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Measurement of Health Literacy Among Adolescents Questionnaire (2)

MOHLAA-Q Measurement of Health Literacy Among Adolescents Questionnaire (2) Olga Maria Domanska

Domanska, O. M., Bollweg, T. M., Loer, A.-K., Holmberg, C., Schenk, L., & Jordan, S. (2020). Development and Psychometric Properties of a Questionnaire Assessing Self-Reported Generic Health Literacy in Adolescence. International Journal of Environmental Research and Public Health, 17(8), 2860. doi:10.3390/ijerph17082860

 2020

Health literacy tool developed to assess general health literacy amongst adolescents (14-17 yrs) in order to promote health and prevernt disease

 4 29 0 minutes 625

"Created through a two-stage process: Stage 1 comprised
the development and validation using a literature review, two rounds of cognitive interviews, two
focus groups and two rounds of expert assessments by health literacy experts. Stage 2 included
a standard pretest (n = 625) of the questionnaire draft to examine the psychometric properties,
reliability and different validity aspects."

Developed from a blueprint of HLS-EU-Q47-GER which had been previously used in a quantitative study with 15-year-olds in Australia. LR, Cis, and FGs were used as a reference to create an initial item pool that related best to this conceptual framework.

The internal consistency coefficients (Cronbach’s ) of the scales varied from 0.54 to 0.77

 DomanskaO@rki.de Robert Kock Institute, Berlin, Germany https://pubmed.ncbi.nlm.nih.gov/32326285/ Comprehension Germany Paper and pencil Adolescents: 10 to 17 years German Self-reported

Indian version of the short form of the European Health literacy Questionnaire (HLS-EU Q16)

HLS-IND-HIN-Q16 , HLS-IND-KAN-Q16 Indian version of the short form of the European Health literacy Questionnaire (HLS-EU Q16) Dsouza Jyoshma Preema

Dsouza, J. P., Van den Broucke, S., & Pattanshetty, S. (2021). Validity and Reliability of the Indian Version of the HLS-EU-Q16 Questionnaire. International journal of environmental research and public health, 18(2), 495. https://doi.org/10.3390/ijerph18020495

 2021

Validated and developed tool to an Indian version of the short form of the newly revised European Health Literacy Questionnaire.

 2 16 8 minutes 340

The development and validation was using a literature review, two rounds of cognitive interviews, two focus groups, and two rounds of expert assessments by health literacy experts. Stage 2 included a standard pretest (n = 625) of the questionnaire draft to examine the psychometric properties, reliability, and different validity aspects.

Concurrent validity confirmed the hypothesis regarding a negative statistical association between scales A-C with self-reported health status.

"Test-retest reliability after 1 week among the Hindi and Kannada subsamples gave
Pearson’s correlation coefficients of r = 0.8 (p < 0.05) for the Hindi subsample, and r = 0.7
(p <0.05) for the Kannada subsample which shows a high correlation."

"Cronbach’s alpha coefficients, which are = 0.95 and = 0.92 for the Hindi and
Kannada subsamples which are above the acceptable limits of >0.9, respectively.Cronbach’s
alpha for the Hindi version of the tool (HLS-IND-HIN-Q16) was 0.98, and for Kannada version
(HLS-IND-KAN-Q16) 0.97"

 jyoshmadsouza11@gmail.com 25 Avenue Tony Garnier, Lyon, France https://www.mdpi.com/1660-4601/18/2/495/htm https://www.researchgate.net/publication/348384461_Validity_and_Reliability_of_… jyoshmadsouza11@gmail.com /sites/default/files/webform/suggest-measure/1021/hls-ind-q16hindi.pdf Prose: Comprehension, Comprehension, Appraisal, Application/function India Yes Face-to-face Health Literacy, General Adults: 18 to 64 years Hindi Objective

Development of an Instrument Measuring Navigation Health Literacy

HL-NAV-HLS19 Development of an Instrument Measuring Navigation Health Literacy Lennert Griese

Griese, L., Berens, E.-M., Nowak, P., Pelikan, J. M., & Schaeffer, D. (2020). Challenges in Navigating the Health Care System: Development of an Instrument Measuring Navigation Health Literacy. International Journal of Environmental Research and Public Health, 17(16), 5731. doi:10.3390/ijerph17165731

 2020

A tool developed from a combination of both the tool to evaluate navigation health literacy ( HL-NAV) in conjunction with the new international health Literacy Population Survey (HLS19). This new tool is suited for cross-country comparisons and monitoring, as well as for intervention development.

 4 12 0 minutes 33

A scoping literature review using Arksey and O’Malley’s approach was performed to
obtain an overview of existing definitions, concepts, and instruments in the field of navigation with a special focus on health literacy. In a second step, a working definition of HL-NAV was developed that addressed the underlying understanding and principles of health literacy as well as the findings from the reviewed literature. Afterwards, concept mapping of the main HL-NAV tasks was carried out. Finally, items matching these tasks have been developed. The wording and response scale of
the European Health Literacy Survey Questionnaire (HLS-EU-Q) was applied for item development. Items were discussed in four different focus groups—a procedure which is frequently used in initial item development. The aim was to gain feedback on the clarity and interpreted content of each item. The final instrument to be used for Germany was pre-tested in thirty-three personal face-to-face interviews. The results of the two pre-test modules were collected and evaluated together with the research team.

 lennert.griese@uni-bielefield.de Bielefeld University, Bielefeld, Germany https://www.mdpi.com/1660-4601/17/16/5731?type=check_update&version=1 Prose: Comprehension Germany Face-to-face General Adults: 18 to 64 years German Self-reported

Persian Version of the Heart Failure-Specific Health Literacy Scale

persianver Persian Version of the Heart Failure-Specific Health Literacy Scale Zahra Taheri-Kharameh

Barati, M., Taheri-Kharameh, Z., Farghadani, Z., & Rásky, É. (2019). Validity and Reliability Evaluation of the Persian Version of the Heart Failure-Specific Health Literacy Scale. International journal of community based nursing and midwifery, 7(3), 222–230. doi:10.30476/IJCBNM.2019.44997

 2019

A tool to measure the health literacy among heart failure patients in Persian.

