en <span style=font-size:12pt><span style=font-family:Times New Roman,serif><b><span style=font-size:10.0pt><span style=font-family:Cambria,serif><span style=color:#4f81bd>Aims:</span></span></span></b> <a name=_Hlk190858427><span style=font-size:10.0pt><span style=font-family:Cambria,serif>Measuring health literacy through metaphors can enhance the understanding of metaphorical concepts in the health field. Therefore, the purpose of this study was to design, construct, and evaluate the psychometric characteristics of a metaphorical health literacy questionnaire.</span></span></a><span style=font-size:10.0pt><span style=font-family:Cambria,serif></span></span></span></span><br> <span style=font-size:12pt><span style=font-family:Times New Roman,serif><a name=_Hlk190852671><b><span style=font-size:10.0pt><span style=font-family:Cambria,serif><span style=color:#4f81bd>Instrument & Methods</span></span></span></b></a><b><span style=font-size:10.0pt><span style=font-family:Cambria,serif><span style=color:#4f81bd>:</span></span></span></b><span style=font-size:10.0pt><span style=font-family:Cambria,serif> This descriptive research used survey and psychometric studies. Based on the four areas of knowledge, services, strategies, and interventions derived from the content analysis of the Metaphorical Health Literacy Questionnaire, 15 Likert items were designed for the most common source domains of object, force, and product. The content validity of the questionnaire was assessed by three cognitive linguists, two health psychologists, two health experts, two physicians, and one psychometric expert. Finally, the questionnaire was completed voluntarily by 150 Persian-speaking university students in Tehran in 2024. The data were analyzed using SPSS 26, and AMOS 14 software was employed for modeling.</span></span></span></span><br> <span style=font-size:12pt><span style=font-family:Times New Roman,serif><b><span style=font-size:10.0pt><span style=font-family:Cambria,serif><span style=color:#4f81bd>Findings:</span></span></span></b><span style=font-size:10.0pt><span style=font-family:Cambria,serif> Exploratory factor analysis indicated that four factors (object, force, product, and human) explained 38.21% of the total variance of the questionnaire. The reliability of the questionnaire was obtained using Cronbach’s alpha method, with a value of 0.79, indicating high reliability. Furthermore, confirmatory factor analysis was performed to assess the factorial validity of the questionnaire, which demonstrated an appropriate fit of the model to determine the factors.</span></span></span></span><br> <span style=font-size:12pt><span style=font-family:Times New Roman,serif><b><span style=font-size:10.0pt><span style=font-family:Cambria,serif><span style=color:#4f81bd>Conclusion:</span></span></span></b> <span style=font-size:10.0pt><span style=font-family:Cambria,serif>The Metaphorical Health Literacy Questionnaire for Persian speakers is both valid and reliable.</span></span></span></span> Health Literacy,Psychometrics,Health Literacy,Metaphor, 163 169 http://hehp.modares.ac.ir/browse.php?a_code=A-10-51925-17&slc_lang=en&sid=4