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  • Leili M, Sakineh R, Anoushirvan M, Mohtasham G
  • Measure of Environmental Health Literacy for Adults (MEHLA): A Multi Approach Design Research Protocol for Conceptualization, Instrumentation and Media Development
  • JMIR Research Protocols
  • DOI: 10.2196/11848
  • PMID: 30303485
  • PMCID: 6352016
Preprints Accepted Manuscript

Measure of Environmental Health Literacy for Adults (MEHLA): A Multi Approach Design Research Protocol for Conceptualization, Instrumentation and Media Development

Abstract

background

Enhancing Environmental Health Literacy (EHL) is an effective approach to developing and implementing appropriate strategies for addressing environmental health hazards. To achieve this, it is essential to use a valid, reliable, and culturally relevant tool to measure and assess EHL status among populations. Additionally, applying appropriate educational media can help maximize the effectiveness of interventions.

objective

This study provides a clear roadmap for explaining and defining the concept of EHL, developing and psychometrically evaluating its measurement tool, and designing educational media for relevant interventions.

methods

The present protocol introduces a Multi Approach Design (MAD) research. In the first step, an exploratory qualitative study will be conducted following a systematic review to logically justify its necessity. This study will involve semi-structured interviews to explore and explain the concept of EHL and its dimensions from the perspectives of experts and adults. In the second step, a methodological study will be conducted to develop and psychometrically evaluate the Measure of Environmental Health Literacy for Adults (MEHLA). Dimensions will be extracted, and an item pool will be generated using three sources: interviews, a literature review, and existing measurement tools. In the third step, educational media for EHL interventions will be developed and assessed through both qualitative and quantitative evaluations. Researchers can utilize two main approaches for this purpose.

results

This study has been funded and received ethics approval from Research Ethics Committees of School of Public Health & Neuroscience Research Center - Shahid Beheshti University of Medical Sciences. It is expected that it will be completed in December 2025.

conclusions

In addition to providing a clear explanation of EHL and its dimensions, the resulting instrument will serve as a valid tool for measuring EHL in various cross-sectional and interventional studies. Furthermore, the educational media will support planners in implementing effective interventions aimed at enhancing individuals’ EHL to the greatest extent possible.

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Copyright

© The authors. All rights reserved. This is a privileged document currently under peer-review/community review (or an accepted/rejected manuscript). Authors have provided JMIR Publications with an exclusive license to publish this preprint on it’s website for review and ahead-of-print citation purposes only. While the final peer-reviewed paper may be licensed under a cc-by license on publication, at this stage authors and publisher expressively prohibit redistribution of this draft paper other than for review purposes.

Citation

Please cite as:

Leili M, Sakineh R, Anoushirvan M, Mohtasham G

Measure of Environmental Health Literacy for Adults (MEHLA): A Multi Approach Design Research Protocol for Conceptualization, Instrumentation and Media Development

JMIR Research Protocols

DOI: 10.2196/14886

URL: https://preprints.jmir.org/preprint/11848

PMID: 31789598

PMCID: 6352016

Measure of Environmental Health Literacy for Adults (MEHLA): A Multi Approach Design Research Protocol for Conceptualization, Instrumentation and Media Development

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