Development and psychometric testing of the Health Literacy Index for Female Marriage Immigrants (HLI-FMI) in Korea

Yang, Sook Ja; Chee, Yeon Kyung

doi:10.1080/03630242.2016.1222328

Cited by 9 publications

(15 citation statements)

References 19 publications

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“…CFA findings showed evidence of construct validity of the 12 items in 2 factors for HLI-FMI, identical to the results of the previous research. 8 The factors were largely classified into 2 types according to patterns of tasks. The first factor encompassed access and understand tasks (Access-Understand Health Literacy), and the second factor encompassed appraise and apply tasks (Appraise-Apply Health Literacy).…”

Section: Discussionmentioning

confidence: 99%

“…The 12-item HLI-FMI was developed based on the conceptual framework of health literacy consisting of 3 constructs: skills, tasks, and health contexts. 8 Skills included 10 print and 2 numeracy skills; tasks included 1 item for access, 6 for understand, 2 for appraise, and 3 for apply; and health contexts included 5 items for health promotion and disease prevention, 4 for health care maintenance and treatment, and 3 for health system navigation (see Table 2, or the appendix). The first factor, composed of 7 items, measured access and understand tasks under Access-Understand Health Literacy (eg, Q1 "Below is an outpatient visit guide in a hospital.…”

Section: The Health Literacy Index For Female Marriage Immigrantsmentioning

confidence: 99%

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Analysis of Validity and Reliability of the Health Literacy Index for Female Marriage Immigrants (HLI-FMI)

Yang

Chee

et al. 2016

Asia Pac J Public Health

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The purpose of this study was to obtain an independent evaluation of the factor structure of the 12-item Health Literacy Index for Female Marriage Immigrants (HLI-FMI), the first measure for assessing health literacy for FMIs in Korea. Participants were 250 Asian women who migrated from China, Vietnam, and the Philippines to marry. The HLI-FMI was originally developed and administered in Korean, and other questionnaires were translated into participants' native languages. The HLI-FMI consisted of 2 factors: (1) Access-Understand Health Literacy (7 items) and (2) Appraise-Apply Health Literacy (5 items); Cronbach's α = .73. Confirmatory factor analysis indicated adequate fit for the 2-factor model. HLI-FMI scores were positively associated with time since immigration and Korean proficiency. Based on classical test theory and item response theory, strong support was provided for item discrimination and item difficulty. Findings suggested that the HLI-FMI is an easily administered, reliable, and valid scale.

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Section: Discussionmentioning

confidence: 99%

Section: The Health Literacy Index For Female Marriage Immigrantsmentioning

confidence: 99%

Analysis of Validity and Reliability of the Health Literacy Index for Female Marriage Immigrants (HLI-FMI)

Yang

Chee

et al. 2016

Asia Pac J Public Health

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“…A World Health Organization (WHO) report on the roles for stakeholders in advancing health literacy mentioned that assessment tools for health literacy should be developed and improved by the research institutions [14]. To date, various frameworks or scales are available for assessing and measuring health literacy based on different subjects, diseases, or theoretical foundations, such as the development of the health literacy instrument for female marriage immigrants [15], development of the digital health literacy instrument [16], conceptualizing a new approach to adolescent health literacy [17], health literacy tools in the outpatient setting [18], and the development of a hypertension health literacy instrument [19]. However, no reliable, definitive, and comparable health literacy scale exists for a global population.…”

Section: Introductionmentioning

confidence: 99%

Assessment Tools for Health Literacy among the General Population: A Systematic Review

