proposed second-order five-factor model. The proposed scale covers the following five dimensions: accessing, understanding, appraising, and applying health information, and communication and interaction. The scale includes 20 self-reported items. Psychometric analysis demonstrated that the scale has high internal consistency and test-retest reliability as well as good construct, convergent, discriminant, criterion-related, and known group validity. Cross-validation analysis demonstrated the metric invariance of the scale across the two samples. Cutting scores were selected for criterion-referenced grading. Conclusions: Our findings indicate that the Mandarin Multidimensional Health Literacy Questionnaire (MMHLQ) is a reliable and valid measure of multi-dimensional health literacy. The tool is useful in evaluating the level of health literacy among adult populations as well as in needs assessments geared toward interventions to improve health literacy.

並列關鍵字

health literacy ； measurement ； multi-dimensions ； Mandarin ； adults

參考文獻

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李守義、蔡慈儀、蔡憶文、郭耿南(2012)。「中文健康識能評估量表」簡式量表的發展與效度檢測。台灣衛誌。31，184-94。

HLS-EU Consortium. Comparative report of health literacy in eight EU member states. The European Health Literacy Survey HLS-EU. Available at: http://ec.europa.eu/chafea/documents/news/Comparative_report_on_health_literacy_in_eight_EU_member_states.pdf. Accessed June 1, 2017.