The Italian Health Literacy Project: Insights from the assessment of health literacy skills in Italy

Palumbo, Rocco; Annarumma, Carmela; Musella, Marco; Piscopo, Gabriella

doi:10.1016/j.healthpol.2016.08.007

Cited by 94 publications

(99 citation statements)

References 27 publications

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“…The main dimension and the three health domains reached reliability indexes at similar magnitudes to those reported in other studies (Duong et al., ; HLS‐EU Consortium ; Nakayama et al., ; Palumbo et al., ; Toçi et al., ). However, reliability indexes provide values of internal consistency on the assumption of locally independence (unidimensionality and no response dependency)—an assumption that does not hold for the HLS‐EU‐Q47.…”

Section: Discussionsupporting

confidence: 83%

“…(), we found that a 12‐dimensional model, reflecting the hypothesis of the four cognitive domains being integrated in the three health domains, fit the data better than the 1‐ and 3‐dimensional models. Despite the theoretically funded 12‐dimensional structure described in the conceptual framework (HLS‐EU Consortium, ) and the absence of empirical evidence supporting a unidimensional scale, researchers continually add up the scores to one general index (e.g., Palumbo et al., ; Sørensen et al., , ; Toçi, Burazeri, Sørensen, Kamberi, & Brand, ). This widespread malpractice of adding up the scores, assuming that the HLS‐EU‐Q47 variables conform to one unidimensional interval scale, cannot be defended from a mathematical point of view.…”

Section: Discussionmentioning

confidence: 99%

“…This article seeks to evaluate the plausibility of the interpretations and uses of the European Health Literacy Survey Questionnaire (HLS‐EU‐Q47) sum score found in peer‐reviewed publications (Nakayama et al., ; Palumbo, Annarumma, Adinolfi, Musella, & Piscopo, ; Sørensen et al., , ). More specifically, we aim to evaluate the plausibility of the claims, assumptions and inferences that have been made based on the HLS‐EU‐Q47 score(s) because these might influence health policies.…”

Section: Introductionmentioning

confidence: 99%

See 2 more Smart Citations

Validating the European Health Literacy Survey Questionnaire in people with type 2 diabetes: Latent trait analyses applying multidimensional Rasch modelling and confirmatory factor analysis

Finbråten

Pettersen

Wilde‐Larsson

et al. 2017

Journal of Advanced Nursing

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Aim To validate the European Health Literacy Survey Questionnaire (HLS‐EU‐Q47) in people with type 2 diabetes mellitus. Background The HLS‐EU‐Q47 latent variable is outlined in a framework with four cognitive domains integrated in three health domains, implying 12 theoretically defined subscales. Valid and reliable health literacy measurers are crucial to effectively adapt health communication and education to individuals and groups of patients. Design Cross‐sectional study applying confirmatory latent trait analyses. Methods Using a paper‐and‐pencil self‐administered approach, 388 adults responded in March 2015. The data were analysed using the Rasch methodology and confirmatory factor analysis. Results Response violation (response dependency) and trait violation (multidimensionality) of local independence were identified. Fitting the “multidimensional random coefficients multinomial logit” model, 1‐, 3‐ and 12‐dimensional Rasch models were applied and compared. Poor model fit and differential item functioning were present in some items, and several subscales suffered from poor targeting and low reliability. Despite multidimensional data, we did not observe any unordered response categories. Conclusion Interpreting the domains as distinct but related latent dimensions, the data fit a 12‐dimensional Rasch model and a 12‐factor confirmatory factor model best. Therefore, the analyses did not support the estimation of one overall “health literacy score.” To support the plausibility of claims based on the HLS‐EU score(s), we suggest: removing the health care aspect to reduce the magnitude of multidimensionality; rejecting redundant items to avoid response dependency; adding “harder” items and applying a six‐point rating scale to improve subscale targeting and reliability; and revising items to improve model fit and avoid bias owing to person factors.

