Validation of an Arabic tool for assessing vaccination literacy: A factor and Rasch analysis

Vaccine literacy is a significant part of health literacy. Although several tools have been developed to assess vaccine literacy, such tools are lacking in Arabic. Validating an Arabic version of a tool that evaluates vaccine literacy is critically important, as it would aid in understanding the dec...

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Main Authors: Walid Al-Qerem, Anan Jarab, Abdel Qader Al Bawab, Judith Eberhardt, Fawaz Alasmari, Alaa Hammad, Raghd Obidat, Lujain Al-Sa’di, Ruba Zumot
Format: Article
Language:English
Published: Taylor & Francis Group 2024-12-01
Series:Human Vaccines & Immunotherapeutics
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Online Access:https://www.tandfonline.com/doi/10.1080/21645515.2024.2381297
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author Walid Al-Qerem
Anan Jarab
Abdel Qader Al Bawab
Judith Eberhardt
Fawaz Alasmari
Alaa Hammad
Raghd Obidat
Lujain Al-Sa’di
Ruba Zumot
author_facet Walid Al-Qerem
Anan Jarab
Abdel Qader Al Bawab
Judith Eberhardt
Fawaz Alasmari
Alaa Hammad
Raghd Obidat
Lujain Al-Sa’di
Ruba Zumot
author_sort Walid Al-Qerem
collection DOAJ
description Vaccine literacy is a significant part of health literacy. Although several tools have been developed to assess vaccine literacy, such tools are lacking in Arabic. Validating an Arabic version of a tool that evaluates vaccine literacy is critically important, as it would aid in understanding the decision-making process regarding vaccinations among individuals in Arabic-speaking countries. Therefore, the current study aimed to validate an Arabic tool for assessing vaccine literacy in adult vaccination. An online questionnaire was distributed to people throughout Jordan by sharing the questionnaire link via various social media platforms. The reliability and validity of the Arabic version of the vaccination literacy assessment tool (HLVa-Ar) were evaluated using factor analysis and Rasch analyses. The two-factor model generated fit indices were in the acceptable range (χ2/df = 2.48, RMSEA = 0.06, SRMR = 0.05, GFI = 0.94, CFI = 0.97, and TLI = 0.96). Cronbach’s alpha for functional Vaccination literacy (VL) and interactive/critical VL were 0.91 and 0.88 respectively. The Rasch analysis indicated acceptable infit/outfit values and high item and person separation reliabilities for the two factors (0.852, 0.868, and 0.771, 0.818 respectively). Overall, the 420 participants displayed a good understanding of the general benefits and importance of vaccination. The HLVa-Ar was shown to be a valid and reliable tool that portrayed a wide range of vaccination literacy levels in the studied sample and provided valuable insights into participants’ vaccination knowledge. The findings emphasize the need for developing targeted strategies to improve vaccination literacy and increase vaccination rates.
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spelling doaj-art-a38d741ac9454f4eaada0533f8df762b2025-08-20T02:34:20ZengTaylor & Francis GroupHuman Vaccines & Immunotherapeutics2164-55152164-554X2024-12-0120110.1080/21645515.2024.2381297Validation of an Arabic tool for assessing vaccination literacy: A factor and Rasch analysisWalid Al-Qerem0Anan Jarab1Abdel Qader Al Bawab2Judith Eberhardt3Fawaz Alasmari4Alaa Hammad5Raghd Obidat6Lujain Al-Sa’di7Ruba Zumot8Department of Pharmacy, Faculty of Pharmacy, Al-Zaytoonah University of Jordan, Amman, JordanCollege of Pharmacy, Al Ain University, Abu Dhabi, United Arab EmiratesDepartment of Pharmacy, Faculty of Pharmacy, Al-Zaytoonah University of Jordan, Amman, JordanDepartment of Psychology, School of Social Sciences, Humanities and Law, Teesside University, Middlesbrough, UKDepartment of Pharmacology and Toxicology, College of Pharmacy, King Saud University, Riyadh, Saudi ArabiaDepartment of Pharmacy, Faculty of Pharmacy, Al-Zaytoonah University of Jordan, Amman, JordanDepartment of Pharmacy, Faculty of Pharmacy, Al-Zaytoonah University of Jordan, Amman, JordanDepartment of Pharmacy, Faculty of Pharmacy, Al-Zaytoonah University of Jordan, Amman, JordanDepartment of Pharmacy, Faculty of Pharmacy, Al-Zaytoonah University of Jordan, Amman, JordanVaccine literacy is a significant part of health literacy. Although several tools have been developed to assess vaccine literacy, such tools are lacking in Arabic. Validating an Arabic version of a tool that evaluates vaccine literacy is critically important, as it would aid in understanding the decision-making process regarding vaccinations among individuals in Arabic-speaking countries. Therefore, the current study aimed to validate an Arabic tool for assessing vaccine literacy in adult vaccination. An online questionnaire was distributed to people throughout Jordan by sharing the questionnaire link via various social media platforms. The reliability and validity of the Arabic version of the vaccination literacy assessment tool (HLVa-Ar) were evaluated using factor analysis and Rasch analyses. The two-factor model generated fit indices were in the acceptable range (χ2/df = 2.48, RMSEA = 0.06, SRMR = 0.05, GFI = 0.94, CFI = 0.97, and TLI = 0.96). Cronbach’s alpha for functional Vaccination literacy (VL) and interactive/critical VL were 0.91 and 0.88 respectively. The Rasch analysis indicated acceptable infit/outfit values and high item and person separation reliabilities for the two factors (0.852, 0.868, and 0.771, 0.818 respectively). Overall, the 420 participants displayed a good understanding of the general benefits and importance of vaccination. The HLVa-Ar was shown to be a valid and reliable tool that portrayed a wide range of vaccination literacy levels in the studied sample and provided valuable insights into participants’ vaccination knowledge. The findings emphasize the need for developing targeted strategies to improve vaccination literacy and increase vaccination rates.https://www.tandfonline.com/doi/10.1080/21645515.2024.2381297Vaccination literacyhealth literacyJordanvalidationknowledgepractice
spellingShingle Walid Al-Qerem
Anan Jarab
Abdel Qader Al Bawab
Judith Eberhardt
Fawaz Alasmari
Alaa Hammad
Raghd Obidat
Lujain Al-Sa’di
Ruba Zumot
Validation of an Arabic tool for assessing vaccination literacy: A factor and Rasch analysis
Human Vaccines & Immunotherapeutics
Vaccination literacy
health literacy
Jordan
validation
knowledge
practice
title Validation of an Arabic tool for assessing vaccination literacy: A factor and Rasch analysis
title_full Validation of an Arabic tool for assessing vaccination literacy: A factor and Rasch analysis
title_fullStr Validation of an Arabic tool for assessing vaccination literacy: A factor and Rasch analysis
title_full_unstemmed Validation of an Arabic tool for assessing vaccination literacy: A factor and Rasch analysis
title_short Validation of an Arabic tool for assessing vaccination literacy: A factor and Rasch analysis
title_sort validation of an arabic tool for assessing vaccination literacy a factor and rasch analysis
topic Vaccination literacy
health literacy
Jordan
validation
knowledge
practice
url https://www.tandfonline.com/doi/10.1080/21645515.2024.2381297
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