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Abstract：
UNASSIGNED: Health literacy (HL) is an essential determinant of health in children. Inadequate HL causes problems for individuals and society, such as more hospitalizations, medication errors, poor health, and higher mortality and health care costs. A valid and reliable scale is needed to measure this population\'s HL. This study evaluated the cross-cultural adaptation and validation of the Persian version of the HL for School-Aged Children (HLSAC) Scale.
UNASSIGNED: In this methodological research, the HL scale of school-aged children was translated from English to Persian using the Backward-Forward translation protocol. The content validity, face validity, construct validity (Exploratory Factor Analysis [EFA] and Confirmatory factor analysis [CFA]), plus reliability, were evaluated by Internal consistency and stability methods. Two hundred forty samples from south of Tehran were selected by multi-stage sampling method to assess the construct validity. Data analysis was performed using SPSS v24 and Jamovi v2.2.
UNASSIGNED: A qualitative evaluation of face and content validity showed that experts and the target group approved all items on the scale. The results of EFA indicated the existence of one factor, explaining 47.17% of the total variance of the scale. The CFA results showed that the one-factor model of the Persian version of the HL scale for children is almost acceptable. (χ 2/df = 2.94, Root Mean Square Error of Approximation = 0.09, Normed-Fit Index = 0.89, Tucker-Lewis Index = 0.89, Comparative Fit Index = 0.92). Cronbach\'s alpha coefficient for the whole scale was 0.80, and the Intraclass Correlation Coefficient value for the whole scale was calculated as 0.78 using the single-rating, absolute-agreement, 2-way mixed-effects method.
UNASSIGNED: The study validates the HLSAC Scale, affirming its suitability for assessing HL in Persian-speaking child populations.
UNASSIGNED: In this methodological research, the HL scale of school-aged children was translated from English to Persian using the Backward-Forward translation protocol. The content validity, face validity, construct validity (Exploratory Factor Analysis [EFA] and Confirmatory factor analysis [CFA]), plus reliability, were evaluated by Internal consistency and stability methods. Two hundred forty samples from south of Tehran were selected by multi-stage sampling method to assess the construct validity. Data analysis was performed using SPSS v24 and Jamovi v2.2.
UNASSIGNED: A qualitative evaluation of face and content validity showed that experts and the target group approved all items on the scale. The results of EFA indicated the existence of one factor, explaining 47.17% of the total variance of the scale. The CFA results showed that the one-factor model of the Persian version of the HL scale for children is almost acceptable. (χ 2/df = 2.94, Root Mean Square Error of Approximation = 0.09, Normed-Fit Index = 0.89, Tucker-Lewis Index = 0.89, Comparative Fit Index = 0.92). Cronbach\'s alpha coefficient for the whole scale was 0.80, and the Intraclass Correlation Coefficient value for the whole scale was calculated as 0.78 using the single-rating, absolute-agreement, 2-way mixed-effects method.
UNASSIGNED: The study validates the HLSAC Scale, affirming its suitability for assessing HL in Persian-speaking child populations.
摘要：
■健康素养（HL）是儿童健康的重要决定因素。HL不足会给个人和社会带来问题，比如更多的住院，用药错误,健康状况不佳,以及更高的死亡率和医疗保健成本。需要有效可靠的量表来测量该人群的HL。这项研究评估了波斯语版本的HL学龄儿童（HLSAC）量表的跨文化适应和验证。
■在这项方法论研究中，使用后向翻译协议将学龄儿童的HL量表从英语翻译为波斯语。内容的有效性，面部有效性，结构效度(探索性因子分析[EFA]和验证性因子分析[CFA])，加上可靠性，通过内部一致性和稳定性方法进行评估。通过多阶段抽样方法从德黑兰南部选择了240个样本，以评估构造效度。使用SPSSv24和Jamoviv2.2进行数据分析。
■对面部和内容有效性的定性评估表明，专家和目标群体批准了该量表上的所有项目。全民教育的结果表明存在一个因素，解释量表总方差的47.17%。CFA结果表明，波斯语版本的儿童HL量表的单因素模型几乎可以接受。(χ2/df=2.94,近似均方根误差=0.09,标准拟合指数=0.89,塔克-刘易斯指数=0.89,比较拟合指数=0.92)。整个量表的Cronbach'sα系数为0.80，整个量表的组内相关系数值使用单一评级计算为0.78，绝对协议，双向混合效应法。
■该研究验证了HLSAC量表，确认其适合评估波斯语儿童人群的HL。
■在这项方法论研究中，使用后向翻译协议将学龄儿童的HL量表从英语翻译为波斯语。内容的有效性，面部有效性，结构效度(探索性因子分析[EFA]和验证性因子分析[CFA])，加上可靠性，通过内部一致性和稳定性方法进行评估。通过多阶段抽样方法从德黑兰南部选择了240个样本，以评估构造效度。使用SPSSv24和Jamoviv2.2进行数据分析。
■对面部和内容有效性的定性评估表明，专家和目标群体批准了该量表上的所有项目。全民教育的结果表明存在一个因素，解释量表总方差的47.17%。CFA结果表明，波斯语版本的儿童HL量表的单因素模型几乎可以接受。(χ2/df=2.94,近似均方根误差=0.09,标准拟合指数=0.89,塔克-刘易斯指数=0.89,比较拟合指数=0.92)。整个量表的Cronbach'sα系数为0.80，整个量表的组内相关系数值使用单一评级计算为0.78，绝对协议，双向混合效应法。
■该研究验证了HLSAC量表，确认其适合评估波斯语儿童人群的HL。
