Pregnancy Weight Management Health Literacy Questionnaire (PWMHLQ)

Psychometric Properties of Pregnancy Weight Management Health Literacy Questionnaire

Worldwide obesity has continued to increase over the past decades. Among the adult women, the overweight and obesity rates in Taiwan are much higher than that of women in nearby Asian countries. In particular, the body mass index of women with low health literacy exceeds the normal range before pregnancy. Without proper supervision, the increase in body weight during pregnancy may result in multiple maternal complications, affect the newborn's health, and increase unnecessary medical expenses in Taiwan's health care system. Thus, assessing pregnant women' s health literacy to manage their body weight is of importance. However, currently, there is no appropriate instrument available in Taiwan to assist health practitioners in assessing the health literacy of pregnant women for weight management. The aim of the study is to develop an instrument to measure the health literacy regarding weight management of pregnant women and examine its psychometric properties.

Study Overview

• Status: Recruiting
• Conditions: Health Knowledge, Attitudes, Practice; Gestational Age and Weight Conditions
• Intervention / Treatment: Other: Pregnancy Weight Management Health Literacy Questionnaire

Detailed Description

This study will use a multiphase prospective longitudinal design. While developing the items of the instrument based on the review of the literature, five content experts will be invited to participate in the study for examining the appropriateness of the generated items. Upon the approval of the Institutional Review Board, a convenience sample will be recruited to establish face validity. Then the instrument will be refined according to the report derived from the pretesting. The content experts will then review the revised instrument again, and another 330 primigravida women will be enrolled in the study for assessing the psychometric properties. The validity and reliability of the instrument will be examined through evaluating the internal consistency reliability, split-half reliability, concurrent validity, and predictive validity. Health practitioners can use this newly developed instrument to assess pregnant women's health literacy to help manage their weight gain during pregnancy. By utilizing this instrument, health practitioners can provide individually tailored nursing care to improve the effectiveness of their weight management.

• Study Type: Observational
• Enrollment (Anticipated): 330

Contacts and Locations

• Study Contact: Name: Chao-Hui Lee, MS; Phone Number: 3872 +886-28332211; Email: R000252@ms.skh.org.tw
• Study Contact Backup: Name: Chia-Yi Lin, BS; Phone Number: 3171 +886-28227101; Email: mika.amigo70@gmail.com

Study Locations

• Taiwan
  • Taipei, Taiwan, 111045
    • Recruiting
    • Shin Kong Wu Ho-Su Memorial Hospital
    • Contact: Chao-Hui Lee, MS; Phone Number: 3872 +886-28332211; Email: R000252@ms.skh.org.tw
    • Contact: Chia-Yi Lin, BS; Phone Number: 3171 +886-28227101; Email: mika.amigo70@gmail.com
    • Principal Investigator: Chun-Yi Tai, PhD

Participation Criteria

Eligibility Criteria

• Ages Eligible for Study: 20 years to 55 years (Adult)
• Accepts Healthy Volunteers: No
• Genders Eligible for Study: Female

• Sampling Method: Non-Probability Sample

Study Population

primigravida women

Description

Inclusion Criteria:

• Primigravida women
• Fluent in writing, reading and speaking Mandarin

Exclusion Criteria:

• Non-pregnant
• Can't fluent in writing, reading and speaking Mandarin
• Cognitive dysfunction

Study Plan

How is the study designed?

Design Details

• Observational Models: Family-Based
• Time Perspectives: Prospective

Number of groups / cohorts

1

Cohorts and Interventions

Group / Cohort	Intervention / Treatment
primigravida women; Weight management health literacy of primigravida women.	Other: Pregnancy Weight Management Health Literacy Questionnaire; Give questionnaires to check the weight management health literacy level of primigravida women.

What is the study measuring?

Primary Outcome Measures

Outcome Measure	Measure Description	Time Frame
weight management health literacy	level of maternal weight management health literacy	during pregnancy(before delivery/ Within 10 months)

Secondary Outcome Measures

Outcome Measure	Measure Description	Time Frame
postpartum body weight	record postpartum body weight in kilograms	On the day of delivery
body weight before pregnancy	record body weight in kilograms from medical records	On the day of delivery
time of labor	record time of labor from medical records	On the day of delivery
labor conditions	record conditions of labor from medical records	On the day of delivery
newborn body weight	record newborn body weight in grams from medical records	On the day of delivery
newborn body height	record newborn body height in meters from medical records	On the day of delivery
newborn Apgar score	record newborn Apgar score from medical records	On the day of delivery
newborn conditions	record newborn conditions from medical records	On the day of delivery

