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. 2022 Mar 7;19(5):3116. doi: 10.3390/ijerph19053116

Table 4.

Revised items and scales of the CHLA-Q.

Revised or Added in Step 7 Source Scale A1: Critical Information Appraisal
How Easy or Difficult Is It for You to…
Component
(chl4) revised MOHLAA-Q [35] …decide whether media information about illness can be trusted (media: internet, TV, newspapers) Accuracy/impartiality
(chl6) revised Self-developed …decide whether information about healthy habits is also a commercial (healthy habits: what you eat/drink, physical activity) Accuracy/impartiality
(chl4) revised MOHLAA-Q …decide whether media information about healthy habits can be trusted (healthy habits: what you eat/drink, physical activity) Accuracy/impartiality
(chl8) revised Self-developed …find out whether health information is relevant to you when you are ill Relevance
New HLS-Child-Q15 [34] …judge what food is healthy for you Relevance
(chl9) revised Self-developed …judge whether information on healthy habits is relevant to you (healthy habits: what you eat/drink, physical activity) Relevance
(chl4) revised MOHLAA-Q …judge whether information about unhealthy habits can be trusted (unhealthy habits: alcohol, tobacco, what you eat/drink) Accuracy/impartiality
Revised or added in step 7 Source Scale A2: Critical information appraisal
I am a person who…
(chl1) revised HELMA [30] …compares health information from different sources (sources: internet, parents, friends) Accuracy/impartiality
New HLS-Child-Q15 …can decide what I need to do to stay healthy and what doesn’t help that much Accuracy/impartiality
(chl5) revised HELMA …can decide whether a source of health information can be trusted (source: internet, TV, newspapers) Accuracy/impartiality
(chl7) revised Self-developed …asks for help if I am unsure about the trustworthiness of health information Accuracy/impartiality/Help seeking
Revised or added in step 7 Source Scale B: Awareness of social determinants of health
To what extent do you agree with the following statements?
(chl12) unchanged Self-developed Some groups in society have fewer opportunities for good health. Health inequality
(chl13) unchanged Self-developed Everybody has the same opportunities to be healthy. Health inequality
(chl14) revised Self-developed Where you grow up could have a significant impact on your health. Health inequality
(chl16) unchanged Self-developed It is unfair that some groups in society have poorer health than others. Health inequality
Revised or added in step 7 (revised/new) Scale C: Citizenship for health and well-being
I am a person who…
(chl26) unchanged UiL/self-developed [53] …can support others if they are feeling sad. Citizenship/social support
(chl24) unchanged UiL/self-developed …can help others if they are not doing well. Citizenship/social support
(chl20) unchanged Self-developed …can contribute to the well-being of others in my class. Citizenship/social support
(chl25) unchanged UiL …can help find solutions that are acceptable to all parties. Citizenship/social support
(chl28) unchanged Self-developed …can easily talk to others, even if I don’t know them very well. Citizenship/democratic participation
(chl18) unchanged HELMA …can share information about factors that influence health with others. Citizenship/democratic participation
(chl23) unchanged Self-developed …believes my knowledge about health could be useful for others. Citizenship/democratic participation
(chl22) unchanged HLSAC [32] …is aware of how my actions can influence others (e.g., attitude, mood). Citizenship/democratic participation