Validation and Reliability of the Health Literacy Organization Checklist

Document Type : Original Article


1 Department of Health Education and Health Promotion, School of Health, Mashhad University of Medical Sciences, Mashhad, Iran.

2 Social Determinant of Health Research Center, Mashhad University of Medical Sciences, Mashhad, Iran.

3 Student Research Committee. Mashhad University of Medical Sciences, Mashhad, Iran.

4 Department of Biostatistics, School of Health, Mashhad University of Medical Sciences, Mashhad, Iran.


Background and Objectives: Health literacy organizations are doing a series of things in a health and healing environment to bring that environment to a level that makes it easier for people to understand and interpret health information. These items are designed in the checklist of Health Literacy Organization, so this study was conducted with the aim of validating the checklist of Health Literacy Organization in Iran.

Materials and Methods: This research was a cross-sectional descriptive analytic study that was conducted on the tool of the Health Literacy Organization that was designed during previous studies. First, the face validity assessment of the checklist was checked by 22 experts. Then, the content validity was done using the relative coefficient of content validity rate and the content validity index by 22 experts in the field of health literacy who have favorable clinical and technical university experiences. In the third stage, in order to evaluate the calculation of the reliability coefficient, the instrument was performed by two evaluators in 12 environments, including three hospitals, two clinics, five comprehensive health service centers and two pharmacies.

Results: During the content validity phase, 6 questions were removed from the list of 67 questions, and 3 questions were structurally modified. The questionnaire had a CVI of 0.919 and a CVR of 0.781. The score of the reliability coefficient for the checklist was 0.94, and if this index is higher than 0.8, it indicates a very favorable reliability. Ultimately, the checklist of 10 attributes and 61 questions was approved.

Conclusion: The evaluation checklist of Health Literacy Organization has the necessary psychometric features. Hence, it is suggested to use this tool, which is a native tool and has been prepared during various studies in Iran, to design and measure the organization of health literacy.


Acknowledgements: The authors are grateful to all who participated in this study.

Availability of data and materials: The data sets used and/or analyzed during the current study was available from the corresponding author on reasonable request.

Conflict of interests: The authors declared no conflict of interest

Consent for publication: Not applicable

Ethical approval and consent to participate: All procedures comply with the principles of the Declaration of Helsinki. Ethical issues (Including plagiarism, informed consent, misconduct, data fabrication and/or falsification, double publication and/or submission, redundancy, etc.) have been completely observed by the authors. This article is the result of a research project with code 4002022 and ethics code IR.MUMS.FHMPM.REC.1401.033.

Funding: The study was supported financially by Mashhad University of Medical Science.

Author contributions: N.P. designed the work, E.Ch.Kh. and M.N. implemented the work, E.Ch.Kh. and J.J. analyzed and interpreted the data, E.Ch.Kh. and S.B.T.S. writing the manuscript.

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