Volume 13, Issue 1 (2025)
Health Educ Health Promot 2025, 13(1): 163-169 |
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Raiisi F. Psychometric Characteristics of the Metaphorical Health Literacy Questionnaire. Health Educ Health Promot 2025; 13 (1) :163-169
URL: http://hehp.modares.ac.ir/article-5-80193-en.html
URL: http://hehp.modares.ac.ir/article-5-80193-en.html
Department of Language, Institute of Cognitive Science Studies, Tehran, Iran
Abstract: (246 Views)
Aims: Measuring health literacy through metaphors can enhance the understanding of metaphorical concepts in the health field. Therefore, the purpose of this study was to design, construct, and evaluate the psychometric characteristics of a metaphorical health literacy questionnaire.
Instrument & Methods: This descriptive research used survey and psychometric studies. Based on the four areas of knowledge, services, strategies, and interventions derived from the content analysis of the Metaphorical Health Literacy Questionnaire, 15 Likert items were designed for the most common source domains of object, force, and product. The content validity of the questionnaire was assessed by three cognitive linguists, two health psychologists, two health experts, two physicians, and one psychometric expert. Finally, the questionnaire was completed voluntarily by 150 Persian-speaking university students in Tehran in 2024. The data were analyzed using SPSS 26, and AMOS 14 software was employed for modeling.
Findings: Exploratory factor analysis indicated that four factors (object, force, product, and human) explained 38.21% of the total variance of the questionnaire. The reliability of the questionnaire was obtained using Cronbach’s alpha method, with a value of 0.79, indicating high reliability. Furthermore, confirmatory factor analysis was performed to assess the factorial validity of the questionnaire, which demonstrated an appropriate fit of the model to determine the factors.
Conclusion: The Metaphorical Health Literacy Questionnaire for Persian speakers is both valid and reliable.
Instrument & Methods: This descriptive research used survey and psychometric studies. Based on the four areas of knowledge, services, strategies, and interventions derived from the content analysis of the Metaphorical Health Literacy Questionnaire, 15 Likert items were designed for the most common source domains of object, force, and product. The content validity of the questionnaire was assessed by three cognitive linguists, two health psychologists, two health experts, two physicians, and one psychometric expert. Finally, the questionnaire was completed voluntarily by 150 Persian-speaking university students in Tehran in 2024. The data were analyzed using SPSS 26, and AMOS 14 software was employed for modeling.
Findings: Exploratory factor analysis indicated that four factors (object, force, product, and human) explained 38.21% of the total variance of the questionnaire. The reliability of the questionnaire was obtained using Cronbach’s alpha method, with a value of 0.79, indicating high reliability. Furthermore, confirmatory factor analysis was performed to assess the factorial validity of the questionnaire, which demonstrated an appropriate fit of the model to determine the factors.
Conclusion: The Metaphorical Health Literacy Questionnaire for Persian speakers is both valid and reliable.
