Kontakt X:X | DOI: 10.32725/kont.2026.019

Validation of the HLS-Child-Q15 questionnaire in Czech primary school childrenOšetřovatelství - původní práce

Sylva Bártlová ORCID...1, *, Iva Brabcová ORCID...1, Věra Hellerová ORCID...1, Milena Mágrová ORCID...1, Alena Machová ORCID...1, Olga Dvořáčková ORCID...2
1 University of South Bohemia in České Budějovice, Faculty of Health and Social Sciences, Institute of Nursing, Midwifery and Emergency Care, České Budějovice, Czech Republic
2 University of South Bohemia in České Budějovice, Faculty of Health and Social Sciences, Institute of Laboratory Diagnostics and Public Health, České Budějovice, Czech Republic

Aim: To evaluate the psychometric properties of the Czech version of the HLS-Child-Q15 questionnaire among children aged 9-10 years.

Design: Cross-sectional validation study.

Methods: The study included 1,333 fourth-grade pupils from three regions of the Czech Republic. The translation process followed forward-backward translation procedures with expert panel review and pilot testing. Internal consistency was assessed using Cronbach's alpha and split-half reliability. Construct validity was examined using exploratory factor analysis (principal axis factoring with Promax rotation). Criterion validity was evaluated through logistic regression analyses investigating associations between health literacy levels and vaccination-related attitudes, knowledge, and behaviours.

Results: The Czech HLS-Child-Q15 demonstrated good internal consistency (α = 0.80; 95% CI 0.774-0.823) and satisfactory split-half reliability (r = 0.79). Exploratory factor analysis supported a three-factor structure, accounting for 41% of the total variance. Higher health literacy levels were significantly associated with more favourable vaccination-related outcomes.

Conclusion: The Czech adaptation of the HLS-Child-Q15 is a reliable and valid instrument for assessing health literacy in children aged 9-10 years. It can be applied in research and school-based health promotion practice.

Klíčová slova: Children; Health literacy; Prevention; Psychometrics; Public health; Questionnaire validation
Granty a financováni:

This study was supported by the Ministry of Health of the Czech Republic in cooperation with the Czech Health Research Council (Project No. NW24-09-00302).

Střet zájmů:

The authors have no conflict of interest to declare.

Vloženo: 20. únor 2026; Revidováno: 9. březen 2026; Přijato: 20. březen 2026; Zveřejněno online: 31. březen 2026 

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    Reference

    1. Bánfai-Csonka H, Betlehem J, Deutsch K, Derzsi-Horváth M, Bánfai B, Fináncz J, et al. (2022). Health literacy in early childhood: A systematic review of empirical studies. Children (Basel) 9(8): 1131. DOI: 10.3390/children9081131. Přejít k původnímu zdroji... Přejít na PubMed...
    2. Bollweg TM, Okan O, Pinheiro P, Bröder J, Bruland D, Freţian AM, et al. (2020). Adapting the European Health Literacy Survey for fourth-grade students in Germany: Questionnaire development and qualitative pretest. Health Lit Res Pract 4(2): e119-e128. DOI: 10.3928/24748307-20200326-01. Přejít k původnímu zdroji... Přejít na PubMed...
    3. Bröder J, Okan O, Bauer U, Bruland D, Schlupp S, Bollweg TM, et al. (2017). Health literacy in childhood and youth: A systematic review of definitions and models. BMC Public Health 17(1): 361. DOI: 10.1186/s12889-017-4267-y. Přejít k původnímu zdroji... Přejít na PubMed...
    4. Czech Statistical Office (2024). Počet obyvatel v České republice. Praha. [online] [cit. 2026-01-22]. Available from: https://www.czso.cz
    5. Hahnraths MTH, Heijmans M, Bollweg TM, Okan O, Willeboordse M, Rademakers J (2021). Measuring and exploringchildren's health literacy in the Netherlands: Translation and adaptation of the HLS-Child-Q15. Int J Environ Res Public Health 18(10): 5244. DOI: 10.3390/ijerph18105244. Přejít k původnímu zdroji... Přejít na PubMed...
    6. Institute of Health Information and Statistics of the Czech Republic (2022). Health Statistics Yearbook of the Czech Republic. Prague. [online] [cit. 2026-01-22]. Available from: https://www.uzis.cz/res/f/008435/zdrroccz2021.pdf
    7. Khanal SP, Budhathoki CB, Devkota B, Bollweg TM, Okan O (2024). Adolescents' understanding of the Nepalese version of HLS-CHILD-Q15: qualitative pre-testing in ninth-graders. BMC Public Health 24(1): 851. DOI: 10.1186/s12889-024-18329-9. Přejít k původnímu zdroji... Přejít na PubMed...
    8. Polit DF (2014). Getting serious about test-retest reliability: A critique of retest research and some recommendations. Qual Life Res 23(6): 1713-1720. DOI: 10.1007/s11136-014-0632-9. Přejít k původnímu zdroji... Přejít na PubMed...
    9. Polit DF, Beck CT, Owen SV (2007). Is the CVI an acceptable indicator of content validity? Appraisal and recommendations. Res Nurs Health 30(4): 459-467. DOI: 10.1002/nur.20199. Přejít k původnímu zdroji... Přejít na PubMed...
    10. Rademakers J, Hahnraths MTH, van Schayck OCP, Heijmans M (2022). Children's health literacy in relation to their BMI z-score, food intake, and physical activity: A cross-sectional study among 8-11-year-old children in the Netherlands. Children (Basel) 9(6): 925. DOI: 10.3390/children9060925. Přejít k původnímu zdroji... Přejít na PubMed...
    11. Schaeffer D, Hurrelmann K, Bauer U, Kolpatzik K, Altiner A, Dierks ML, et al. (2018). Nation¬al action plan health literacy. Promoting health literacy in Germany. KomPart. [online] [cit. 2026-01-06]. Available from: https://www.hertie-school.org/fileadmin/2_Research/2_Research_directory/Research_projects/National_Action_Plan_Health_Literacy/National_Action_Plan_Health_Literacy.pdf
    12. Sørensen K, Van den Broucke S, Fullam J, Doyle G, Pelikan J, Slonska Z, et al. (2012). Health literacy and public health: A systematic review and integration of definitions and models. BMC Public Health 12: 80. DOI: 10.1186/1471-2458-12-80. Přejít k původnímu zdroji... Přejít na PubMed...
    13. Sørensen K, Pelikan JM, Röthlin F, Ganahl K, Slonska Z, Doyle G, et al. (2015). Health literacy in Europe: Comparative results of the European health literacy survey (HLS-EU). Eur J Public Health 25(6): 1053-1058. DOI: 10.1093/eurpub/ckv043. Přejít k původnímu zdroji... Přejít na PubMed...
    14. WHO (2017). Shanghai declaration on promoting health in the 2030 Agenda for Sustainable Development. Health Promot Int 32(1): 7-8. DOI: 10.1093/heapro/daw103. Přejít k původnímu zdroji... Přejít na PubMed...

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