Abstract: Objective To develop a questionnaire on health literacy of Chinese medicine for primary and secondary school students,and to test its reliability and validity. Methods Based on the theory of "knowledge-attitude-belief-practice"（KABP）,the questionnaire item pool was constructed in December 2023 through literature review,expert consultation and group discussion,and validated and optimized by cognitive interview,item analysis,exploratory factor analysis and reliability test. Results The questionnaires were divided into secondary school students' questionnaire and primary school students' questionnaire,including 15-18 items for basic information and 23-25 items for 3 dimensions of knowledge,attitude and practice. Two rounds of expert consultation were organized and 24 experts were invited,and the expert authority coefficients were 0.900 and 0.950,respectively. Item analysis showed that each item had significant discriminatory power,and the correlation with the total scale score reached a significant level. The questionnaire reliability（Cronbach’s α=0.910） and content validity（I-CVI：0.875-1.000） were excellent. Conclusion The questionnaire based on the theory of KABP has certain reliability and scientific validity,and is suitable for assessing the current status of health literacy of Chinese medicine among primary and secondary school students.

Key words: Primary and secondary school students, Chinese medicine culture, Health literacy, Reliability, Validity