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Background <p>Inadequate health literacy in old age limits access to basic health services. The aim of this study is to translate the “China Rural Middle-Aged and Elderly Health Literacy Scale (CREHLS)” developed by Wu et al. (2024) into Turkish and to conduct psychometric validity and reliability analyses of this translation.</p> Methods <p>The sample of the study consisted of 338 elderly individuals (average age 64.8 years, 53% female) living in Izmir, Türkiye. Since there were 26 items in the scale, the sample size was increased to 338 individuals in order to perform CFA, although 260 was sufficient. Data collection tools were CREHLS and Personal Information Form.</p> Results <p>The Spearman-Brown split-half reliability coefficient of the scale was found to be 0.935. The item-total correlation values of the scale were above 0.5, generally ranging between 0.7 and 0.8. The sample size adequacy for factor analysis was excellent, with a value of 0.956. Overall, the scale was determined to be reliable and consistent.</p> Conclusion <p>These results indicate that the CREHLS is a valid and reliable tool for assessing the health literacy levels of elderly Turkish individuals.</p>

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The middle-aged and elderly health literacy scale Turkish adaptation

  • 期刊论文

  • 出版模式：

    开放获取

  • 发表日期：

    2025年12月11日

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  • Mehtap Kızılkaya,
  • Merve Şahin,
  • Filiz Adana,
  • Fatma Demirkıran

摘要

Background

Inadequate health literacy in old age limits access to basic health services. The aim of this study is to translate the “China Rural Middle-Aged and Elderly Health Literacy Scale (CREHLS)” developed by Wu et al. (2024) into Turkish and to conduct psychometric validity and reliability analyses of this translation.

Methods

The sample of the study consisted of 338 elderly individuals (average age 64.8 years, 53% female) living in Izmir, Türkiye. Since there were 26 items in the scale, the sample size was increased to 338 individuals in order to perform CFA, although 260 was sufficient. Data collection tools were CREHLS and Personal Information Form.

Results

The Spearman-Brown split-half reliability coefficient of the scale was found to be 0.935. The item-total correlation values of the scale were above 0.5, generally ranging between 0.7 and 0.8. The sample size adequacy for factor analysis was excellent, with a value of 0.956. Overall, the scale was determined to be reliable and consistent.

Conclusion

These results indicate that the CREHLS is a valid and reliable tool for assessing the health literacy levels of elderly Turkish individuals.