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Section: Discussionsupporting

confidence: 83%

Section: Discussionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

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Validating the European Health Literacy Survey Questionnaire in people with type 2 diabetes: Latent trait analyses applying multidimensional Rasch modelling and confirmatory factor analysis

Finbråten

Pettersen

Wilde‐Larsson

et al. 2017

Journal of Advanced Nursing

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“…GOES et al, (2015) afirmam que apesar do nível de literacia em saúde da população portuguesa ser desconhecida, se assemelha aos baixos níveis da população mundial. De acordo com PALUMBO et al, (2016), a inadequada literacia em saúde afeta grande parte da população mundial, tornando-se um campo recente de investigação, com objetivos de explorar diversidades existente em saúde identificando a necessidade de estudos científicos relacionados ao tema.…”

Section: Resultsunclassified

LITERACIA EM SAÚDE no Brasil: ESTUDO CIENCIOMÉTRICO

Peres¹,

Pessôa²,

Bernuci³

et al. 2017

Enci Bio

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RESUMOA literacia em saúde é um tema pouco abordado no Brasil, é uma construção individual, envolve habilidades interativas e críticas fundamentais para o empoderamento. Relaciona-se diretamente com a Promoção da Saúde. O objetivo desta pesquisa foi identificar a produção científica sobre o tema Literacia em Saúde no Brasil por meio da cienciometria. Para isto foi realizado um estudo cienciométrico da literatura científica internacional e nacional, nos meses de fevereiro e março de 2017 utilizando os termos em português "literacia" e "alfabetização em saúde" na base de dados Scielo, e na língua inglesa "Brazil Health Literacy" no PubMed. Os artigos identificados foram selecionados e classificados por meio da análise dos títulos e resumos. Inicialmente foram identificadas 287 publicações científicas referentes ao tema. Após avaliação dos títulos e resumos, com exclusão dos artigos que não atenderam aos critérios de inclusão, resultaram 83 artigos para análise. O presente estudo identificou que publicações científicas abordando literacia em saúde surgiram efetivamente como tema de interesse dos pesquisadores brasileiros após a implementação da Política Nacional de Promoção da Saúde. A literacia em saúde mental destacou-se como tema de maior interesse, seguido dos estudos sobre os instrumentos de avaliação da literacia em saúde. O número de pesquisas sobre os instrumentos de avaliação permite inferir que haverá no futuro tendência de aumento de estudos sobre o nível da literacia em saúde no Brasil. A partir dos resultados das pesquisas vindouras, ações efetivas, relacionadas à educação em saúde da população poderão ser implementadas para a promoção da saúde. PALAVRAS-CHAVE: Alfabetização em saúde, educação em saúde, promoção da saúde. HEALTH LITERACY IN BRAZIL: SCIENTOMETRIC STUDYABSTRACT Health literacy is a subject rarely addressed in Brazil, it is an individual construction, it involves interactive skills and fundamental critics for empowerment. Relates directly to Health Promotion. It is directly related to Health Promotion. The objective of this

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“…Service co-production shows distinguishing characteristics when it is applied to health care. First of all, it is not possible to identify a 'one size fits all' approach to health services co-production (Farmer, Taylor, Stewart, & Kenny, 2017); rather, tailored solutions should be arranged to meet the specific health needs of different patients (Palumbo, Annarumma, Musella, Adinolfi, & Piscopo, 2016). Besides, in several circumstances co-production of care is uneasy to implement, due to either lack of resources (e.g.…”

Section: Contextualizing Service Co-production In the Health Care Sermentioning

confidence: 99%

What if things go wrong in co-producing health services? Exploring the implementation problems of health care co-production

Palumbo

Manna

2017

Policy and Society

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Patient-centered care and health services' co-production are the cornerstones of the health care system of the future. These constructs rely on the reconceptualization of the patient as a co-deliverer of care. While studies about the intrinsic value-added of health services' coproduction are prominent, the risks of value co-destruction attached to patient involvement have been widely neglected. In an attempt to fill this gap, this paper draws on the 'health literacy' perspective to conceptually explore the 'dark side' of health services' co-production. Value co-destruction is understood as a two-way street, where both the health care professionals and the patients are likely to walk, either intentionally or unintentionally. Individual and organizational health literacy are proposed as two essential ingredients of the recipe for effective health services' co-production, reducing the risks of value co-destruction in health services' provision.

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The Italian Health Literacy Project: Insights from the assessment of health literacy skills in Italy

Cited by 94 publications

References 27 publications

Validating the European Health Literacy Survey Questionnaire in people with type 2 diabetes: Latent trait analyses applying multidimensional Rasch modelling and confirmatory factor analysis

Validating the European Health Literacy Survey Questionnaire in people with type 2 diabetes: Latent trait analyses applying multidimensional Rasch modelling and confirmatory factor analysis

LITERACIA EM SAÚDE no Brasil: ESTUDO CIENCIOMÉTRICO

What if things go wrong in co-producing health services? Exploring the implementation problems of health care co-production

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