Confirmatory Factor Analysis of Health Literacy in COVID-19 Prevention of Back Office Staff in Hospital

Abstract

Health literacy in COVID-19 prevention helps support staff gain correct and effective knowledge and understanding of disease prevention, which can be applied in daily life. Therefore, tools for measuring health literacy are important for accurately assessing staff knowledge and understanding levels. This study aims to investigate the confirmatory components of health literacy in COVID-19 prevention among support staff working at Thammasat University Hospital. The study results show that the majority of the sample group is female (88.38%), aged between 31-40 years (38.38%), married or in a partnership (56.57%), and has an education level below a bachelor's degree (56.06%). In their families, 78.54% have members who contracted COVID-19, and 67.17% of the sample themselves have been infected with COVID-19. The confirmatory components of health literacy in COVID-19 prevention include access to information, knowledge and understanding, communication skills, self-management, media literacy, and decision-making skills. All these components are positively correlated, and the second-order confirmatory factor model aligns with the empirical data (χ² = 3.83, df = 2, p-value = 0.147, GFI = 0.996, AGFI = 0.963, RMR = 0.011, RMSEA = 0.050). Therefore, these six confirmatory components can be used to measure health literacy in COVID-19 prevention for support staff in various nursing service institutions.