Psychometric properties of the adapted instrument European Health Literacy Survey Questionnaire short-short form

Mialhe, Fábio Luiz; Moraes, Katarinne Lima; Bado, Fernanda Maria Rovai; Brasil, Virgínia Visconde; Sampaio, Helena Alves de Carvalho; Rebustini, Flávio

doi:10.1590/1518-8345.4362.3436

Cited by 19 publications

(17 citation statements)

References 36 publications

(47 reference statements)

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“…Short versions of the European Health Literacy Survey Questionnaire (HLS-EU-Q16, Q6) Turkish [301]; Italian [302]; Icelandic [303]; French [304]; Arabic/French [305]; Swedish-Arabic [306]; Japanese [307]; Brazilian Portuguese [308]; Pakistanian [309]; German [310]; French [311] - Taiwanese [313]; Vietnam [314]; Turkish [315]; Japanese [307] -Disease specific health literacy instruments…”

Section: Pelikan Et Al [61]mentioning

confidence: 99%

Measuring health literacy: A systematic review and bibliometric analysis of instruments from 1993 to 2021

et al. 2022

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Background It has been about 30 years since the first health literacy instrument was developed. This study aimed to review all existing instruments to summarize the current knowledge on the development of existing measurement instruments and their possible translation and validation in other languages different from the original languages. Methods The review was conducted using PubMed, Web of Science, Scopus, and Google Scholar on all published papers on health literacy instrument development and psychometric properties in English biomedical journals from 1993 to the end of 2021. Results The findings were summarized and synthesized on several headings, including general instruments, condition specific health literacy instruments (disease & content), population- specific instruments, and electronic health. Overall, 4848 citations were retrieved. After removing duplicates (n = 2336) and non-related papers (n = 2175), 361 studies (162 papers introducing an instrument and 199 papers reporting translation and psychometric properties of an original instrument) were selected for the final review. The original instruments included 39 general health literacy instruments, 90 condition specific (disease or content) health literacy instruments, 22 population- specific instruments, and 11 electronic health literacy instruments. Almost all papers reported reliability and validity, and the findings indicated that most existing health literacy instruments benefit from some relatively good psychometric properties. Conclusion This review highlighted that there were more than enough instruments for measuring health literacy. In addition, we found that a number of instruments did not report psychometric properties sufficiently. However, evidence suggest that well developed instruments and those reported adequate measures of validation could be helpful if appropriately selected based on objectives of a given study. Perhaps an authorized institution such as World Health Organization should take responsibility and provide a clear guideline for measuring health literacy as appropriate.

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Section: Pelikan Et Al [61]mentioning

confidence: 99%

Measuring health literacy: A systematic review and bibliometric analysis of instruments from 1993 to 2021

et al. 2022

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“…It is defined as the ability to obtain, process, and understand health information and use such knowledge to make proper health decisions and adhere to treatment 9 . Health literacy has been identified as the new vital sign and a modifiable social determinant of health 10 - 12 , which can promote adherence to healthy behaviors in adolescence 13 .…”

Section: Introductionmentioning

confidence: 99%

Association of health literacy, COVID-19 threat, and vaccination intention among Brazilian adolescents

Pimentel

Avila

Prata

et al. 2022

Rev. Latino-Am. Enfermagem

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Objective: investigate the influence of health literacy on the assessment of COVID-19 threat to health and the intention not to be vaccinated among Brazilian adolescents. Method: cross-sectional study with 526 Brazilian adolescents aged 14 to 19 years. Socioeconomic aspects, health-disease profile, health literacy, health threat by COVID-19 and intention not to be vaccinated were analyzed by bivariate association and multiple linear regression with Poisson response. Results: higher health literacy score (p=0.010), cardiovascular disease (p=0.006), lower income (p=0.000), and living in the North region (p=0.007) were factors that contributed to feeling more threatened by COVID-19. Health literacy did not influence the intention not to be vaccinated (p=0.091), whose prevalence was lower among adolescents in the Southeast region when compared to those in the North region (p=0.010), among those who attended higher education (p=0,049) and those with higher income (p=0.000). Conclusion: health literacy influenced the perception of COVID-19 threat, but not the intention not to be vaccinated. Assessment of COVID-19 threat to health and prevalence of the intention not to be vaccinated were influenced by the region of residence, income, and education, which reinforces the importance of social determinants of health in this context.

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“…Its objective is to measure the psychometrics properties of the Portuguese version of the HLS-EU-PT-Q16 and HLS-EU-PT-Q6 the short and short-short forms of the 47 items version questionnaire (HLS-EU-Q47). Several countries have already translated and validated one of these instruments (short forms), or have proposed to do so (6)(7)(8)(9)(10)(11).…”

Section: Introductionmentioning

confidence: 99%

Portuguese version of the HLS-EU-Q6 and HLS-EU-Q16 questionnaire: psychometric properties

Pedro

Raposo

Luís

et al. 2022

Preprint

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Background Health Literacy (HL) refers to the empowerment and competencies of individuals and the general population to navigate in the various areas of health care, to make decisions regarding their health in everyday life in an individual, family, or social context. Due to the dynamic process of health literacy, health professionals need to have a set of skills and real information that allow them to adapt to the changing landscape of people's literacy in order to empower them in the areas they need. To succeed, it is crucial to have the means to determine the health literacy level of the general population, in this case in the Portuguese context. Therefore, this study aims to measure the psychometric properties of the Portuguese version of HLS-EU-Q16 (HLS-EU-PT-Q16) and HLS-EU-Q6 (HLS-EU-PT-Q6) from the long form of HLS-EU-Q47 already validated for Portugal (HLS-EU-PT). Methods In order to analyse the results already obtained, a comparison was made with HLS-EU-PT index. Spearman correlation analysis was performed between the single items and scale scores. Cronbach’s alphas for all the indexes were calculated as a measure of internal consistency. For comparison associations between all the HL indexes - non-parametric test were calculated. The software used for the statistical analysis was SPSS (version 28.0). Results Cronbach’s alpha coefficient for HLS-EU-PT-Q16 internal consistency was 0.89 overall, and regarding HLS-EU-PT-Q6 the Cronbach’s alpha coefficient obtained was 0.777 overall. Indexes were not normally distributed, and Spearman correlation was computed. The results obtained in the correlation between G HL47 and G HL16 indexes (ρ=0.949, p<0.001) and the correlation between G HL6 and HLS-EU-PT-Q6 have a perfect correlation. Conclusions The HLS-EU-PT-Q16 and HLS-EU-PT-Q6 are concise and present adequate psychometric properties to measure health literacy level of the Portuguese population. However, the forms that show more similarities are the 47-item and the 16-item forms of the HLS-EU-PT.

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Psychometric properties of the adapted instrument European Health Literacy Survey Questionnaire short-short form

Cited by 19 publications

References 36 publications

Measuring health literacy: A systematic review and bibliometric analysis of instruments from 1993 to 2021

Measuring health literacy: A systematic review and bibliometric analysis of instruments from 1993 to 2021

Association of health literacy, COVID-19 threat, and vaccination intention among Brazilian adolescents

Portuguese version of the HLS-EU-Q6 and HLS-EU-Q16 questionnaire: psychometric properties

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