{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,10,13]],"date-time":"2025-10-13T15:40:46Z","timestamp":1760370046404,"version":"build-2065373602"},"reference-count":30,"publisher":"FapUNIFESP (SciELO)","license":[{"start":{"date-parts":[[2025,1,1]],"date-time":"2025-01-01T00:00:00Z","timestamp":1735689600000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by\/4.0\/"},{"start":{"date-parts":[[2025,1,1]],"date-time":"2025-01-01T00:00:00Z","timestamp":1735689600000},"content-version":"am","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by\/4.0\/"},{"start":{"date-parts":[[2025,1,1]],"date-time":"2025-01-01T00:00:00Z","timestamp":1735689600000},"content-version":"tdm","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"funder":[{"DOI":"10.13039\/501100003593","name":"CNPq","doi-asserted-by":"crossref","award":["301694\/2025-7"],"award-info":[{"award-number":["301694\/2025-7"]}],"id":[{"id":"10.13039\/501100003593","id-type":"DOI","asserted-by":"crossref"}]},{"DOI":"10.13039\/501100003593","name":"CNPq","doi-asserted-by":"crossref","award":["88881.993188\/2024-01"],"award-info":[{"award-number":["88881.993188\/2024-01"]}],"id":[{"id":"10.13039\/501100003593","id-type":"DOI","asserted-by":"crossref"}]},{"DOI":"10.13039\/501100003593","name":"CNPq","doi-asserted-by":"crossref","award":["24\/2551-0001530-2"],"award-info":[{"award-number":["24\/2551-0001530-2"]}],"id":[{"id":"10.13039\/501100003593","id-type":"DOI","asserted-by":"crossref"}]},{"name":"PIBIC","award":["301694\/2025-7"],"award-info":[{"award-number":["301694\/2025-7"]}]},{"name":"PIBIC","award":["88881.993188\/2024-01"],"award-info":[{"award-number":["88881.993188\/2024-01"]}]},{"name":"PIBIC","award":["24\/2551-0001530-2"],"award-info":[{"award-number":["24\/2551-0001530-2"]}]},{"name":"PROAP","award":["301694\/2025-7"],"award-info":[{"award-number":["301694\/2025-7"]}]},{"name":"PROAP","award":["88881.993188\/2024-01"],"award-info":[{"award-number":["88881.993188\/2024-01"]}]},{"name":"PROAP","award":["24\/2551-0001530-2"],"award-info":[{"award-number":["24\/2551-0001530-2"]}]},{"DOI":"10.13039\/501100004263","name":"Fapergs","doi-asserted-by":"crossref","award":["301694\/2025-7"],"award-info":[{"award-number":["301694\/2025-7"]}],"id":[{"id":"10.13039\/501100004263","id-type":"DOI","asserted-by":"crossref"}]},{"DOI":"10.13039\/501100004263","name":"Fapergs","doi-asserted-by":"crossref","award":["88881.993188\/2024-01"],"award-info":[{"award-number":["88881.993188\/2024-01"]}],"id":[{"id":"10.13039\/501100004263","id-type":"DOI","asserted-by":"crossref"}]},{"DOI":"10.13039\/501100004263","name":"Fapergs","doi-asserted-by":"crossref","award":["24\/2551-0001530-2"],"award-info":[{"award-number":["24\/2551-0001530-2"]}],"id":[{"id":"10.13039\/501100004263","id-type":"DOI","asserted-by":"crossref"}]}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Texto contexto - enferm."],"abstract":"<jats:p>RESUMO  Objetivo:  analisar as evid\u00eancias de validade da vers\u00e3o brasileira do Health Literacy Questionnaire para aplica\u00e7\u00e3o em pessoas com transtornos mentais.  M\u00e9todo:  estudo psicom\u00e9trico, transversal, com pessoas em acompanhamento em Centro de Aten\u00e7\u00e3o Psicossocial. Coleta de dados ocorreu entre abril e outubro de 2023. Foram aplicados Question\u00e1rio Sociodemogr\u00e1fico e de Condi\u00e7\u00f5es de Sa\u00fade, Health Literacy Questionnaire, Health Literacy Scale-14 e Escala de Apoio Social do Medical Outcomes Study. A confiabilidade foi avaliada por \u00d4mega de McDonalds e Alfa de Cronbach, enquanto o modelo foi testado pelo Qui-Quadrado ajustado e an\u00e1lise fatorial confirmat\u00f3ria.  