Development of the Health Literacy Scale for Protection Against COVID-19
Cemile Savci 1, Neriman Zengin 2 * , Ayse Cil Akinci 1 3
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1 Department of Nursing, Faculty of Health Sciences, Istanbul Medeniyet University, Istanbul, TURKEY
2 Department of Midwifery, Hamidiye Faculty of Health Science, University of Health Sciences, Istanbul, TURKEY
3 School of Nursing, Loma Linda University, CA, USA
* Corresponding Author


Introduction: The aim of this cross-sectional methodological design research is to develop the Health Literacy Scale for Protect against COVID-19 and examine its validity and reliability.
Methods: The population of the research consisted of participants aged above 18 on 15-30 January 2021 and the sample consisted of 547 individuals. As data collection tools, questions regarding sociodemographic characteristics, Turkey Health Literacy Scale (THLS) and Health Literacy Scale for Protect against COVID-19 to be developed by the researchers were used. The content, construct and criterion validity of the Health Literacy Scale for Protect against COVID-19 were examined. The reliability of the scale was evaluated using Cronbach’s alpha and item-total correlation.
Results: Content validity was verified with Content Validity Index (CVI) .97. In the exploratory factor analysis (EFA) of the scale, a single-factor structure with an eigenvalue value greater than 1 and factor loads above 0.60 were found, which explains 70.639% of the total variance. In the confirmatory factor analysis of the scale, it was seen that the Goodness-of-Fit Indices values were at acceptable levels. Criterion validity was supported by a moderate positive correlation (r = .0569, p <0.001) between THLS and Health Literacy Scale for Protect against COVID-19 score. Based on Cronbach’s alpha and item-total correlation results, the item’s reliability was found to be at a satisfactory level.
Conclusion: Health Literacy Scale for Protect against COVID-19 is a reliable and valid tool that can be used to evaluate the health literacy of society for protection from COVID-19.


This is an open access article distributed under the Creative Commons Attribution License which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.

Article Type: Original Article

ELECTRON J GEN MED, 2021 - Volume 18 Issue 6, Article No: em332

Publication date: 04 Nov 2021

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