Development and validation of a functional health literacy instrument in the Philippines

Tolabing, Ma. Carmen C.; Co, Kim Carmela D.; Mamangon, Martin Aaron M.

doi:10.11591/ijphs.v11i4.21755

Cited by 2 publications

(2 citation statements)

References 28 publications

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“…Validation of the SDS-Ina as a tool for measuring dependence on alcohol and illegal substances is the first step in improving screening to prevent long-term adverse effects of dependence on narcotics, alcohol, and addictive substances in the Indonesian population [31], [32]. Previous studies supported our claim in the validation of SDS-Ina to measure psychological dependence in alcohol, marijuana, and benzodiazepines [17], [33]- [35]. Cut-off points of specific substances are also established in regard to DSM-V dependence diagnosis, however further study is still required.…”

Section: Discussionsupporting

confidence: 66%

Validity of severity of dependence scale-Indonesia in patients with drug and alcohol dependence

Kusumadewi,

Andina,

Sihageng

et al. 2024

IJPHS

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A quick and self-administrative screening tool to detect dependence on various substances is vital in the early detection of multiple substance dependence. This study aimed to validate the severity of the dependence scale Indonesian version (SDS-Ina) in a sample of clinically diagnosed substance-related disorder subjects. The study was an observational study and rapid assessment of suspected patients with drug and alcohol dependence in an outpatient psychiatric unit in Yogyakarta, Indonesia. The translated severity of dependence scale-Indonesia (SDS-Ina) questionnaire was given out to 65 subjects through an online form. The content validity of the translated SDS was assessed with Aiken’s V, and concurrent validity was analyzed in comparison to the Diagnostic of Statistical and Manual Mental Disorder IV (DSM-IV) diagnosis criteria with Pearson correlation coefficient and factor validity through principal component analysis (PCA). Reliability was assessed using Cronbach’s Alpha and test-retest reliability. Aiken’s V index concluded that our content validity was valid (all>0.75). A Pearson correlation coefficient of=0.93 (P<0.001), PCA of all items ≥0.60 further validates the SDS-Ina. Internal reliability of Cronbach’s Alpha 0.907 and test-retest reliability (intraclass correlation coefficient (ICC): all≥0.75). In conclusion, the translated SDS is a valid and reliable tool to measure the psychological dependence of Indonesian subjects involved in this study.

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Section: Discussionsupporting

confidence: 66%

Validity of severity of dependence scale-Indonesia in patients with drug and alcohol dependence

Kusumadewi,

Andina,

Sihageng

et al. 2024

IJPHS

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“…For this study, a score of ≥ 60% (≥ 3 out of 5) in the FHL-5 test was considered adequate FHL; otherwise, inadequate. The instrument was reported to have a Cronbach’s alpha of 0.76 [ 32 ].…”

Section: Methodsmentioning

confidence: 99%

Associations of functional health literacy with socioeconomic and demographic status among Filipinos

et al. 2022

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Background Health literacy determines an individual’s decision-making process in providing judgment concerning appropriate healthcare. Considering the various purposes of literacy for people, functional health literacy (FHL) was identified as a type of literacy that is measured by the application of literacy skills to health-related materials as a result of health education. The objective of this study was to identify the possible socio-demographic correlates of FHL of Filipinos. Methods A cross-sectional survey was conducted among 2,303 Filipinos aged 15 to 70 years old in 2018–2019 utilizing the National Health Literacy Survey. Functional health literacy was determined using the FHL-5 Test which measured prose, document, and numeracy skills. Descriptive analysis presented socio-demographic characteristics and level of FHL. Log-binomial regression was used to estimate associations of FHL adequacy with socio-demographic characteristics. Results Overall, the study involved 1,997 (86.7%) qualified participants. Most of them demonstrated prose literacy skills and had adequate FHL. Adjusted regression analyses showed that participants with a college-level education (Adjusted prevalence ratio [APR]: 1.43, 95% confidence interval [95% CI] 1.27–1.60), categorized under domestic service occupation (APR 1.19, 95% CI: 1.03–1.37), and those residing in urban areas (APR: 1.14, 95% CI 1.06–1.24) were significantly more prevalent in exhibiting FHL adequacy. In contrast, male participants and individuals aged 60 years or above were less likely to demonstrate FHL adequacy. Conclusions The study presents a baseline assessment of the functional health literacy level, measured using the FHL-5 Test, of adults in the Philippines. Majority of the participants demonstrated FHL adequacy, with relatively higher scores in prose than numeracy literacy. The measurement of FHL adequacy can inform policies on methods of health education and communication, emphasizing the need to stratify the audience based on socio-demographic characteristics and adapt the content and design of informational materials for population-based health educational programs.

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Development and validation of a functional health literacy instrument in the Philippines

Cited by 2 publications

References 28 publications

Validity of severity of dependence scale-Indonesia in patients with drug and alcohol dependence

Validity of severity of dependence scale-Indonesia in patients with drug and alcohol dependence

Associations of functional health literacy with socioeconomic and demographic status among Filipinos

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