Resultados:  participaram 444 pessoas. O Health Literacy Questionnaire apresentou boa consist\u00eancia interna, \u00d4mega das partes 1 e 2, respectivamente, 0,898 e 0,797, e do alfa 0,893 e 0,788, mantendo o modelo de 44 quest\u00f5es. Validades convergente, divergente e discriminante entre escalas foram evidenciadas.  Conclus\u00e3o:  o Health Literacy Questionnaire demonstrou evid\u00eancias v\u00e1lidas e confi\u00e1veis para avaliar o letramento em sa\u00fade em pessoas com transtornos mentais. O modelo com nove escalas mostrou-se estatisticamente ajustado.<\/jats:p>","DOI":"10.1590\/1980-265x-tce-2024-0167pt","type":"journal-article","created":{"date-parts":[[2025,10,13]],"date-time":"2025-10-13T15:17:10Z","timestamp":1760368630000},"source":"Crossref","is-referenced-by-count":0,"title":["VALIDA\u00c7\u00c3O PSICOM\u00c9TRICA DO HEALTH LITERACY QUESTIONNAIRE (HLQ) PARA PESSOAS BRASILEIRAS COM TRANSTORNOS MENTAIS"],"prefix":"10.1590","volume":"34","author":[{"ORCID":"https:\/\/orcid.org\/0000-0003-4111-0612","authenticated-orcid":false,"given":"Eliana Elisa Rehfeld","family":"Gheno","sequence":"first","affiliation":[{"name":"Universidade Regional do Noroeste do Estado do Rio Grande do Sul,  Brasil"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-7618-4203","authenticated-orcid":false,"given":"Francini de Oliveira","family":"Rodrigues","sequence":"additional","affiliation":[{"name":"Universidade Regional do Noroeste do Estado do Rio Grande do Sul,  Brasil"}]},{"ORCID":"https:\/\/orcid.org\/0009-0006-8413-7347","authenticated-orcid":false,"given":"Gabriela Franco","family":"Budel","sequence":"additional","affiliation":[{"name":"Universidade Regional do Noroeste do Estado do Rio Grande do Sul,  Brasil"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-0517-0511","authenticated-orcid":false,"given":"Arnaldo","family":"Nogaro","sequence":"additional","affiliation":[{"name":"Universidade Regional do Alto Uruguai e das Miss\u00f5es,  Brasil"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-2686-8679","authenticated-orcid":false,"given":"Eliane Roseli","family":"Wilkenmann","sequence":"additional","affiliation":[{"name":"Universidade Regional do Noroeste do Estado do Rio Grande do Sul,  Brasil"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-2900-3972","authenticated-orcid":false,"given":"Olga Maria Martins de Sousa","family":"Valentim","sequence":"additional","affiliation":[{"name":"Escola Superior de Enfermagem de Lisboa,  Portugal"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-1793-7783","authenticated-orcid":false,"given":"Adriane Cristina Bernat","family":"Kolankiewicz","sequence":"additional","affiliation":[{"name":"Universidade Regional do Noroeste do Estado do Rio Grande do Sul,  Brasil"}]}],"member":"530","published-online":{"date-parts":[[2025]]},"reference":[{"key":"ref1","series-title":"Health promotion glossary of terms 2021","year":"2021"},{"key":"ref2","series-title":"World mental health report: Transforming mental health for all","year":"2022"},{"issue":"2","key":"ref3","article-title":"Como est\u00e1 a sa\u00fade mental dos brasileiros? A import\u00e2ncia das coortes de nascimento para melhor compreens\u00e3o do problema","volume":"36","author":"Lopes C de S","year":"2020","journal-title":"Cad Sa\u00fade P\u00fablica"},{"issue":"1","key":"ref4","doi-asserted-by":"crossref","first-page":"46","DOI":"10.1590\/1983-80422019271285","article-title":"Dignidade e autonomia do paciente com transtornos mentais","volume":"27","author":"Mendon\u00e7a SM","year":"2019","journal-title":"Rev Bio\u00e9t"},{"key":"ref5","doi-asserted-by":"crossref","DOI":"10.37689\/acta-ape\/2021AO02171","article-title":"Valida\u00e7\u00e3o do Health Literacy