Presentation Schedule
Developing Culturally Grounded Indicators of Critical Health Literacy: A Mixed-Methods Study Among University Students in Taiwan (103672)
Tuesday, 24 March 2026 14:30
Session: Poster Session 2
Room: Orion Hall (5F)
Presentation Type: Poster Presentation
Purpose: This study aimed to explore university students’ experiences related to critical health literacy (CHL) and to develop culturally grounded CHL indicators tailored to the Taiwanese context. Methods: A mixed-methods design was adopted in two phases. In the first phase, six focus group interviews were conducted with a total of 38 university students in Taiwan to explore their practices related to CHL. In the second phase, a fuzzy Delphi method was employed. Eleven scholars with expertise in health literacy were invited to evaluate the preliminary indicators. Consensus-based indicators were identified using a double triangular fuzzy number approach. Results: Focus group findings revealed that students demonstrated foundational skills in evaluating and verifying health information and recognized social determinants of health such as housing, diet, academic pressure, and healthcare access. They also exhibited multi-level health action awareness, from personal adaptation to community engagement and policy advocacy. The fuzzy Delphi process yielded 30 consensus indicators across three domains: (1) evaluation of health information, (2) comprehension of social determinants of health, and (3) engagement in health actions. Each domain comprises indicators related to cognition, attitude, and skills. Conclusion: This study developed a three-domain structure and corresponding indicators for university students’ CHL. The findings align with international CHL frameworks while reflecting the unique cultural and social context of Taiwan. The findings may serve as a reference for designing university health literacy curricula and youth-oriented health promotion strategies, and provide both theoretical and empirical foundations for the future development of CHL measurement tools and cross-cultural research.
Authors:
Mi-Hsiu Wei, Tzu Chi University, Taiwan
Chih-Hsiang Hsu, Tzu Chi University, Taiwan
About the Presenter(s)
Dr Mi-Hsiu Wei is currently a professor of the Department of Communication Studies, Tzu Chi University, Taiwan.
See this presentation on the full schedule – Tuesday Schedule
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