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Title:Translation, cultural adaptation and psychometric evaluation of the Slovene version of The Heart failure-specific health literacy scale in patients with heart failure
Authors:ID Rebernik Grah, Klara (Author)
ID Lainščak, Mitja (Author)
ID Farkaš-Lainščak, Jerneja (Author)
Files:URL URL - Source URL, visit https://www.nature.com/articles/s41598-026-56592-5
 
Language:English
Typology:1.01 - Original Scientific Article
Organization:Logo NIJZ - National Institute of Public Health
Abstract:In this study, we translated and culturally adapted the Heart Failure-Specific Health Literacy Scale (HFsHLS) and psychometrically evaluated it among Slovenian patients with heart failure (HF). A cross-sectional study was conducted among 126 outpatients with chronic HF (mean age 69 ± 11 years; 71% male; 63% had LVEF ≤ 40%). Data were collected through face-to-face interviews using the HFsHLS, the Brief Health Literacy Screen (BHLS), the Dutch Heart Failure Knowledge Scale, and the European Heart Failure Self-Care Behavior Scale. Confirmatory factor analysis supported the original three-factor structure (Functional, Communicative, and Critical HL subscales) with acceptable model fit (CFI = 0.91, RMSEA = 0.07). The HFsHLS total scale demonstrated acceptable internal consistency (α = 0.71) and a moderate correlation with the BHLS (ρ = 0.49, p < 0.001), while correlations with HF knowledge and self-care were weak and non-significant (ρ = 0.12, p = 0.184; ρ = 0.16, p = 0.182). The Functional HL subscale performed best. Overall, the Slovenian version of the HFsHLS is a valid tool for assessing disease-specific HL in patients with HF.
Keywords:heart failure, health literacy
Publication status:In print
Publication version:Author Accepted Manuscript
Submitted for review:06.12.2025
Article acceptance date:02.06.2026
Publication date:05.06.2026
Year of publishing:2026
Number of pages:str. 1-24
Numbering:Vol.
PID:20.500.12556/DiRROS-31096 New window
UDC:61
ISSN on article:2045-2322
DOI:10.1038/s41598-026-56592-5 New window
COBISS.SI-ID:284486147 New window
Note:Nasl. z nasl. zaslona; Opis vira z dne 12. 7. 2026;
Publication date in DiRROS:12.07.2026
Views:30
Downloads:15
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Record is a part of a journal

Title:Scientific reports
Shortened title:Sci. rep.
Publisher:Nature Publishing Group
ISSN:2045-2322
COBISS.SI-ID:18727432 New window

Document is financed by a project

Funder:ARIS - Slovenian Research and Innovation Agency
Project number:630-141/2020-4
Name:Agency’s Young Researcher Training Programme

Secondary language

Language:Slovenian
Keywords:srčno popuščanje, skrb zase, literatura


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