| Title: | Translation, cultural adaptation and psychometric evaluation of the Slovene version of The Heart failure-specific health literacy scale in patients with heart failure |
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| Authors: | ID Rebernik Grah, Klara (Author) ID Lainščak, Mitja (Author) ID Farkaš-Lainščak, Jerneja (Author) |
| Files: | URL - Source URL, visit https://www.nature.com/articles/s41598-026-56592-5
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| Language: | English |
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| Typology: | 1.01 - Original Scientific Article |
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| Organization: | NIJZ - National Institute of Public Health
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| 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. |
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| Keywords: | heart failure, health literacy |
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| Publication status: | In print |
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| Publication version: | Author Accepted Manuscript |
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| Submitted for review: | 06.12.2025 |
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| Article acceptance date: | 02.06.2026 |
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| Publication date: | 05.06.2026 |
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| Year of publishing: | 2026 |
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| Number of pages: | str. 1-24 |
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| Numbering: | Vol. |
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| PID: | 20.500.12556/DiRROS-31096  |
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| UDC: | 61 |
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| ISSN on article: | 2045-2322 |
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| DOI: | 10.1038/s41598-026-56592-5  |
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| COBISS.SI-ID: | 284486147  |
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| Note: | Nasl. z nasl. zaslona;
Opis vira z dne 12. 7. 2026;
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| Publication date in DiRROS: | 12.07.2026 |
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| Views: | 30 |
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| Downloads: | 15 |
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