Health Literacy Assessment Tool related to Antenatal Care (HLAT-ANC) for Pregnant Women: A Methodological Research from Turkey

Year 2022, Volume: 14 Issue: 3, 533 - 543, 20.10.2022

Gülsüm Öztürk Emiral , Alaettin Ünsal , Didem Arslantas

https://doi.org/10.18521/ktd.1053510

Abstract

Objective: It is important to provide adequate antenatal care (ANC) for the lowest maternal-
fetal complications in pregnancy. The increase in the level of health literacy increases the
quality of the ANC, and compliance with the follow-up. To develop a tool to evaluate health
literacy (HL) levels of pregnant women in antenatal care (ANC).
Methods: This study is methodological research conducted between 15.02.2016-01.07.2018.
"Health Literacy Assessment Tool related to Antenatal Care (HLAT-ANC)" was developed.
Its validity-reliability was tested by item analysis, exploratory factor analysis (EFA),
concurrent criterion validity, intergroup dissociation, and confirmatory factor analysis (CFA),
and determination of the Kuder-Richardson-20 (KR-20) coefficient.
Results: The discrimination coefficients of the items in HLAT-ANC varied between 0.20-
0.57 and factor loads between 0.34-0.85. It was determined that HLAT-ANC has KR-20≥0.85
in each subdomain. The scores of fit criteria obtained in the confirmatory factor analysis were
within acceptable limits.
Conclusions: HLAT-ANC was found to be a valid and reliable scale.

Keywords

Health literacy, Antenatal care, Pregnancy, Methodological research

Gebelerin Doğum Öncesi Bakım İle İlgili Sağlık Okuryazarlık Düzeylerini Değerlendirme Aracının Geliştirmesi: Metadolojik Bir Çalışma, Türkiye

Abstract

Amaç: Gebelikte maternal-fetal komplikasyonları en aza indirmek için yeterli doğum öncesi
bakım (DÖB) alınması önemlidir. Sağlık okuryazarlık (SOY) düzeyinin yükseltilmesi,
DÖB’nin kalitesini ve takibe uyumu arttırmaktadır. Bu çalışmada gebelerin DÖB ile ilgili
SOY düzeylerini değerlendirme aracının geliştirilmesi amaçlandı.
Gereç ve Yöntem: Bu çalışma 15.02.2016-01.07.2018 tarihleri arasında gerçekleştirilen
metadolojik bir araştırmadır. Doğum Öncesi Bakıma İlişkin Sağlık Okuryazarlığı
Değerlendirme Aracı (DÖB-SOY)" geliştirildi. Geçerlik ve güvenirlik için, madde analizi,
açımlayıcı faktör analizi (AFA), eşzamanlı ölçüt geçerliliği, gruplar arası ayrışma, doğrulayıcı
faktör analizi (DFA) ve Kuder-Richardson-20 (KR-20) katsayısı hesaplandı.
Bulgular: DÖB-SOY’un maddelerinin ayırt edicilik katsayıları 0.20-0.57 arasında, faktör
yükleri 0.34-0.85 arasında değişmektedir. KR-20, herbir alt alanda ≥0.85 olarak hesaplandı.
Doğrulayıcı faktör analizinde elde edilen uyum kriterlerinin puanları kabul edilebilir sınırlar
içindedir.
Sonuç: DÖB-SOY geçerli ve güvenilir bir ölçüm aracıdır.

Keywords

Sağlık okuryazarlığı, Doğum öncesi bakım, Gebelik, Metodolojik çalışma

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