Article Type: Descriptive & Survey |
Subject:
Health Literacy
Received: 2025/02/10 | Accepted: 2025/03/25 | Published: 2025/03/28
Received: 2025/02/10 | Accepted: 2025/03/25 | Published: 2025/03/28
References
1. Coughlin SS, Vernon M, Hatzigeorgiou C, George V. Health literacy, social determinants of health, and disease prevention and control. J Environ Health Sci. 2020;6(1):3061. [Link]
2. Bindhu S, Nattam A, Xu C, Vithala T, Grant T, Dariotis JK, et al. Roles of health literacy in relation to social determinants of health and recommendations for informatics-based interventions: Systematic review. Online J Public Health Inform. 2024;16:e50898. [Link] [DOI:10.2196/50898]
3. Ayre J, Zhang M, Mouwad D, Zachariah D, McCaffery KJ, Muscat DM. A systematic review of health literacy champions: Who, what and how?. Health Promot Int. 2023;38(4):daad074. [Link] [DOI:10.1093/heapro/daad074]
4. Tsai HY, Lee SD, Coleman C, Sørensen K, Tsai TI. Health literacy competency requirements for health professionals: A Delphi consensus study in Taiwan. BMC Med Educ. 2024;24(1):209. [Link] [DOI:10.1186/s12909-024-05198-4]
5. Haseli A, Bagheri L, Ghiasi A. A study on the relationship between quality of life and health literacy among students. J Health Lit. 2024;9(3):106-13. [Persian] [Link]
6. Chen P, Callisaya M, Wills K, Greenaway T, Winzenberg T. Cognition, educational attainment, and diabetes distress predict poor health literacy in diabetes: A cross-sectional analysis of the SHELLED study. PLoS One. 2022;17(4):e0267265. [Link] [DOI:10.1371/journal.pone.0267265]
7. Jochem C, Von Sommoggy J, Hornidge AK, Schwienhorst-Stich EM, Apfelbacher C. Planetary health literacy: A conceptual model. Front Public Health. 2023;10:980779. [Link] [DOI:10.3389/fpubh.2022.980779]
8. Raiisi F. Cognitive analysis of quality of life metaphors from the perspective of health promotion students. Health Educ Health Promot. 2022;10(2):233-8. [Link]
9. Raiisi F. Conceptual metaphors of pain in Persian: A cognitive analysis. Int J Musculoskelet Pain Prev. 2021;6(2):496-501. [Link] [DOI:10.52547/ijmpp.6.2.496]
10. Raiisi F. Pain metaphors as a bridge between physician and patient: An interdisciplinary approach. Int J Musculoskelet Pain Prev. 2023;8(2):862-3. [Link]
11. Lakoff G, Johnson M. Metaphors we live by. Chicago: The University of Chicago Press, 2003. [Link] [DOI:10.7208/chicago/9780226470993.001.0001]
12. Kövecses K. Metaphor universals in literature. ANTARES LETRAS E HUMANIDADES. 2018; 10(20):154-68. [Link] [DOI:10.18226/19844921.v10.n20.10]
13. Kövecses Z. Meaning making, where metaphors come from: Reconsidering context in metaphor. Oxford: Oxford University Press, 2022. [Link]
14. Khatin-Zadeh O, Farsani D, Hu J, Eskandari Z, Zhu Y, Banaruee H. A review of studies supporting metaphorical embodiment. Behav Sci. 2023;13(7):585. [Link] [DOI:10.3390/bs13070585]
15. Coll-Florit M, Climent Roca S. A new methodology for conceptual metaphor detection and formulation in corpora: A case study on a mental health corpus. SKY J Linguist. 2019;32:43-74. [Link]
16. Krieger JL, Parrott RL, Nussbaum JF. Metaphor use and health literacy: A pilot study of strategies to explain randomization in cancer clinical trials. J Health Commun. 2011;16(1):3-16. [Link] [DOI:10.1080/10810730.2010.529494]
17. Lazard AJ, Bamgbade BA, Sontag JM, Brown C. Using visual metaphors in health messages: A strategy to increase effectiveness for mental illness communication. J Health Commun. 2016;21(12):1260-8. [Link] [DOI:10.1080/10810730.2016.1245374]
18. Raiisi F, Afrashi A, Moghadasin M, Nematzadeh S, Hajikaram A. Understanding of metaphorical time pattern among medical and paramedical students. Based on gender, age, and academic status. Sci J Kurdistan Univ Med Sci. 2019;24(4):56-67. [Persian] [Link] [DOI:10.29252/sjku.24.4.56]
