Measurement of critical health literacy in primary school pupils : a Polish validation of the Claim Evaluation Tools

2025
journal article
article
dc.abstract.enObjectives. Amid increasing adolescents’ immersion in media information and their vulnerability to mis/disinformation and the screen time negative health correlates, competences of critical thinking about health gains in significance. The Claim Evaluation Tools (CET) assess the understanding of claims about treatment effects and enable critical health literacy measurement in different populations. It has not been adapted and tested in Central Europe before. Design, The process of cultural adaptation covered three phases: translation and cultural adaptation, testing and psychometric analysis. We used Classical Test Theory and Rasch analysis to verify the validity and reliability of the Polish version of the CET. Additionally, we tested known-group and convergent validity. Setting. The pilot test was conducted on a pupils sample from eight purposefully selected schools in Southern Poland, and the final version of the tool has been tested on a national study sample of pupils of primary schools randomly selected from all Polish regions. Participants. We collected the data from a national sample of 2242 pupils aged 12 to 15 years, attending sixth to eighth grades, from 42 primary schools. Results. We applied some changes to the multiple-choice questions (MCQ) scenarios and wording of some of the options based on the expert’s opinions. We validated 24 MCQs reflecting 12 claims about treatment effects (2 MCQs per claim). The psychometric properties of the Polish version of the tool are satisfying. Conclusions. The Polish version of the CET can be applied to measure critical health literacy among 12- to 15-year-old adolescents as well as to evaluate educational interventions promoting the understanding of healthcare claims in Poland.
dc.affiliationWydział Lekarski : Katedra Epidemiologii i Medycyny Zapobiegawczej
dc.affiliationWydział Filozoficzny : Instytut Socjologii
dc.affiliationWydział Studiów Międzynarodowych i Politycznych : Instytut Studiów Międzykulturowych
dc.affiliationWydział Studiów Międzynarodowych i Politycznych : Ośrodek „Instytut Konfucjusza w Krakowie”
dc.cm.idOmegaUJCM35c8c4e3f0904d62b757152ff5d64152pl
dc.contributor.authorProkop-Dorner, Anna - 116179
dc.contributor.authorZawisza, Katarzyna - 133904
dc.contributor.authorŚwiątkiewicz-Mośny, Maria - 132346
dc.contributor.authorPiłat-Kobla, Aleksandra - 176168
dc.contributor.authorOżegalska-Łukasik, Natalia - 140290
dc.contributor.authorŚlusarczyk, Magdalena - 132326
dc.contributor.authorPotysz-Rzyman, Aleksandra - 117544
dc.contributor.authorBała, Małgorzata - 128647
dc.date.accessioned2025-07-23T22:37:44Z
dc.date.accessioned2025-07-24T08:19:05Z
dc.date.available2025-07-24T08:19:05Z
dc.date.createdat2025-07-24T08:19:05Zen
dc.date.issued2025pl
dc.date.openaccess0pl
dc.description.accesstimew momencie opublikowaniapl
dc.description.number7pl
dc.description.versionostateczna wersja wydawcypl
dc.description.volume15pl
dc.identifier.articleide099994pl
dc.identifier.doi10.1136/bmjopen-2025-099994pl
dc.identifier.issn2044-6055
dc.identifier.projectDRC AI
dc.identifier.urihttps://ruj.uj.edu.pl/handle/item/558149
dc.languageengpl
dc.language.containerengpl
dc.pbn.affiliationDziedzina nauk medycznych i nauk o zdrowiu : nauki medyczne
dc.pbn.affiliationDziedzina nauk medycznych i nauk o zdrowiu : nauki o zdrowiu
dc.rightsUdzielam licencji. Uznanie autorstwa 4.0 Międzynarodowa
dc.rights.licenceCC-BYpl
dc.rights.urihttp://creativecommons.org/licenses/by/4.0/legalcode.pl
dc.share.typeOtwarte czasopismopl
dc.subtypeArticlepl
dc.titleMeasurement of critical health literacy in primary school pupils : a Polish validation of the Claim Evaluation Toolspl
dc.title.journalBMJ Open
dc.typeJournalArticlepl
