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 16 publications

(9 citation statements)

References 36 publications

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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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“…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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“…É definido como o processo em que a sociedade oferta informações precisas sobre saúde e as pessoas conseguem entender e usar tais conhecimentos para tomar suas decisões e navegar pelo sistema de saúde (9) . O LS tem sido apontado como o novo sinal vital e um determinante social de saúde modificável (10)(11)(12) , que pode promover a adesão de comportamentos saudáveis na adolescência (13) .…”

Section: Introductionunclassified

Associação entre letramento em saúde, ameaça pela COVID-19 e intenção vacinal de adolescentes brasileiros

Pimentel

Avila

Prata

et al. 2022

Rev. Latino-Am. Enfermagem

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Resumo Objetivo: investigar a influência do letramento em saúde na avaliação da ameaça à saúde pela COVID-19 e sobre a intenção de não se vacinar de adolescentes brasileiros. Método: estudo transversal com 526 adolescentes brasileiros de 14 a 19 anos. Aspectos socioeconômicos, perfil saúde-doença, letramento em saúde, ameaça à saúde pela COVID-19 e intenção de não se vacinar foram analisados por associação bivariada e regressão linear múltipla com resposta Poisson. Resultados: maior pontuação de letramento em saúde (p=0,010), doença cardíaca (p=0,006), menor renda (p=0,000) e morar na região norte (p=0,007) foram fatores que contribuíram para o sentimento de maior ameaça pela COVID-19. O letramento em saúde não influenciou a intenção de não se vacinar (p=0,091), cuja prevalência foi menor entre os adolescentes do Sudeste quando comparados aos do Norte (p=0,010), entre os que cursavam o ensino superior (p=0,049) e entre aqueles com maior renda (p=0,000). Conclusão: letramento em saúde influenciou a percepção da ameaça da doença, mas não a intenção de não se vacinar. Avaliação da ameaça à saúde pela COVID-19 e a prevalência da intenção de não se vacinar foram influenciadas pela região de residência, renda e escolaridade, o que reforça a importância dos determinantes sociais da saúde nesse contexto.

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

Cited by 16 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

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

Associação entre letramento em saúde, ameaça pela COVID-19 e intenção vacinal de adolescentes brasileiros

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