Development and Validation of a Culture-Sensitive Generic Health Literacy Scale in Turkish-Speaking Adults.

Background: Improving health literacy has become one of the most important public health-related goals at the global level; however, there is no clear consensus on measurement of health literacy. Despite numerous health literacy scales available in Turkish, none of the existing scales was originally developed and validated at a national level.

Objective: This study aimed to develop and validate a culturally appropriate original health literacy scale (HLS) to be used as a reference for the Turkish-speaking literate adult population in Turkey and abroad.

Examining Parameter Estimation when Treating Semi-Mixed Multidimensional Constructs as Unidimensional.

In this study, parameter estimation error was examined when three dimensional tests of a semi-mixed structure were estimated unidimensionally. Since previous studies have generally focused on two-dimensional mixed structured tests or three-dimensional approximately simple structured tests, this study adds to the literature by considering the impact of fitting a unidimensional model to multidimensional data using a test structure that has not previously been considered. Test structure, interdimensional correlation, difficulty of the test, and different underlying distributions of ability were considered.