Questionnaire (HLQ) para o portugu\u00eas brasileiro","volume":"34","author":"Moraes KL","year":"2021","journal-title":"Acta Paul Enferm"},{"issue":"3","key":"ref6","doi-asserted-by":"crossref","first-page":"259","DOI":"10.1093\/heapro\/15.3.259","article-title":"Health literacy as a public health goal: A challenge for contemporary health education and communication strategies into the 21st century","volume":"15","author":"Nutbeam D","year":"2000","journal-title":"Health Promot Int"},{"key":"ref7","series-title":"Health literacy toolkit for lowand middle-income countries: A series of information sheets to empower communities and strengthen health systems","author":"Dodson S","year":"2015"},{"issue":"1","key":"ref8","doi-asserted-by":"crossref","DOI":"10.1186\/1471-2458-13-658","article-title":"The grounded psychometric development and initial validation of the Health Literacy Questionnaire (HLQ)","volume":"13","author":"Osborne RH","year":"2013","journal-title":"BMC Public Health"},{"issue":"2","key":"ref9","article-title":"Low health literacy and mortality in individuals with cardiovascular disease, chronic obstructive pulmonary disease, diabetes, and mental illness: A 6-year population-based follow-up study","volume":"17","author":"Friss K","year":"2020","journal-title":"Int J Environ Res Public Health"},{"key":"ref10","article-title":"Health literacy in people living with mental illness: A latent profile analysis","volume":"280","author":"Degan TJ Kelly PJ","year":"2019","journal-title":"Psychiatry Res"},{"issue":"1","key":"ref11","doi-asserted-by":"crossref","first-page":"105","DOI":"10.7202\/1070243ar","article-title":"La litt\u00e9ratie en sant\u00e9 chez les personnes pr\u00e9sentant des troubles mentaux graves","volume":"45","author":"Fortin MP","year":"2020","journal-title":"Sant\u00e9 Mentale Qu\u00e9bec"},{"issue":"4","key":"ref12","doi-asserted-by":"crossref","first-page":"399","DOI":"10.1007\/s10597-015-9951-8","article-title":"Health literacy among people with serious mental illness","volume":"52","author":"Clausen W","year":"2016","journal-title":"Community Ment Health J"},{"issue":"2","key":"ref13","doi-asserted-by":"crossref","DOI":"10.18549\/PharmPract.2017.02.908","article-title":"Provider and patient perception of psychiatry patient health literacy","volume":"15","author":"Bacon O","year":"2017","journal-title":"Pharm Pract (Granada)"},{"key":"ref14","article-title":"Influence of functional health literacy on adherence to antidepressant treatment","volume":"43","author":"S\u00e1 AM de","year":"2022","journal-title":"Rev Ga\u00facha Enferm"},{"issue":"3","key":"ref15","first-page":"31","article-title":"Association between Sociodemographic Variables and Health Literacy Levels among \u0130ndividuals with Mental Disorders in Brazil","volume":"9","author":"Rehfeld GEE","year":"2024","journal-title":"J Health Literacy"},{"key":"ref16","series-title":"Censo Demogr\u00e1fico 2023 - Iju\u00ed, RS","year":"2023"},{"issue":"5","key":"ref17","doi-asserted-by":"crossref","first-page":"407","DOI":"10.1007\/s12199-013-0340-z","article-title":"The 14-item health literacy scale for Japanese adults (HLS-14)","volume":"18","author":"Suka M","year":"2013","journal-title":"Environ Health Prev Med"},{"issue":"7","key":"ref18","doi-asserted-by":"crossref","first-page":"2847","DOI":"10.1590\/1413-81232020257.22282018","article-title":"Tradu\u00e7\u00e3o, adapta\u00e7\u00e3o transcultural e avalia\u00e7\u00e3o psicom\u00e9trica da vers\u00e3o em portugu\u00eas (brasileiro) do 14-item Health Literacy Scale","volume":"25","author":"Batista MJ","year":"2020","journal-title":"Ci\u00eanc Sa\u00fade