Cross-cultural adaptation and validation of the health literacy assessment tool METER in the Portuguese adult population

Paiva, Dagmara; Silva, Susana; Severo, Mílton; Moura-Ferreira, Pedro; Santos, Osvaldo; Lunet, Nuno; Azevedo, Ana

doi:10.1016/j.pec.2014.07.024

Cited by 31 publications

(54 citation statements)

References 22 publications

(16 reference statements)

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“…Also, we did not include any validated measures of either subjective or objective health literacy, which could have been used to quantitatively assess different levels of health literacy. Instead, we asked for real-life experiences in the health field as a proxy, which have been showed to correlate only with objective health literacy tests [ 15 ]. Our results show that there is a correlation between these experiences and the eHEALS, yet we suggest that future studies also include other validated measures of health literacy to better correct results and to explore the correlation of the eHEALS with both subjective and objective measures of health literacy.…”

Section: Discussionmentioning

confidence: 99%

“…There are several possible measures of functional health literacy using measurement tools that are grounded on different theories. Yet, functional measures of health literacy have been shown to correlate with studying or working experiences in the health field [ 15 ], with physicians, researcher in the health field, and nurses showing higher health literacy levels in comparison with the general population. Therefore, we chose to recruit a large sample of respondents, divided into two groups, by asking them whether they had real-life experiences in studying or working in the health sector (eg, physicians, nurses, health alliance professionals).…”

Section: Introductionmentioning

confidence: 99%

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Correlation Between eHealth Literacy and Health Literacy Using the eHealth Literacy Scale and Real-Life Experiences in the Health Sector as a Proxy Measure of Functional Health Literacy: Cross-Sectional Web-Based Survey

et al. 2018

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BackgroundThe eHealth Literacy Scale (eHEALS) is a tool for the self-assessment of perceived comfort and skills in using the internet as a source for health-related information. Although evidence exists of the reliability and construct and structural validity of the scale, there is a lack of evidence in relation to what is proposed by Norman and Skinner in their theoretical lily model of eHealth literacy; in particular it is not clear whether having a higher level of health literacy can positively influence electronic health (eHealth) literacy as measured by the eHEALS.ObjectiveOur study aim was to assess whether real-life experiences from studying or working in the health field, as a proxy of higher functional health literacy, correlate with self-referred eHealth literacy as measured by the eHEALS.MethodsA Web-based survey was conducted among adults living in Northeast Italy using an Italian version of the eHEALS (IT-eHEALS). In order to be able to measure the effect of higher functional health literacy on eHealth literacy, we divided our sample into two groups, respectively characterized by studying or working experience in the health sector and by lack thereof. Mean differences between eHEALS were calculated using t test and effect size evaluated using Cohen d. To ensure the validity of the IT-eHEALS, we evaluated its psychometric properties (internal consistency and dimensionality) and construct validity (by evaluating its correlation with respondents age, gender, educational attainment, self-rated health, use of internet for health-related purposes, and working status).ResultsA total of 868 respondents that completed the IT-eHEALS were included for analysis, of which 259 had working or studying experience in the health field. Mean (SD) eHEALS total score was 28.2 (6.2) for the whole sample, with statistically significant differences (P<.001) between the two groups, with the higher health literate group scoring significantly better (31.9 (5.9) vs 26.7 (5.6), respectively), with a standardized mean difference (Cohen d) of 0.9. Interestingly, we found a weak, yet significant, correlation between eHealth literacy and respondent characteristics for the higher health literate group only, as measured by positive Spearman correlation coefficients for age (0.11, P=.001), educational attainment (0.19, P=.002) and self-rated health (0.14, P=.024). Also, in line with current literature, correlation of eHEALS score with frequency of internet use for health-related purposes was significant for both groups (0.32, P<.001 and 0.15, P<.001 for higher and lower health literacy group, respectively). In our study we could not find any difference related to gender, while a significant difference for working status was only present when considering the sample as a whole (P=.03).ConclusionsOur study demonstrates a sizeable effect of higher levels of functional health literacy on the eHEALS score, corroborating what was initially proposed by Norman and Skinner in the lily model of eHealth literacy.

