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Williams, K.P., & Templin, T.N. (2013). Bringing the real world to psychometric evaluation of cervical cancer literacy assessments with Black, Latina, and Arab women in real-world settings. J Cancer Educ, 28(4):738-43.
2013Cervical cancer focused HL measure
1 16Range:0-16, ↑scores = ↑HBP-HL
543 15 minutesDevelopment and evaluation of a new scale for assessing functional cervical cancer health literacy
Internal consistency: α=0.72 TOT, α=0.73 Black, α=0.76 Latina, and α= 0.60 Arab
http://www.ncbi.nlm.nih.gov/pubmed/24072456 /sites/default/files/webform/suggest-measure/421/c-clat20spanish.pdf Prose: Comprehension United States of America Paper and pencil Cancer Adults: 18 to 64 years English ObjectiveWilliams, K.P., Templin, T.N., & Hines, R.D. (2013). Answering the call: a tool that measures functional breast cancer literacy. J Health Commun, 18(11):1310-25.
2013Breast cancer focused HL measure, administered orally to participants
1 21Range:0-30, ↑scores = ↑HBP-HL
543Test the reliability and validity, in a culturally diverse sample of women, of a revised Breast Cancer Literacy Assessment Tool (Breast-CLAT) designed to measure functional understanding of breast cancer in English, Spanish, and Arabic
Internal consistency: α=0.73, α=0.81 Black, α=0.61 Latina, and α=0.68 Arab
http://www.ncbi.nlm.nih.gov/pubmed/23905580 /sites/default/files/webform/suggest-measure/426/breast-clat20english.pdf Prose: Comprehension United States of America Paper and pencil Cancer Adults: 18 to 64 years English ObjectiveWong, H.M., Bridges, S.M., Yiu, C.K., McGrath, C.P., Au, T.K., & Parthasarathy, D.S. (2013, September). Validation of the Hong Kong Oral Health Literacy Assessment Task for paediatric dentistry (HKOHLAT-P). Int J Paediatr Dent, 23(5):366-75.
2013Measure that focuses on pediatric dentistry which is contextually relevant for those living in Hong Kong (Cantonese speakers)
3 52Possible range: 0-52, ↑scores = ↑ Oral HL
200For the generation of items and to develop the HKOHLAT-P, the materials were collected from different dentally related areas, which includes oral health TV and radio programs from Hong Kong local broadcasts, oral health education videos and oral health instructions in Prince Philip Dental Hospital (Faculty of Dentistry, The University of Hong Kong), oral health brochures from the Department of Health (Oral Health Education Unit) in Hong Kong Special Administrative Region, and Hong Kong local newspapers. These materials were then used to develop a Chinese corpus database in dentistry. The materials and texts and the activities associated with them were drawn from various dental health-related contexts and were selected to have reading levels similar to materials used for TOFHLiD and OHLI, from which we modelled some of the items for the HKOHLAT-P. Original items were developed to expand the text types of reading stimuli and give variety in item design.
Concurrent: Self-Reading r=0.43 and Reading to child r=0.12 (N/S); Convergent: TOFHLiD r=0.39 and HKREALD-30 r=0.36
Test-retest: ICC=0.63 http://www.ncbi.nlm.nih.gov/pubmed/23947421 Prose: Comprehension China No Paper and pencil Dental Health Adults: 18 to 64 years, Adolescents: 10 to 17 years Cantonese ObjectiveWu, A.D., Begoray, D.L., Macdonald, M., Wharf Higgins, J., Frankish, J., Kwan, B., Fung, W., & Rootman, I. (2010, December). Developing and evaluating a relevant and feasible instrument for measuring health literacy of Canadian high school students. Health Promot Int, 25(4):444-52.
2010HL measure that assesses how well high school students understand and evaluate health information
3 47Range: 0-107, with 30 ‘understand’ items at 2 points/each and 17 ‘evaluate’ items, ranging from 1-4 points/each
275Health-related ‘passages’ were located on the Internet or in health centers and were obtained from health education and media materials (e.g. pamphlets and letters to the editor). All passages were in English and covered a range of topics including nutrition and sexual health. Permission to use copyrighted passages was obtained from the authors/publishers.
