PMID- 36141279
OWN - NLM
STAT- PubMed-not-MEDLINE
LR  - 20220928
IS  - 2227-9032 (Print)
IS  - 2227-9032 (Electronic)
IS  - 2227-9032 (Linking)
VI  - 10
IP  - 9
DP  - 2022 Aug 31
TI  - Cross-Cultural Adaptation and Validation of the Functional, Communicative and 
      Critical Health Literacy Instrument (FCCHL-SR) for Diabetic Patients in Serbia.
LID - 10.3390/healthcare10091667 [doi]
LID - 1667
AB  - Thoroughly validated instruments can provide a more accurate and reliable picture 
      of how the instrument works and of the level of health literacy in people with 
      type 2 diabetes mellitus (T2DM). The present work aimed at cross-cultural 
      adaptation and validation of the Functional, Communicative and Critical Health 
      Literacy Instrument (FCCHL) in patients with T2DM in Serbia. After translation 
      and back-translation, views from an expert group, one cognitive interview study 
      (n = 10) and one survey study (n = 130) were conducted among samples of diabetic 
      patients. Item analysis, internal consistency, content validity, confirmatory 
      factor analysis (CFA) and reliability testing were performed. When all 14 items 
      were analyzed, loading factors were above 0.55, but without adequate model fit. 
      After removing two items with the lowest loadings FHL1 and IHL2 the fit indexes 
      indicated a reasonable normed chi(2) (SB scaled chi(2)/df = 1.90). CFI was 0.916 with 
      SRMR = 0.0676 and RMSEA = 0.0831. To determine internal consistency, Cronbach's 
      alpha coefficient was 0.796 for the whole FCCHL-SR12. With only minor 
      modifications compared to the English version, the 12-item FCCHL instrument is 
      valid and reliable and can be used to measure health literacy among Serbian 
      diabetic patients. However, future research on a larger population in Serbia is 
      necessary for measuring the levels of HL and their relationship with other 
      determinants in this country.
FAU - Levic, Marija
AU  - Levic M
AD  - Department of Social Pharmacy and Pharmaceutical Legislation, Faculty of 
      Pharmacy, University of Belgrade, Belgrade 11221, Serbia.
FAU - Bogavac-Stanojevic, Natasa
AU  - Bogavac-Stanojevic N
AD  - Department of Medical Biochemistry, Faculty of Pharmacy, University of Belgrade, 
      Belgrade 11221, Serbia.
FAU - Krajnovic, Dusanka
AU  - Krajnovic D
AUID- ORCID: 0000-0003-1699-7944
AD  - Department of Social Pharmacy and Pharmaceutical Legislation, Faculty of 
      Pharmacy, University of Belgrade, Belgrade 11221, Serbia.
LA  - eng
GR  - No: 451-03-68/2022-14/200161/Ministry of Education, Science and Technological 
      Development, Republic of Serbia through Grant Agreement with University of 
      Belgrade-Faculty of Pharmacy/
PT  - Journal Article
DEP - 20220831
PL  - Switzerland
TA  - Healthcare (Basel)
JT  - Healthcare (Basel, Switzerland)
JID - 101666525
PMC - PMC9498457
OTO - NOTNLM
OT  - chronic non-infectious diseases
OT  - confirmatory factor analysis
OT  - generic scale
OT  - perception-based outcome measurement instrument
OT  - self-reported
OT  - subjective measurement
OT  - translation and cultural adaptation
COIS- The authors declare no conflict of interest.
EDAT- 2022/09/24 06:00
MHDA- 2022/09/24 06:01
PMCR- 2022/08/31
CRDT- 2022/09/23 01:16
PHST- 2022/06/16 00:00 [received]
PHST- 2022/08/20 00:00 [revised]
PHST- 2022/08/24 00:00 [accepted]
PHST- 2022/09/23 01:16 [entrez]
PHST- 2022/09/24 06:00 [pubmed]
PHST- 2022/09/24 06:01 [medline]
PHST- 2022/08/31 00:00 [pmc-release]
AID - healthcare10091667 [pii]
AID - healthcare-10-01667 [pii]
AID - 10.3390/healthcare10091667 [doi]
PST - epublish
SO  - Healthcare (Basel). 2022 Aug 31;10(9):1667. doi: 10.3390/healthcare10091667.