Background: Assessing the health literacy of diabetic patients requires the availability of a tool specific to
this group. The Diabetes Health Literacy Assessment Questionnaire (LAD) is one of the tools used to
measure the health literacy of diabetic patients. The present study was conducted with the aim of translating
and validating the Persian version of the LAD questionnaire.
Methods: The present study aimed to determine the validity and reliability of the Persian version of the
Health Literacy Assessment Questionnaire for diabetic patients on 300 patients with diabetes in 1398, by
sampling. Stages of study: First: Translation and preparation of the Persian version of the health literacy
questionnaire in order to design and select items and their qualitative evaluation by the second group:
Quantitative evaluation of narrative features using the opinions of the third group of experts: Formal
narrative evaluation (comprehensibility) and The reliability of the questionnaire was assessed by a small
group of the target population in a fourth experimental study: analysis of items, validity assessment and
reliability of the final questionnaire.
Results: In the analysis of organizational structure items, the effects of roof and floor were not observed.
The highest averages were for items 8 and 12 and the lowest averages were for items 6. According to the
Skewness Index, no deviation was observed in the items. Based on the results, the instrument had acceptable
internal stability. Detective factor analysis identified two factors for the Diabetes Health Literacy
Questionnaire: one was individual understanding and the second was social support.
Conclusion: The results of exploratory factor analysis, Diabetes Health Literacy Questionnaire (LAD) have
good validity and reliability and can be used to measure the health literacy of diabetic patients.
Keywords: Validity, Reliability, Initial Validation, Health Literacy Assessment Questionnaire For Diabetic
Patient