Convergent: Age r=-0.17, Male gender r=-0.18, Age came to Canada r=-0.22, Non-English speaker r=-0.15, Mother’s education r=0.19, Father’s education r=0.22, GPA r=0.48, Time reading/study r=0.40 ‘fair’
http://www.ncbi.nlm.nih.gov/pubmed/20466776 Numeracy, Information seeking: Document Canada Paper and pencil General Adolescents: 10 to 17 years English ObjectiveLevin-Zamir, D., Lemish, D., & Gofin, R. (2011). Media Health Literacy (MHL): development and measurement of the concept among adolescents. Health Education Research, 26(2):323-335.
2011Instrument developed to measure the concept of Media Health Literacy
3 6Dichotomous (0/1)
1316Focus groups were conducted along with participant media diaries to establish media health literacy conceptual model.
MHL and sources of health information: 4.12 (SD 1.65, range 1-6); MHL and health impowerment: 78.32 (SD 12.35, range 5-111, out of a potential 0-125); MHL, empowerment and health behavior: mean score 6.32 (SD 1.72, range 0-9 out of 12)
Coefficient of reproducibility was 0.90 for 5 of the 6 television segments and 0.84 for the 6th segment http://www.ncbi.nlm.nih.gov/pubmed/21422003 Communication: Listener Israel No Paper and pencil, Face-to-face, Computer-based General Adolescents: 10 to 17 years English Objective 0.740Mulvaney, S., Lilley, J.S., Cavanaugh, K.L., Pittel, E.J., & Rothman, R.L. (2013). Validation of the Diabetes Numeracy Test with adolescents with Type 1 Diabetes. J of Hlth Comm, 18:(7)795-804.
2013Adaptatation of the Diabetes Numeracy Test (DNT) to measure diabetes numeracy in adolescents (14-item version)
3 14Percent correct
133Instrument was adapted from the Diabetes Numeracy Test scale (15-item version) which had previously been validated for type 2 diabetes in adults. Items specific to type 2 diabeses were removed fro this version of the instrument.
In addition to receiving the DNT-14, sample completed demographic and clinical diabetes items, and the parent version of the Diabetes Family Responsibility Questionnaire as well as the Diabetes Behavior Rating Scale and Diabetes Problem Solving for Adolescents.
Kudor-Richardson reliability coefficient
https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3817720/pdf/nihms-523257.pdf Application/function United States of America No Face-to-face Diabetes Adolescents: 10 to 17 years English Objective 0.820Nakagami, K., Yamauchi, T., Noguchi, H., Maeda, T., & Nakagami, T. (2013). Development and validation of a new instrument for testing functional health literacy in Japanese adults. Nurs Health Sci, 16(2):201-208.
2014To measure functional health literacy in a clinical Japanese setting
3 16One point scored for each correct item
0 minutes 535 12 minutesConsultation with experts to asssess content validity and comparison with external criteria (the Japanese Health Knowledge Test)
Moderate validity with the Japanese Health Knowledge Test (J-HKT): 0.37 (P<0.001)
http://www.ncbi.nlm.nih.gov/pubmed/23991825 http://www.healthlitt.org/HealthLiteracyMeasures/Demo/Pages/default.aspx Prose: Comprehension Japan No Paper and pencil General Older Adults: 65+ years, Adults: 18 to 64 years Japanese Objective 0.810Norman, C., & Skinner, H. (2006). eHEALS: The eHealth Literacy Scale. J Med Internet Res, 8(4):e27.
2006To assess consumers' perceived skills at using information technology for health and to aid in determining the fit between eHealth programs and consumers
3 85-point Likert scale with response options ranging from "strongly agree" to "strongly disagree"
664Conducted literature review to develop theoretical model as well as expert and youth review of item pool and pilot testing
eHealth literacy scores were calculated at each interval time (time 1 to time 4) and were modestly correlated between administrations of the eHEALS ranging from r = 0.49 to 6.8. The intra-class correlation between the different scores was 0.49 suggesting that the eHEALS had most stability over time. http://www.ncbi.nlm.nih.gov/pubmed/17213046 Information seeking: Interactive media navigation Canada No Paper and pencil General Adolescents: 10 to 17 years English Self-reported 0.880Ownby, R., Waldrop-Valverde, D., Hardigan, P., Caballero, J., Jacobs, R., & Acevedo, A. (2013) Development and validation of a brief computer-administered HIV-related Health Literacy Scale (HIV-HL). Aids Behav, 17: 710-718.
2012The HIV-HL scale specifically targets health literacy in people treated for HIV.
