Development of communicative health literacy evaluation scale for parents of children with acute leukemia and its reliability and validity test
Bibliographic record
Abstract
ObjectiveTo establish communicative health literacy(COM⁃HL) evaluation scale for parents of children with acute leukemia,and to test its reliability and validity.MethodsBased on the concept and basic ideas of COM⁃HL and the Calgary⁃Cambridge Guide(CC⁃G),the initial COM⁃HL evaluation scale for parents of children with acute leukemia was formed through semi⁃structured interviews,Delphi expert inquiry,and pre-survey.A total of 397 parents of children with acute leukemia from two tertiary grade A hospitals in Shandong province were selected as survey subjects by convenience sampling from October 2023 to March 2024 to test the reliability and validity of the scale.ResultsThe COM⁃HL evaluation scale for parents of children with acute leukemia was formed,included 3 dimensions(obtaining information,understanding information,and applying information) and 18 items.The effective response rates for both rounds of expert inquiry questionnaires were 100.00%,the expert authority coefficients were 0.81 and 0.90,and Kendall's W were 0.28 and 0.36,respectively(both P<0.01).The item⁃level content validity index ranged from 0.78 to 1.00,and scale⁃content validity index was 0.97.The results of exploratory factor analysis showed that the cumulative variance contribution rate of the 3 common factors was 72.649%.The results of confirmatory factor analysis showed that most indicators met the ideal standards and had good fit.The correlation coefficients between the factors scores of the scale ranged from 0.196 to 0.552,and the correlation coefficients between the scores of each factor and the total score of the scale ranged from 0.667 to 0.814(all P<0.05).The Cronbach's α coefficient of the scale was 0.931,the split⁃half reliability was 0.757,and the test-retest reliability was 0.894.ConclusionsThe constructed COM⁃HL evaluation scale for parents of children with acute leukemia has good reliability and validity.It can be used to measure the COM⁃HL level of parents of children with acute leukemia.
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How this classification was reachedexpand
Full frame machine prediction
Teacher imitationNot calibrated prevalence, not ground truth. Human validation pending. The Gemma side is a direct model label for every work in the frame, read from the title-only record. The Codex side is a classifier learned from the 10,348 direct Codex labels and calibrated to design-weighted sample rates; fields without enough sample support carry no Codex call. Candidate is the union of the two sides; consensus is their intersection. These outputs are machine_predicted_unvalidated and are not human labels.
Distilled classifier scores by category (both heads)
| Category | Codex | Gemma |
|---|---|---|
| Metaresearch | 0.005 | 0.012 |
| Meta-epidemiology (narrow) | 0.000 | 0.000 |
| Meta-epidemiology (broad) | 0.001 | 0.001 |
| Bibliometrics | 0.002 | 0.001 |
| Science and technology studies | 0.001 | 0.000 |
| Scholarly communication | 0.001 | 0.001 |
| Open science | 0.000 | 0.001 |
| Research integrity | 0.000 | 0.001 |
| Insufficient payload (model declined to judge) | 0.002 | 0.000 |
Machine scores (provisional)
The two teacher heads of the student model, read on this work. A score orders the frame for review; it never asserts a category, and the validation status ships verbatim with every row.
Baseline scores from an immature model (maturity gate not passed, 7 training rounds). Scores rank; they never assert a category.
score_only:v0-immature-baseline · verbatim from the scoring run: score_only means the number may rank works, and no category label ships from itClassification
machine, unvalidatedMachine predicted; a candidate call from one source (direct Gemma or distilled Codex), not a consensus.
How this classification was reached, model by model and score by score, is at the end of the page under "How this classification was reached".