Alpha 2.0
Login Register
» Articles » PMID: 39756477

Validity and Reliability of the Turkish Version of the Maternal Health Literacy Inventory in Pregnancy Scale: a Methodological Study

Overview
Journal Womens Health Nurs
Specialties Gynecology & Obstetrics
Nursing
Date 2025 Jan 5
PMID 39756477
Authors
Yesim Altuntas
Ayse Kilic Ucar
Affiliations
Soon will be listed here.
Abstract

Purpose: This study aimed to translate the Maternal Health Literacy Inventory in Pregnancy (MHELIP) scale into Turkish and evaluate its validity and reliability for use in the Turkish population.

Methods: The participants in this methodological study included 250 pregnant women who presented to the antenatal clinic of the Florence Nightingale Hospital in Istanbul, Turkiye. Content validity was assessed using expert approval. Confirmatory factor analysis, exploratory factor analysis, and structural equation modeling were used to assess the validity. Criterion validity was evaluated using the shortform health literacy survey tool, the Short-Form Health Literacy Questionnaire (HLS-SF12). To assess reliability, Cronbach's alpha, item analysis, and the test-retest method were used.

Results: The mean age of the participants was 32.02±4.15 years. The content validity index of the scale was .99. The scale had a four-factor structure that fit well with 48 items. "Maternal health knowledge," "maternal health information search," "maternal health information assessment," and "maternal health decision making and behavior" subscales had Cronbach's alpha values of .91, .76, .85, and .90, respectively. The MHELIP and HLS-SF12 scores were significantly correlated (r=.422, p<.001).

Conclusion: The MHELIP was found to be a valid and reliable measurement tool in pregnant Turkish women.

References
1.
Duong T, Aringazina A, Kayupova G, Nurjanah , Pham T, Pham K . Development and Validation of a New Short-Form Health Literacy Instrument (HLS-SF12) for the General Public in Six Asian Countries. Health Lit Res Pract. 2019; 3(2):e91-e102. PMC: 6607763. DOI: 10.3928/24748307-20190225-01. View
2.
Yee L, Silver R, Haas D, Parry S, Mercer B, Wing D . Association of Health Literacy Among Nulliparous Individuals and Maternal and Neonatal Outcomes. JAMA Netw Open. 2021; 4(9):e2122576. PMC: 8411280. DOI: 10.1001/jamanetworkopen.2021.22576. View
3.
Taheri S, Tavousi M, Momenimovahed Z, Direkvand-Moghadam A, Tiznobaik A, Suhrabi Z . Development and psychometric properties of maternal health literacy inventory in pregnancy. PLoS One. 2020; 15(6):e0234305. PMC: 7289409. DOI: 10.1371/journal.pone.0234305. View
4.
Alinejad-Naeini M, Razavi N, Sohrabi S, Heidari-Beni F . The association between health literacy, social support and self-efficacy in mothers of preterm neonates. J Matern Fetal Neonatal Med. 2019; 34(11):1703-1710. DOI: 10.1080/14767058.2019.1644620. View
5.
von Elm E, Altman D, Egger M, Pocock S, Gotzsche P, Vandenbroucke J . The Strengthening the Reporting of Observational Studies in Epidemiology (STROBE) statement: guidelines for reporting observational studies. J Clin Epidemiol. 2008; 61(4):344-9. DOI: 10.1016/j.jclinepi.2007.11.008. View