2 20 1One point scored for each correct item
120 13 minutesConducted pilot study to seek feedback on initial set of questions
Significantly correlated with both subtests of the TOFHLA, the Information subscale of the LifeWindows Scale, and with both immediate and delayed recall of verbal information (WMS-IV Logical Memory subtests I and II)
https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3562365/pdf/nihms406510.pdf http://www.flightvidas.org/hivhl/ Prose: Comprehension, Information seeking: Interactive media navigation, Communication: Listener United States of America No Computer-based HIV Adults: 18 to 64 years English Objective 0.690van der Vaart, R., van Deursen, A.J., Drossaert, C.H., Taal, E., van Dijk, J.A., & van de Laar, M.A. (2011, November 9). Does the eHealth Literay Scale (eHEALS) measure what it indends to measure? Validation of a Dutch version of the eHEALS in two adult populations. J Med Internet Res, 13(4):e86.
2011To measure skills that Dutch health care consumers must have to obtain and evaluate online health information
1 8Unidimensional scale; 5-point Likert scale with response options ranging from "strongly agree" to "strongly disagree"
0 minutes 277 5 minutesOriginal English version of the eHEALS was translated into Dutch with forward and backward translation, according to the World Health Organization guidelines
http://www.ncbi.nlm.nih.gov/pubmed/22071338 /sites/default/files/webform/suggest-measure/466/ehealth20literacy20scale20-20dutch20version.pdf Information seeking: Interactive media navigation The Netherlands No Paper and pencil General Adults: 18 to 64 years Dutch Self-reportedApolinario, D., Braga, R.C., Magaldi, R.M., et al. (2012). Short assessment of health literacy for Portuguese-speaking adults. Rev Saude Publica, 46:702–11.
2012To assess an individual's ability to correctly pronounce and understand common medical terms
1 18 0Sum score
226 1 minutesInstrument derived from the validated "Short Assessment of Health Literacy for Spanish-Speaking Adults (SAHLSA)". Instrument translated from Spanish to Portuguese and then back into Spanish by independent professionals.
SAHLPA score had high correlation with formal education (Spearman's r=0.65), self-reported functional literacy (Spearman's r=0.76), and a Mini-Mental State Examination (MMSE) score (Spearman's r=0.63), all statistically significant.
95% CI 0.76; 0.96SAHLPA-18 had satisfactory internal consistency.
http://www.ncbi.nlm.nih.gov/pubmed/22782124 Prose: Pronunciation, Prose: Comprehension Brazil No Face-to-face Health Promotion Adults: 18 to 64 years Portuguese Objective 0.900Koo, M., Norman, C., & Chang, H.M. (2012). Psychometric evaluation of a Chinese version of the eHealth Literacy Scale (eHEALS) in school age children. International Journal of Health Education, 15:29-36.
2012To assess consumers' combined knowledge, comfort, and percieved skills at finding, evaluating, and applying electronic health information to health problems
2 85-point Likert scale ranging from "strongly disagree" to "strongly agree", yielding a score for each item from 1-5
0 minutes 216English version of the eHEALS was translated into Chinese by a bilingual Chinese-native speaker. A pilot version of the C-eHEALS was reviewed by 4 elementatry school teachers whose native language was Mandarin to explore the readability and age appropriateness of the language in the instrument. The questionnaire was also administered to 30 school children who were asked to indicate whether they understood the questions or found them difficult to answer.
http://eric.ed.gov/?id=EJ970361 http://js.sagamorepub.com/gjhep/article/view/4219/3690 Information seeking: Interactive media navigation Taiwan No Paper and pencil, Face-to-face Health Promotion Adolescents: 10 to 17 years Mandarin Self-reported 0.920Jović-Vraneš, A.,Bjegović-Mikanović, V., Marinković, J., & Vuković, D.(2014, December) Evaluation of a health literacy screening tool in primary care patients: evidence from Serbia, Health Promot Int, 29(4):601-7. doi: 10.1093/heapro/dat011.
2013To evaluate the translated and cross-culturally adapted TOFHLA and STOFHLA in the Serbian language
3 67Inadequate literacy (0-59), marginal literacy (60-74), and adaquate literacy (75-100)
120 22 minutesOriginal English version of the TOFHLA (long and short form) was translated into the Serbian language by a multidisciplanary team. The TOFHLA was then adminstered to 10 Serbian primary care patients to verify the Serbian population understood and interpreted the Serbian version of the TOFHLA.