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Section: Discussionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Correlation Between eHealth Literacy and Health Literacy Using the eHealth Literacy Scale and Real-Life Experiences in the Health Sector as a Proxy Measure of Functional Health Literacy: Cross-Sectional Web-Based Survey

et al. 2018

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“…Health Literacy (HL) can be used as one of the active factors in developing preventive behaviors, using preventive health services, and increasing the people's knowledge level [12]. HL is defined as the capacity of individuals to acquire, interpret, and understand basic health information and services that are necessary for making effective health decisions [13]. Various studies have shown that a low level of Health Literacy leads to a delayed diagnosis of diseases, impaired self-care skills [14], increased hospitalization rates [15], increased incidence of various illnesses, and finally higher mortality rate [16].…”

Section: Introductionmentioning

confidence: 99%

Health Literacy and Its Relationship With Body Mass Index

Moghaddam

Lakeh

Rahebi

et al. 2019

J. Holist. Nurs. Midwifery

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Obesity is currently one of the health problems in the world, and the recent report of the World Health Organization has highlighted Health Literacy (HL) as one of the most important determinants of health. Objective: This study aimed to investigate the HL level and its relationship with Body Mass Index (BMI) in students of Guilan University of Medical Sciences (GUMS). Materials and Methods: This was an analytical cross-sectional study of the correlational type conducted on 583 students of Guilan University of Medical Sciences who were selected using a stratified random sampling technique. The study data were collected using a demographic form and the HL for Iranian Adults (HLIA) questionnaire. Then the collected data were analyzed using statistical tests of Friedman, ANOVA, and the Independent t-test. Results: The Mean±SD BMI of the students was 22.66±3.01 kg/m 2. The HL in the areas of access, reading, understanding, appraisal and decision making, and using information were respectively favorable in 63.5%, 58.5%, 74.4%, 62.6%, and 32.9% of all cases. Moreover, 52.5% of students had a moderate level of HL. There was no significant difference between normal, overweight and obese students regarding their HL (P=0.508). Conclusion: Although the HL level of most students was moderate, it was not correlated with their BMI. Regarding the importance of HL and its relevance to health implications, the planning for improving HL is required.

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“…Poderia ter sido avaliada também a qualidade dos conteúdos, para o que estão a ser desenvolvidos instrumentos validados, mas estes ainda são muito recentes e centrados nos investigadores, pelo que se não aplicaram. 9 Em termos de avaliação da literacia em saúde do público-alvo, em Portugal já estão validados instrumentos para a avaliar, [36][37][38] o que pode ser interessante estudar e considerar em validações futuras, mas aqui não puderam ser utilizados por serem posteriores ao nosso estudo. Como nem sempre a simplificação de folhetos é suficiente para melhorar a compreensão, 39 seria desejável desenvolver procedimentos de avaliação da inteligibilidade dos folhetos que controlassem simultaneamente o efeito das variações da literacia em saúde e avaliassem a aquisição dos conhecimentos adquiridos por meio da leitura dos mesmos, de forma a perceber mais diretamente o que nos interessa: se os folhetos se traduzem em conhecimentos adquiridos e funcionantes.…”

Section: Quadro I Resultado Da Avaliação De Parâmetros De Inteligibiunclassified

Validação de três folhetos informativos sobre diabetes, sua terapêutica e exercício físico

Rosendo

Santiago

2017

RPMGF

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A diabetes, sendo um problema de saúde pública de elevada magnitude, é previsível que venha a constituir uma das principais causas de morbilidade e incapacidade total ou parcial durante o século XXI. Em 2015 estima-se a existência de 415 milhões de pessoas com diabetes no mundo e, em 2040, estima-se que este valor ascenda a 642 milhões. Em 2015, a diabetes provocou 5 milhões de mortes a nível mundial. 1 A prevalência da diabetes está a aumentar e em Portugal, segundo o Relatório Anual do Observatório Nacional da Diabetes, no ano de 2014, na população dos 20 aos 79 anos, a prevalência da diabetes estimada era de 13,3%,

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Cross-cultural adaptation and validation of the health literacy assessment tool METER in the Portuguese adult population

Cited by 31 publications

References 22 publications

Correlation Between eHealth Literacy and Health Literacy Using the eHealth Literacy Scale and Real-Life Experiences in the Health Sector as a Proxy Measure of Functional Health Literacy: Cross-Sectional Web-Based Survey

Correlation Between eHealth Literacy and Health Literacy Using the eHealth Literacy Scale and Real-Life Experiences in the Health Sector as a Proxy Measure of Functional Health Literacy: Cross-Sectional Web-Based Survey

Health Literacy and Its Relationship With Body Mass Index

Validação de três folhetos informativos sobre diabetes, sua terapêutica e exercício físico

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