Measuring Maternal Health Literacy in Adolescents Attending Antenatal Care in Uganda: Exploring the Dimensionality of the Health Literacy Concept Studying a Composite Scale

Abstract

Many scales are constructed as a composition of subscales. The purpose of this paper is to test the assumption of "local independence" in the newly developed "Maternal Health Literacy"

Measuring next of kin’s experience of participation in the care of older people in nursing homes

“…The value A describes the non-error variance common to all subscales, the value C 2 characterizes the variance that is unique to the subscales (relative to the common variance = 1), and the variable r is the latent correlation between the subscales. A subtest analysis performed on an approximate unidimensional scale will return high values for both A and r, and a low value for C 2 [60,61].…”

Measuring maternal health literacy in adolescents attending antenatal care in a developing country – the impact of selected demographic characteristics

“…Results supported the use of a 12‐item version of the original 20‐item version of the MaHeLi scale (Guttersrud et al . ). Using RUMM2030, MHL estimates were computed based on responses to the 12‐item version of the MaHeLi scale.…”

“…The 12‐item version of the MaHeLi scale reported in this study (Guttersrud et al . ) includes two subsets of items (see Table ) assessing the ‘appraisal of health information’ (AHI) aspect and the ‘competence and coping skills’ (CCS) aspect of MHL. The ‘Health belief model’ and the ‘Integrated health literacy model’ (Glanz et al .…”

“…The data, collected by applying the MaHeLi scale, had earlier been validated (Guttersrud et al . ) by applying the partial credit parameterisation of the polytomous unidimensional Rasch model using the software RUMM2030. The key Rasch analytical techniques conducted were (1) tests of fit to the Rasch model, (2) tests for bias within items referred to as ‘differential item functioning (DIF)’, (3) ordering of response categories and (4) analyses of local independence.…”

“…As no appropriate MHL assessment instrument exists, the ‘Maternal health literacy scale’ (MaHeLi scale) was developed (Naigaga ), applied and validated (Guttersrud et al . ). The aim of this paper is to describe how selected demographic characteristics ‘explain’ the observed variance in the distribution of MHL estimates in adolescents attending antenatal care (AC) in Uganda, as estimated by the MaHeLi scale.…”