Liu

Zeng

Shen

et al. 2018

IJERPH

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Health literacy is an important determinant of health, and is one of the key indicators of a healthy city. Developing and improving methods to measure health literacy is prudent and necessary. This review summarizes the findings of published tools for assessing health literacy among the general population to provide a reference for establishing health literacy assessment tools in the future. In this systematic review, PubMed, Embase, and Web of Science were used to search articles regarding tools for assessing health literacy among the general population published up to 10 January 2018. Two researchers independently conducted literature screening, quality assessment of methodology, and data extraction according to preset inclusion and exclusion criteria. The quality assessment of the research was examined with the use of the specifications of the reporting guidelines for survey research (SURGE). Eleven articles met the inclusion criteria. All included instruments in monitoring the health literacy of the general population were presented through the form of questionnaires. The multistage process of making all the scales generally involved the following steps: item development, pre-testing, and evaluation of readability. However, the specific methods were different. Internal consistency for all the instruments was acceptable but with weak consistency among the subscales for some instruments. Most of the identified instruments derived from the definition of health literacy or were based on existing health literacy theory. Approximately 30% of the performed studies provided no description of the important features specified in the SURGE. This review indicates a trend in the increasing tools for assessing the health literacy of the general population by using multidimensional structures and comprehensive measurement approaches. However, no clear “consensus” was observed in the dimensions of health literacy tools.

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“…information usage (10 items) and literature review was used to design the initial items of the instrument [29]. Sexual health literacy for adults (SHELA) questionnaire, like most health literacy instruments, including health literacy assessment instruments in Iranian adolescents [30], health literacy instruments for married immigrant women in South Korea [31] and health literacy instruments for women with breast cancer [32] were designed based on the dimensions of health literacy. Dimensions of access, understanding, evaluation and judgment, decision-making and behavior are the main foundations of health literacy in de nitions [33].…”

Section: Discussionmentioning

confidence: 99%

Development and Psychometric Properties of Sexual and Reproductive Health Literacy Instrument for Infertile Women (SRH-Life): A Mixed Method Study

Rakhshaee

Khakbazan

Maasoumi

2020

Preprint

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Background: Promoting sexual- reproductive health literacy is one of the most important strategies for achieving the goals of sexual- reproductive health in different groups of women. Infertile women are one of the most vulnerable groups to the adverse effects of low levels of health literacy. Since no specific instrument exists for assessing the level of sexual- reproductive health literacy, therefore, this study aimed to develop and evaluate the psychometric characteristics of an instrument for measuring sexual and reproductive health literacy among infertile women (Sexual and Reproductive Health Literacy instrument for infertile women: SRH-Life).Methods: This was a mixed method study with exploratory design which conducted from July 2018 to Jan 2020 in northern Iran. Semi structured interviews with infertile women, literature review and, expert panel comments were utilized to generate an item pool. Then, the psychometric properties of the instrument, validity and reliability were assessed. Results: The initial instrument contained 78 items. Next, 10 experts evaluated content validity. Some items were removed and a provisional version of the instrument with 47 items was provided. Then, the face validity was performed by 10 infertile women. Finally, a random sample of 235 infertile women completed the instrument and construct validity were assessed. The exploratory factor analysis was performed, 35 items were loaded, which indicated a 4-factor solution for the instrument including reproductive health information (8 items), infertility and treatment information (9 items), sexual health information (8 items) and functional sexual- reproductive literacy (10 items) that jointly explained 55.3% of the variance observed. For reliability, internal consistency showed satisfactory results with Cronbach’s alpha coefficients ranging from 0.89 to 0.9. Intraclass correlation coefficient (test-retest analysis) showed acceptable stability for the instrument.Conclusion: The results showed that Sexual and Reproductive Health Literacy instrument for infertile women (SRH-Life) is a valid and reliable measure for assessing sexual and reproductive health literacy among women with infertility.

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Development and psychometric testing of the Health Literacy Index for Female Marriage Immigrants (HLI-FMI) in Korea

Cited by 9 publications

References 19 publications

Analysis of Validity and Reliability of the Health Literacy Index for Female Marriage Immigrants (HLI-FMI)

Analysis of Validity and Reliability of the Health Literacy Index for Female Marriage Immigrants (HLI-FMI)

Assessment Tools for Health Literacy among the General Population: A Systematic Review

Development and Psychometric Properties of Sexual and Reproductive Health Literacy Instrument for Infertile Women (SRH-Life): A Mixed Method Study

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