Development of a Health Literacy Assessment Tool on College Students’ Online Media Uses

Abstract

The objective of this research was to develop an online media used health literacy assessment tool for college students 357 first-year students of Rajabhat Lampang University were recruited by purposive sampling. The health literacy tool was Lampang University were recruited by purposive sampling. The health literacy tool was developed based upon Nutbeam's conceptual model. Method of quality analysis of cognitive tools was IOC, difficulty and discrimination power. For the health literacy skill, quality Analysis based on corrected item total correlation and Cronbach's Alpha. In addition, the health literacy level was differentiated classified with standard T scores. The tool includes 7 items in cognitive components and 36 items related with health literacy skills. For the cognitive component, all and 7 of 10 items met the pre-set criterion for discriminative power (D = 0.28-0.45) and item difficulty respectively. For the health literacy skills, 36 scenario-based items with 5 point behavioral scale were used. The results showed high reliability (Cronbach's Alpha = .761-.816) for information access (7 items), media literacy (6 items), health communication (7 items), and self-management (9 items) and moderate reliability (Cronbach's Alpha = .617) for decision skills (8 items). The tool can differentiate 3 levels of health literacy functional health literacy (score = 52-96), interactive health literacy (score = 97-116) and critical health literacy (score = 117-146). In addition, there were positive correlations between overall health literacy score and scores of each component (r = .287 - .777). In conclusion, the online media health literacy assessment tool for college student has good validity and reliability.