Validation of the European Health Literacy Survey Questionnaire in Women With Breast Cancer

Abstract

The HLS-EU-Q with 46 items is recommended for use in capturing the diverse health literacy competencies of women with breast cancer in different health contexts.

Health Literacy in Surgery

“…The number of health literacy studies in surgery patient populations has increased over time from January 2002 until May 2018 ( Figure 2). The 51 health literacy studies included data from 22,139 patients (Alokozai et al, 2017;Beitler et al, 2010;Cajita et al, 2017;Cayci et al, 2018;Chew, Bradley, Flum, Cornia, & Koepsell, 2004;Choi, 2011;Chu & Tseng, 2013;Conlin & Schumann, 2002;Dageforde, Box, Feurer, & Cavanaugh, 2015;Dageforde et al, 2014;Escobedo & Weismuller, 2013;Garcia-Marcinkiewicz, Long, Danielson, & Rose, 2014;Gordon & Wolf, 2009;Grubbs, Gregorich, Per-ez-Stable, & Hsu, 2009;Halbach et al, 2016;Halleberg Nyman, Nilsson, Dahlberg, & Jaensson, 2018;Hallock, Rios, & Handa, 2017;Huang et al, 2018;Izard et al, 2014;Jones et al, 2016;Kazley, Hund, Simpson, Chavin, & Baliga, 2015;Kazley et al, 2014;Keim-Malpass, Doede, Camacho, Kennedy, & Showalter, 2018;Khan, Fjeraek, Andreasen, Thorup, & Dinesen, 2018;Komenaka et al, 2014;Koster, Schmidt, Philbert, van de Garde, & Bouvy, 2017;Lambert, Mullan, Mansfield, & Lonergan, 2015;Mahoney, Tawfik-Sexton, Strassle, Farrell, & Duke, 2018;Menendez et al, 2017;Mercieca-Bebber et al, 2017;Miller-Matero, Hyde-Nolan, Eshelman, & Abouljoud, 2015;Parekh e...…”

“…The number of studies on health literacy in surgery has significantly increased from 2002 to 2018 (Figure 2). Since the last review in 2013, studies on health literacy in surgery have expanded to surgical subspecialties ranging from general surgery (Garcia-Marcinkiewicz et al, 2014;Koster et al, 2017;Wright et al, 2018) to vascular (Tung et al, 2014) to breast (Halbach et al, 2016;Huang et al, 2018;Keim-Malpass et al, 2018;Komenaka et al, 2014;Mercieca-Bebber et al, 2017;Parekh et al, 2017;Schmidt et al, 2016;Tang et al, 2017;Winton et al, 2016), and urology (Izard et al, 2014;Scarpato et al, 2016;Turkoglu et al, 2019). Several health literacy instruments have also been developed that are unique for surgical subspecialties (Gibbs et al, 2016;Gordon & Wolf, 2009;Kazley et al, 2014;Wallace et al, 2009).…”

“…Numeracy is defined as the ability to perform mathematical tasks such as working with fractions and use of numerical information over prose. Across studies, 59% of these studies measured literacy or reading comprehension (59%, n = 30) (Cajita et al, 2017;Cayci et al, 2018;Chu & Tseng, 2013;Conlin & Schumann, 2002;Dageforde et al, 2015;Dageforde et al, 2014;Garcia-Marcinkiewicz et al, 2014;Halbach et al, 2016;Halleberg Nyman et al, 2018;Hallock et al, 2017;Huang et al, 2018;Keim-Malpass et al, 2018;Khan et al, 2018;Koster et al, 2017;Lambert et al, 2015;Mahoney et al, 2018;Mercieca-Bebber et al, 2017;Miller-Matero et al, 2015;Patzer et al, 2016;Scarpato et al, 2016;Schmidt et al, 2016;Tang et al, 2017;Taylor et al, 2016;Tung et al, 2014;Turkoglu et al, 2019;Wallace et al, 2007;Wallace et al, 2009;Wright et al, 2018;Zite & Wallace, 2011), 21.5% measured both reading comprehension and numeracy (n = 11) (Beitler et al, 2010; HeLMS (Jordan et al, 2013) 24 items that test four dimensions: (1) information acquisition ability, (2) communication and interaction ability, (3) willingness to improve health, and 4 Chew, Bradley, Flum, et al 2004;Choi, 2011;Gordon & Wolf, 2009;Grubbs et a...…”

“…Health literacy was assessed to varying degrees in surgical subspecialties (Figure 3): 13 were in abdominal transplant (Dageforde et al, 2015;Dageforde et al, 2014;Escobedo & Weismuller, 2013;Gordon & Wolf, 2009;Grubbs et al, 2009;Jones et al, 2016;Kazley et al, 2015;Lambert et al, 2015;Miller-Matero et al, 2015;Patzer et al, 2016;Serper et al, 2015;Taylor et al, 2016;Weng et al, 2013), nine in breast surgery (Halbach et al, 2016;Huang et al, 2018;Keim-Malpass et al, 2018;Komenaka et al, 2014;Mercieca-Bebber et al, 2017;Parekh et al, 2017;Schmidt et al, 2016;Tang et al, 2017;Winton et al, 2016), six in hand surgery (Alokozai et al, 2017;Menendez, Chen, et al, 2015;Menendez et al, 2016;Menendez et al, 2017;Parrish et al, 2016;Roh et al, 2018), five in general surgery (Chew, Bradley, Flum, et al, 2004;Garcia-Marcinkiewicz et al, 2014;Halleberg Nyman et al, 2018;Koster et al, 2017;Wright et al, 2018), three in orthopedics (Choi, 2011;Chu & Tseng, 2013;Rosenbaum et al, 2015), three in urology (Izard et al, 2014;…”

“…These surgery specialties also show preferences to which instruments were predominantly used to assess health literacy in their patient population. For example, hand surgery has almost exclusively used the NVS (Alokozai et al, 2017;Menendez et al, 2016;Menendez et al, 2017;Parrish et al, 2016;Roh et al, 2018), whereas abdominal transplant (Dageforde et al, 2015;Dageforde et al, 2014;Escobedo & Weismuller, 2013;Gordon & Wolf, 2009;Grubbs et al, 2009;Jones et al, 2016;Kazley et al, 2015;Lambert et al, 2015;Miller-Matero et al, 2015;Patzer et al, 2016;Serper et al, 2015;Taylor et al, 2016;Weng et al, 2013) and breast surgery (Halbach et al, 2016;Huang et al, 2018;Keim-Malpass et al, 2018;Komenaka et al, 2014;Koster et al, 2017;Mercieca-Bebber et al, 2017;Parekh et al, 2017;Schmidt et al, 2016;Tang et al, 2017;Winton et al, 2016) used several instruments to assess health literacy (Figure 4).…”