No statistical differences were found between the long and short form of the Serbian version of the TOHFLA.
http://www.ncbi.nlm.nih.gov/pubmed/23445940 Prose: Comprehension, Numeracy Serbia Yes Paper and pencil General Adults: 18 to 64 years Serbian ObjectiveJović-Vraneš, A.,Bjegović-Mikanović, V., Marinković, J., & Vuković, D.(2014, December) Evaluation of a health literacy screening tool in primary care patients: evidence from Serbia, Health Promot Int, 29(4):601-7. doi: 10.1093/heapro/dat011.
2013To evaluate the translated and cross-culturally adapted TOFHLA and STOFHLA in the Serbian language
3 36 1Inadequate literacy (0-16), marginal literacy (17-22), and adequaate literacy (23-36)
120 7 minutesOriginal English version of the TOFHLA (long and short form) was translated into the Serbian language by a multidisciplanary team. The TOFHLA was then adminstered to 10 Serbian primary care patients to verify the Serbian population understood and interpreted the Serbian version of the TOFHLA.
No statistical differences were found between the long and short form of the Serbian version of the TOHFLA.
http://www.ncbi.nlm.nih.gov/pubmed/23445940 Prose: Comprehension Serbia Yes Paper and pencil Health Promotion Adults: 18 to 64 years Serbian Objective 0.900Parker, R. M., Baker, D.W., Williams, M.V., & Nurss, J. R. (1995). A new instrument for measuring patients' literacy skills. J Gen Internal Med, 10:537-541.
1995General functional HL test using fill in the blank comprehension questions and numeric calculations
2 67 13 categories: inadequate, marginal, and adequate
22 minutes 203 http://www.ncbi.nlm.nih.gov/pubmed/8576769 http://www.peppercornbooks.com/catalog/product_info.php?products_id=2514&osCsid… Prose: Comprehension, Numeracy, Information seeking: Document United States of America Yes Paper and pencil, Face-to-face General Adults: 18 to 64 years Spanish Objective 0.980Weiss, B.D., Mays, M.Z., Martz, W., Castro, K.M., DeWalt, D.A., Pignone, M.P., Mockbee, J., & Hale, F.A. (2005). Quick assessment of literacy in primary care: the newest vital sign. Ann Fam Med, 3(6):514-22.
2005General health literacy test using an ice cream nutritional label; Spanish version also available
1 6Sum score (0–6) categorized, with (0–1) high likelihood limited literacy, (2–3) possibility of limited literacy, and (4–6) adequate literacy
0 minutes 148 3 minutesConvergent: TOFHLA, r=0.56; ROC¥ analysis: vs. TOFHLA: AUROC=0.72 Spanish ver.; cut-off score = 4; 100% sensitivity; 64% specificity
https://www.ncbi.nlm.nih.gov/pmc/articles/PMC1466931/pdf/0030514.pdf /sites/default/files/webform/suggest-measure/496/320-20newest20vital20sign20nutrition20label20spanish.pdf Prose: Comprehension, Numeracy United States of America Yes Face-to-face Nutrition Adults: 18 to 64 years Spanish ObjectiveMcCormack, L., Bann, C., Squiers, L., Berkman, N., Squire, C., Schillinger, D., Ohene-Frempong, J., & Hibbard, J. Measuring health literacy: A pilot study of a new skills-based Instrument, Journal of Health Communication, 15:51-71.
2010An instrument to measure health literacy using a skills-based approach
4 25Percentage of items scored correctly, with 3 categories used for overall scoring on the instrument: proficient literacy (score of 82 or more), basic literacy (score of 70-81), and below basic literacy (score of 70 or less)
889 12 minutesExpert panel included in development process. Uses real world stimuli as part of items. Development included user pre-testing.
As hypothesized, the HLSI was moderated correlated with the S-TOFHLA (r=0.36). Correlations between the health literacy domains in the HLSI and the S-TOFHLA were highest for the print-prose, print-document, and print-quantitative skill area and much lower for the Internet and oral literacy domains as expected.
http://www.ncbi.nlm.nih.gov/pubmed/20845193 https://www.rti.org/impact/health-literacy-skills-instrument-hlsi Prose: Comprehension, Numeracy, Information seeking: Document, Application/function United States of America Yes Computer-based Health Promotion Adults: 18 to 64 years English Objective 0.860