19. Talley J. Moving from the margins: The role of narrative and metaphor in health literacy. J Commun Healthc. 2016;9(2):109-19. [Link] [DOI:10.1080/17538068.2016.1177923]
20. Landau MJ, Arndt J, Cameron LD. Do metaphors in health messages work? Exploring emotional and cognitive factors. J Exp Soc Psychol. 2018;74:135-49. [Link] [DOI:10.1016/j.jesp.2017.09.006]
21. Buckley A, Corless L, Taylor A, Watkinson K. Metaphors in healthcare narratives and practice: Powers and pitfalls. Nurs Times. 2024;120(10). [Link]
22. Raiisi F. Metaphor thematic analysis of health literacy; A systematic review. Health Educ Health Promot. 2024;12(1):131-7. [Link]
23. Lempp H, Tang C, Heavey E, Bristowe K, Allan H, Lawrence V, et al. The use of metaphors by service users with diverse long-term conditions: A secondary qualitative data analysis. Qual Res Med Healthc. 2024;7(3):11336. [Link] [DOI:10.4081/qrmh.2023.11336]
24. Ten Have H, Gordijn B. Metaphors in medicine. Med Health Care Philos. 2022;25(4):577-8. [Link] [DOI:10.1007/s11019-022-10117-9]
25. Montazeri A, Tavousi M, Rakhshani F, Azin A, Jahangiri K, Ebadi M, et al. Health literacy for Iranian adults (HELIA): Development and psychometric properties. PAYESH. 2014;13(5):589-99. [Persian] [Link]
26. Bazm S, Mirzaei M, Fallahzadeh H, Bazm R. Validity and reliability of the Iranian version of ehealth literacy scale. J Commu Health Res. 2016;5(2):121-30. [Link]
27. Ervas F, Montibeller M, Rossi Maria G, Salis P. Expertise and metaphors in health communication. MEDICINA AND STORIA. 2016;9:91-108. [Link]
28. Febria D, Hastuty M, Agustina R, Yusnilasari Y, Ariani DS. Environmental health literacy and the hope tree metaphor. JURNAL PENELITIAN PENDIDIKAN IPA. 2023;9(10):8864-72. [Link] [DOI:10.29303/jppipa.v9i10.4731]
29. Zamanzadeh V, Rassouli M, Abbaszadeh A, Alavi Majd H, Nikanfar A, et al. Details of content validity and objectifying it in instrument development. Nurs Pract Today. 2014;1(3):163-71. [Link]
30. Estrela M, Semedo G, Roque F, Ferreira PL, Herdeiro MT. Sociodemographic determinants of digital health literacy: A systematic review and meta-analysis. Int J Med Inform. 2023;177:105124. [Link] [DOI:10.1016/j.ijmedinf.2023.105124]
31. Abedi F, Khayamzade M, Rezaeipoor M. Health metaphors in contemporary literature and media. Iran J Cult Health Promot. 2024;8(2):133-8. [Persian] [Link]
32. Tones K. Health literacy: New wine in old bottles?. Health Educ Res. 2002;17(3):287-90. [Link] [DOI:10.1093/her/17.3.287]
33. Parsi K. War metaphors in health care: What are they good for?. Am J Bioeth. 2016;16(10):1-2. [Link] [DOI:10.1080/15265161.2016.1221245]
34. Kövecses K. Extended conceptual metaphor theory. Cambridge: Cambridge University Press; 2020. [Link] [DOI:10.1017/9781108859127]
35. Guo Z. Conceptual metaphor and cognition: From the perspective of the philosophy of language. J Innov Dev. 2023;3(1):73-5. [Link] [DOI:10.54097/jid.v3i1.8424]
36. Wiseman R. Interpreting ancient social organization: Conceptual metaphors and image schemas. Time Mind. 2015;8(2):159-90. [Link] [DOI:10.1080/1751696X.2015.1026030]
37. Mácha J. Conceptual metaphor theory and classical theory: Affinities rather than divergences. In: Piotr Stalmaszczyk. From philosophy of fiction to cognitive poetics. Lausanne: Peter Lang; 2016. p. 93-115. [Link]
38. Hauser DJ, Nesse RM, Schwarz N. Lay theories and metaphors of health and illness. In: The science of lay theories. Cham: Springer; 2017. p. 341-54. [Link] [DOI:10.1007/978-3-319-57306-9_14]
39. Garello S. Metaphor as a "matter of thought": Conceptual metaphor theory. In: The enigma of metaphor. Cham: Springer; 2024. p. 65-100. [Link] [DOI:10.1007/978-3-031-56866-4_3]
40. Demjén Z, Semino E. Using metaphor in healthcare: Physical health. In: The Routledge handbook of metaphor and language. London: Routledge; 2016. [Link]
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