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The Swedish Version of the eHealth Literacy Questionnaire: Translation, Cultural Adaptation, and Validation Study

Sjöström, Anna E ; Jajdarevic, Senada ; Hörnsten, Åsa ; Kristjánsdóttir, Ólöf LU ; Castor, Charlotte LU and Isaksson, Ulf (2023) In Journal of Medical Internet Research 25.
Abstract
Background: With the increasing digitalization in health care, an effective instrument is necessary to assess health care consumers' digital competencies-their "eHealth literacy." The 7-scale eHealth Literacy Questionnaire (eHLQ), based on the theoretically robust eHealth Literacy Framework, has shown strong psychometric properties in Denmark and Australia.

Objective: The aim of this study was to translate, culturally adapt, and evaluate the psychometric properties of the Swedish version of the eHLQ.

Methods: We followed the Translation Integrity Procedure guidelines to translate and culturally adapt the questionnaire to Swedish using forward and backward translations, review by an expert panel, and cognitive... (More)
Background: With the increasing digitalization in health care, an effective instrument is necessary to assess health care consumers' digital competencies-their "eHealth literacy." The 7-scale eHealth Literacy Questionnaire (eHLQ), based on the theoretically robust eHealth Literacy Framework, has shown strong psychometric properties in Denmark and Australia.

Objective: The aim of this study was to translate, culturally adapt, and evaluate the psychometric properties of the Swedish version of the eHLQ.

Methods: We followed the Translation Integrity Procedure guidelines to translate and culturally adapt the questionnaire to Swedish using forward and backward translations, review by an expert panel, and cognitive interviewing. The psychometric properties of the Swedish eHLQ were investigated by evaluating its internal consistency (Cronbach α) and a priori-defined factor structure (confirmatory factor analysis).

Results: A total of 236 primary health care patients and parents of hospitalized children were included in the validation analysis. The mean age was 48.5 years, and 129 (55%) were women. All 7 eHLQ scales showed good internal consistency, with the Cronbach α ranging from .82 to .92. Single-factor and 7-factor confirmatory factor analysis showed satisfactory model-fit values. With one exception, all items demonstrated satisfactory loadings on their respective factors.

Conclusions: The Swedish eHLQ demonstrated strong psychometric properties. It has the potential as a useful tool for a variety of purposes, including population surveys, intervention evaluations, and eHealth service implementations. (Less)
Please use this url to cite or link to this publication:
author
; ; ; ; and
organization
publishing date
type
Contribution to journal
publication status
published
subject
keywords
cultural adaptation, digital health, eHLQ, eHealth, eHealth literacy, health literacy
in
Journal of Medical Internet Research
volume
25
article number
e43267
publisher
JMIR Publications Inc.
external identifiers
  • pmid:37043268
  • scopus:85152474327
ISSN
1438-8871
DOI
10.2196/43267
project
eHealth as an aid for facilitating and supporting self-management in families with long-term childhood illness – development, evaluation and implementation in clinical practice
Cultural analysis
language
English
LU publication?
yes
id
a29980a2-57dd-4e81-88e4-692e911cd087
date added to LUP
2023-04-26 10:39:10
date last changed
2023-08-25 16:14:44
@article{a29980a2-57dd-4e81-88e4-692e911cd087,
  abstract     = {{Background: With the increasing digitalization in health care, an effective instrument is necessary to assess health care consumers' digital competencies-their "eHealth literacy." The 7-scale eHealth Literacy Questionnaire (eHLQ), based on the theoretically robust eHealth Literacy Framework, has shown strong psychometric properties in Denmark and Australia.<br/><br/>Objective: The aim of this study was to translate, culturally adapt, and evaluate the psychometric properties of the Swedish version of the eHLQ.<br/><br/>Methods: We followed the Translation Integrity Procedure guidelines to translate and culturally adapt the questionnaire to Swedish using forward and backward translations, review by an expert panel, and cognitive interviewing. The psychometric properties of the Swedish eHLQ were investigated by evaluating its internal consistency (Cronbach α) and a priori-defined factor structure (confirmatory factor analysis).<br/><br/>Results: A total of 236 primary health care patients and parents of hospitalized children were included in the validation analysis. The mean age was 48.5 years, and 129 (55%) were women. All 7 eHLQ scales showed good internal consistency, with the Cronbach α ranging from .82 to .92. Single-factor and 7-factor confirmatory factor analysis showed satisfactory model-fit values. With one exception, all items demonstrated satisfactory loadings on their respective factors.<br/><br/>Conclusions: The Swedish eHLQ demonstrated strong psychometric properties. It has the potential as a useful tool for a variety of purposes, including population surveys, intervention evaluations, and eHealth service implementations.}},
  author       = {{Sjöström, Anna E and Jajdarevic, Senada and Hörnsten, Åsa and Kristjánsdóttir, Ólöf and Castor, Charlotte and Isaksson, Ulf}},
  issn         = {{1438-8871}},
  keywords     = {{cultural adaptation; digital health; eHLQ; eHealth; eHealth literacy; health literacy}},
  language     = {{eng}},
  month        = {{04}},
  publisher    = {{JMIR Publications Inc.}},
  series       = {{Journal of Medical Internet Research}},
  title        = {{The Swedish Version of the eHealth Literacy Questionnaire: Translation, Cultural Adaptation, and Validation Study}},
  url          = {{http://dx.doi.org/10.2196/43267}},
  doi          = {{10.2196/43267}},
  volume       = {{25}},
  year         = {{2023}},
}