dspace.entity.typePublication
dc.abstract.en
Objectives. Amid increasing adolescents’ immersion in media information and their vulnerability to mis/disinformation and the screen time negative health correlates, competences of critical thinking about health gains in significance. The Claim Evaluation Tools (CET) assess the understanding of claims about treatment effects and enable critical health literacy measurement in different populations. It has not been adapted and tested in Central Europe before. Design, The process of cultural adaptation covered three phases: translation and cultural adaptation, testing and psychometric analysis. We used Classical Test Theory and Rasch analysis to verify the validity and reliability of the Polish version of the CET. Additionally, we tested known-group and convergent validity. Setting. The pilot test was conducted on a pupils sample from eight purposefully selected schools in Southern Poland, and the final version of the tool has been tested on a national study sample of pupils of primary schools randomly selected from all Polish regions. Participants. We collected the data from a national sample of 2242 pupils aged 12 to 15 years, attending sixth to eighth grades, from 42 primary schools. Results. We applied some changes to the multiple-choice questions (MCQ) scenarios and wording of some of the options based on the expert’s opinions. We validated 24 MCQs reflecting 12 claims about treatment effects (2 MCQs per claim). The psychometric properties of the Polish version of the tool are satisfying. Conclusions. The Polish version of the CET can be applied to measure critical health literacy among 12- to 15-year-old adolescents as well as to evaluate educational interventions promoting the understanding of healthcare claims in Poland.
dc.affiliation
Wydział Lekarski : Katedra Epidemiologii i Medycyny Zapobiegawczej
dc.affiliation
Wydział Filozoficzny : Instytut Socjologii
dc.affiliation
Wydział Studiów Międzynarodowych i Politycznych : Instytut Studiów Międzykulturowych
dc.affiliation
Wydział Studiów Międzynarodowych i Politycznych : Ośrodek „Instytut Konfucjusza w Krakowie”
dc.cm.idOmegapl
UJCM35c8c4e3f0904d62b757152ff5d64152
dc.contributor.author
Prokop-Dorner, Anna - 116179
dc.contributor.author
Zawisza, Katarzyna - 133904
dc.contributor.author
Świątkiewicz-Mośny, Maria - 132346
dc.contributor.author
Piłat-Kobla, Aleksandra - 176168
dc.contributor.author
Ożegalska-Łukasik, Natalia - 140290
dc.contributor.author
Ślusarczyk, Magdalena - 132326
dc.contributor.author
Potysz-Rzyman, Aleksandra - 117544
dc.contributor.author
Bała, Małgorzata - 128647
dc.date.accessioned
2025-07-23T22:37:44Z
dc.date.accessioned
2025-07-24T08:19:05Z
dc.date.available
2025-07-24T08:19:05Z
dc.date.createdaten
2025-07-24T08:19:05Z
dc.date.issuedpl
2025
dc.date.openaccesspl
0
dc.description.accesstimepl
w momencie opublikowania
dc.description.numberpl
7
dc.description.versionpl
ostateczna wersja wydawcy
dc.description.volumepl
15
dc.identifier.articleidpl
e099994
dc.identifier.doipl
10.1136/bmjopen-2025-099994
dc.identifier.issn
2044-6055
dc.identifier.project
DRC AI
dc.identifier.uri
https://ruj.uj.edu.pl/handle/item/558149
dc.languagepl
eng
dc.language.containerpl
eng
dc.pbn.affiliation
Dziedzina nauk medycznych i nauk o zdrowiu : nauki medyczne
dc.pbn.affiliation
Dziedzina nauk medycznych i nauk o zdrowiu : nauki o zdrowiu
dc.rights
Udzielam licencji. Uznanie autorstwa 4.0 Międzynarodowa
dc.rights.licencepl
CC-BY
dc.rights.uri
http://creativecommons.org/licenses/by/4.0/legalcode.pl
dc.share.typepl
Otwarte czasopismo
dc.subtypepl
Article
dc.titlepl
Measurement of critical health literacy in primary school pupils : a Polish validation of the Claim Evaluation Tools
dc.title.journal
BMJ Open
dc.typepl
JournalArticle
dspace.entity.type
Publication
Affiliations

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