Health literacy of Schizophrenic patients’ caregivers in Bangkok Metropolitan


  • Sombat Riyaphun Psychiatric Department, Kuakarun Faculty of Nursing , Navamindradhiraj University
  • Yada Prakongyos Public Health Service Center 3 Bang Sue, Bangkok
  • Sutheekarn Chaiyalap Psychiatric Department, Kuakarun Faculty of Nursing, Navamindradhiraj University


Health Literacy, Schizophrenic patients ’caregivers


The objectives of this quantity research were to develop the Health Literary Scale of Schizophrenic Patients’ Caregivers in Bangkok Metropolitan, and to study the health literacy levels of the caregivers who were looking after the Schizophrenic patients. Nutbeam’s Theory of Health Literacy (2008) was used as theoretical construct to develop the scale. Content validity was primarily validated by five experts and nurses in Mental Health and Psychiatry. One hundred caregivers from each of the six Public Health Service Centers, Department of Health, under the Office of Bangkok Metropolitan Administration were systematically selected as the sample from the list of psychiatric patients in the community, with the total of 600 cases. Two parts of the scale consisted of Demography, and Health literacy scale with multiple choice and Likert’s Rating Scale formats. Confirmatory Factor Analysis (CFA) was employed by Linear Structural Relationship (LISREL) program, version 8.80, to analyze its validities. Cronbach’s Alpha Coefficient and KR- 20 were used to obtain the reliabilities.  Frequencies and Percentage were employed to analyze the health literacy levels of the caregivers. It was found that the total reliability of the Health Literacy Scale was .87. Confirmatory Factor Analysis indicated that the Scale was acceptably consistent with the empirical data (X2 = 6.86, df = 5, CFI = 1, GFI = 1, AGFI = .98, RMSEA = .03, SRMR = .01). The factor of Communicative/interactive level of the caregivers was found to be satisfactory, whereas the factors of Basic/functional and Critical levels were a little bit lower. Health literacy of the Schizophrenic patients’ caregivers were found to be at fair level. (31.50 %). Its validity and reliability were acceptable.


Corsini, R. J. (2002). The dictionary of psychology. New York: Bruner- Routledge.

Department of Health. Ministry of Public Health. (2019). How important is health literacy for Thai people?. Retrieved from

Hair, J.F., Black, W.C., Babin, B.J., & Anderson, R.E. (2010). Multivariate data analysis: A global perspective (7th ed.). NJ: Pearson Education.

Information Center Planning Division, Department of Mental Health. (2016). Service statistics of departments under the department Mental Health Annual 2015,2016. Nonthaburi: Ministry public health.

Intarakamhang, U., & Khumthong, T. (2017). Measurement Development of Health Literacy and Unwanted Pregnancy Prevention Behavior for Thai Female Adolescents. Journal of Public Health Nursing, 31(3), 19-37

Lortrakul, M., & Sukanich, P. (2012). Ramathibodi essential psychiatry. (4thed). Bangkok; Faculty of Medicine Ramathibodi Hospital.

Nutbeam, D. (2000). Health literacy as a public health goal: a challenge for contemporary health education and communication strategies into the 21st century. Health promotion international, 15(3), 259-267.

Nutbeam D. (2008). The evolving concept of health literacy. Social science & medicine (1982), 67(12), 2072–2078.

O’Brien, Pratricia G., Kennedy, Winifred Z. & Ballard., Karen A. (2013). Psychiatric mental Health nursing. An introduction to theory and practice. (2nd ed). MA: Jones & Bartlett

Patricia, O’Brien, Winifred, Z., Kennedy, & Karen, A. Ballard

Reinhard, S. C. (1994). Living with mental illness: Effects of professional support and personal control on caregiver burden. Research in Nursing & Health, 17(2), 79-88.

Rodrigo, C., Fernando, T., Rajapakse, S., De Silva, V., & Hanwella, R. (2013). Caregiver strain and symptoms of depression among principal caregivers of patients with schizophrenia and bipolar affective disorder in Sri Lanka. International Journal of Mental Health Systems,7(1), 1-5.

Sriprompas, K., Nintajan, P., & Saengon, S. (2015). Relationships between resilience, stigma, knowledge, social support and personal factors, and caregivers’ burdens. The Journal of Psychiatric Nursing and Mental Health, 29(1), 103-122.

Unsuchoti, S., Vijitwanna, S., & Pinyopanuwat, R. (2014). Statistics for social and behavioral science research: Technics in using LISREL program. (4th ed). Bangkok: Charoen Dee Mankong Printings.

Varcarolis, E. M., & Halter, M. J. (2010). Foundations of psychiatric mental health nursing. A clinical approach. (6th ed). Missouri: Suanders Elsevier.

World Health Organization. (2018). Schizophrenia. Retrieved From




How to Cite

Riyaphun, S., Prakongyos, Y., & Chaiyalap, S. (2023). Health literacy of Schizophrenic patients’ caregivers in Bangkok Metropolitan. Journal of Health and Health Management, 9(2), 27–39. Retrieved from



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