Coletiva"},{"issue":"6","key":"ref19","doi-asserted-by":"crossref","first-page":"705","DOI":"10.1016\/0277-9536(91)90150-B","article-title":"The MOS social support survey","volume":"32","author":"Sherbourne CD","year":"1991","journal-title":"Soc Sci Med"},{"issue":"3","key":"ref20","doi-asserted-by":"crossref","first-page":"703","DOI":"10.1590\/S0102-311X2005000300004","article-title":"Construct validity of the Medical Outcomes Study's social support scale adapted to Portuguese in the Pr\u00f3-Sa\u00fade Study","volume":"21","author":"Griep RH","year":"2005","journal-title":"Cad Sa\u00fade P\u00fablica"},{"key":"ref21","series-title":"Principles and Practice of Structural Equation Modeling","author":"Kline RB","year":"2012"},{"key":"ref22","series-title":"An\u00e1lise multivariada de dados","author":"Hair J","year":"2009"},{"key":"ref23","series-title":"Structural equation modeling with AMOS: Basic concepts, applications, and programming","author":"Byrne B","year":"2010"},{"key":"ref24","series-title":"Confirmatory factor analysis for applied research","author":"Brown TA","year":"2012"},{"key":"ref25","series-title":"Test theory: A unified treatment","author":"McDonald RP","year":"1999"},{"issue":"5","key":"ref26","doi-asserted-by":"crossref","first-page":"1219","DOI":"10.1093\/heapro\/daaa149","article-title":"Translating and validating the Health Literacy Questionnaire into Urdu: A robust nine-dimension confirmatory factor model","volume":"36","author":"Saleem A","year":"2021","journal-title":"Health Promot Int"},{"issue":"4","key":"ref27","doi-asserted-by":"crossref","first-page":"471","DOI":"10.1177\/1403494820926428","article-title":"A validation study of the Norwegian version of the Health Literacy Questionnaire: A robust nine-dimension factor model","volume":"49","author":"Wahl AK","year":"2021","journal-title":"Scand J Public Health"},{"issue":"11","key":"ref28","article-title":"Adapta\u00e7\u00e3o cultural e teste de validade da vers\u00e3o portuguesa do Health Literacy Questionnaire (HLQ)","volume":"19","author":"Do \u00d3 DN","year":"2022","journal-title":"Int J Environ Res Public Health"},{"issue":"4","key":"ref29","doi-asserted-by":"crossref","DOI":"10.1016\/j.heliyon.2022.e09301","article-title":"Validation and measurement invariance of the Arabic Health Literacy Questionnaire","volume":"8","author":"Rababah JA","year":"2022","journal-title":"Heliyon"},{"issue":"1","key":"ref30","doi-asserted-by":"crossref","DOI":"10.1186\/s12889-019-7563-x","article-title":"The health literacy questionnaire among the aged in Changsha, China: Confirmatory factor analysis","volume":"19","author":"Huang Y","year":"2019","journal-title":"BMC Public Health"}],"container-title":["Texto &amp; Contexto - Enfermagem"],"original-title":["PSYCHOMETRIC VALIDITY OF THE HEALTH LITERACY QUESTIONNAIRE (HLQ) FOR BRAZILIAN PEOPLE WITH MENTAL DISORDERS"],"link":[{"URL":"http:\/\/www.scielo.br\/scielo.php?script=sci_pdf&pid=S0104-07072025000100326&tlng=pt","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2025,10,13]],"date-time":"2025-10-13T15:17:47Z","timestamp":1760368667000},"score":1,"resource":{"primary":{"URL":"http:\/\/www.scielo.br\/scielo.php?script=sci_arttext&pid=S0104-07072025000100326&tlng=pt"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2025]]},"references-count":30,"alternative-id":["S0104-07072025000100326"],"URL":"https:\/\/doi.org\/10.1590\/1980-265x-tce-2024-0167pt","relation":{"has-translation":[{"id-type":"doi","id":"10.1590\/1980-265x-tce-2024-0167en","asserted-by":"subject"}]},"ISSN":["1980-265X","0104-0707"],"issn-type":[{"value":"1980-265X","type":"electronic"},{"value":"0104-0707","type":"print"}],"subject":[],"published":{"date-parts":[[2025]]},"article-number":"e20240167"}}