Other Outcome Measures

Outcome Measure	Measure Description	Time Frame
The short-form health literacy questionnaire (HL-SF12)	This study uses the short-form health literacy questionnaire (HL-SF12) to check the level of health literacy.The perceived difficulty of each health-related task was rated on 4-point Likert scales (1=very difficult, 2=difficult, 3=easy, and 4=very easy).An index value was thus obtained in which 0 represented the lowest HL and 50 the highest HL.The HL matrix was constructed from 4 steps of information processing in three health domains, which created a total of 12 dimensions or components of HL. The indices for HL were standardized to unified metrics from 0 to 50 using the formula; Index=(mean-1)×(50/3), where Index is the specific index calculated, mean is the mean of all participating items for each individual, 1 is the minimal possible value of the mean (leading to a minimum value of the index of 0), 3 is the range of the mean, and 50 is the chosen maximum value of the new metric.	during pregnancy(before delivery/ Within 10 months)

Collaborators and Investigators

• Sponsor: Chao-Hui, Lee
• Collaborators: National Taipei University of Nursing and Health Sciences
• Investigators: Principal Investigator: Chun-Yi Tai, PhD, National Taipei University of Nursing and Health Sciences

Publications and helpful links

General Publications

• Duong VT, Lin IF, Sorensen K, Pelikan JM, Van Den Broucke S, Lin YC, Chang PW. Health Literacy in Taiwan: A Population-Based Study. Asia Pac J Public Health. 2015 Nov;27(8):871-80. doi: 10.1177/1010539515607962. Epub 2015 Sep 29.
• Huang YJ, Lin GH, Lu WS, Tam KW, Chen C, Hou WH, Hsieh CL. Validation of the European Health Literacy Survey Questionnaire in Women With Breast Cancer. Cancer Nurs. 2018 Mar/Apr;41(2):E40-E48. doi: 10.1097/NCC.0000000000000475.
• Sørensen K, Van den Broucke S, Pelikan JM, Fullam J, Doyle G, Slonska Z, Kondilis B, Stoffels V, Osborne RH, Brand H; HLS-EU Consortium. Measuring health literacy in populations: illuminating the design and development process of the European Health Literacy Survey Questionnaire (HLS-EU-Q). BMC Public Health. 2013 Oct 10;13:948. doi: 10.1186/1471-2458-13-948.
• Duong TV, Aringazina A, Kayupova G, Nurjanah, Pham TV, Pham KM, Truong TQ, Nguyen KT, Oo WM, Su TT, Majid HA, Sorensen K, Lin IF, Chang Y, Yang SH, Chang PWS. Development and Validation of a New Short-Form Health Literacy Instrument (HLS-SF12) for the General Public in Six Asian Countries. Health Lit Res Pract. 2019 Apr 10;3(2):e91-e102. doi: 10.3928/24748307-20190225-01. eCollection 2019 Apr.
• Duong TV, Nguyen TTP, Pham KM, Nguyen KT, Giap MH, Tran TDX, Nguyen CX, Yang SH, Su CT. Validation of the Short-Form Health Literacy Questionnaire (HLS-SF12) and Its Determinants among People Living in Rural Areas in Vietnam. Int J Environ Res Public Health. 2019 Sep 11;16(18):3346. doi: 10.3390/ijerph16183346.

Study record dates

Study Major Dates

• Study Start (Actual): August 17, 2021
• Primary Completion (Anticipated): June 30, 2022
• Study Completion (Anticipated): June 30, 2022

Study Registration Dates

• First Submitted: August 17, 2021
• First Submitted That Met QC Criteria: September 6, 2021
• First Posted (Actual): September 13, 2021

Study Record Updates

• Last Update Posted (Actual): June 24, 2022
• Last Update Submitted That Met QC Criteria: June 22, 2022
• Last Verified: June 1, 2022

More Information

Terms related to this study

• Keywords: health literacy; weight management; primigravida women
• Additional Relevant MeSH Terms: Body Weight
• Other Study ID Numbers: 20201209R

Plan for Individual participant data (IPD)

• Plan to Share Individual Participant Data (IPD)?: Undecided

Drug and device information, study documents

• Studies a U.S. FDA-regulated drug product: No
• Studies a U.S. FDA-regulated device product: No