 3 12

Questions were scored using 4-point Likert scale: 1=not relevant; 2=somewhat relevant; 3=quite relevant; 4=very relevant. The score of each item ranges from 1 to 4. The total score of the scale is 36. A higher score represents a higher level of HL.

 0 minutes 100

The development and validation of the tool included an expert panel, the translation of the measures from English to Persian were translated according to the International Quality of Life Assessment Project Protocol (LQOLA). In the expert panel reviews, all tasks received a CVI above 0.80 and CVR above 0.78, representing good content validity. Content validity index (CVI) and content validity ratio (CVR) were measured to evaluate the content validity of the HF-specific HL Scale. To obtain CVI for relevancy, we used simplicity and clarity of each item, ordinal scale with four possible responses. The responses include a rating from 1=not relevant, not simple and not clear to 4=very relevant, very simple and very clear. The number of those judging the item as relevant or clear (rating 3 or 4) was divided by the number of content experts. The acceptance of items based on CVI score was above 0.79 and CVR was higher than 0.8..

 0.80

Test-retest reliability was assessed by computing the intra-class correlation coefficient (ICC) of each domain. The time interval for this assessment was two weeks. An ICC>0.80 indicated good test-retest reliability and stability. The Cronbach’s alpha of the total scale was 0.71, and test-rest reliability coefficient was 0.88 -0.90 for the subscales.

 ztaheri@muq.ac.ir Department of Anesthesiology, School of Paramedical Sciences, Qom University of Medical Sciences, Shahid Lavasani St, Qom, Iran https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6614354/ Prose: Comprehension, Information seeking: Interactive media navigation, Information seeking: Document Iran Yes Paper and pencil, Face-to-face Heart Failure Adults: 18 to 64 years Persian Self-reported 0.710

Short Form Health Literacy Questionnaire for surveying in rural areas

HLS-SF12 Short Form Health Literacy Questionnaire for surveying in rural areas Tuyen Van Duong

Duong, T.V., Nguyen, T.T.P., Pham, K.M., Nguyen, K.T., Giap, M.H., Tran, T.D.X., Nguyen, C.X., Yang, S.-H., & Su, C.-T. (2019). Validation of the short-form health literacy questionnaire (HLS-SF12) and its determinants among people living in rural areas in Vietnam. Int. J. Environ. Res. Public Health, 16(18), 3346. https://doi.org/10.3390/ijerph16183346

 2019

The HLS-SF12 is a valid survey tool for the evaluation of HL in rural populations.

 3 12

The short-form health literacy questionnaire (HLS-SF12), which has been validated in the general population of six Asian countries [32], was used to measure health literacy (HL). The values of Cronbach’s alpha and the goodness-of-fit index of the HLS-SF12 in the general Vietnamese population were 0.87 and 0.97, respectively [32]. People rated the perceived difficulty of each item on four-point Likert scales (1 = very difficult, 2 = difficult, 3 = easy, and 4 = very easy). The indices for HL were standardized to unified metrics from 0 to 50 using the formula; Index = (mean − 1) × (50/3), where Index is the specific index calculated, mean is the mean of all participating items for each individual, 1 is the minimal possible value of the mean (leading to a minimum value of the index of 0), 3 is the range of the mean, and 50 is the chosen maximum value of the new metric. Thus, an index value is obtained where 0 represents the lowest HL and 50 the highest HL [37].

 3 minutes 440 ctsu@tmu.edu.tw Taipei, Taiwan https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6765800/ Prose: Comprehension, Media Literacy, Information seeking: Interactive media navigation, Information seeking: Document, Conceptual Knowledge, Comprehension, Communication: Speaker, Communication: Listener, Appraisal, Application/function Vietnam Paper and pencil, Face-to-face General Adults: 18 to 64 years Vietnamese Self-reported 0.790

Modified Mental Health Literacy Scale (Iranian)

MHLS Modified Mental Health Literacy Scale (Iranian) Mahbobeh Nejatian

Nejatian, M., Tehrani, H., Momeniyan, V. et al. (2021). A modified version of the mental health literacy scale (MHLS) in Iranian people. BMC Psychiatry 21, 53. https://doi.org/10.1186/s12888-021-03050-3

 2021

This instrument can be used to measure the level of MHL (mental health literacy) in different age groups of society and to identify people with low MHL. Consists of 35 questions relating to six attributes of MHL: (Ability to recognize disorders, Knowledge of risk factors and causes, Knowledge of self-treatment, Knowledge of professional help available, Knowledge of where to seek information, Attitudes that promote recognition or
appropriate help-seeking behavior).

 3 29 0 minutes 1222

To assess the qualitative content validity, the questionnaire was provided to 10 specialists (panel of experts in the fields
of psychology, health literacy, and health education and promotion) for the purpose of evaluating grammar, use of appropriate words, the importance of items, the correct placement of items, and the time for completing the designed instrument. Quantitative content validity was not required due to standard questionnaire used and translated.

McDonald’s omega coefficient and Cronbach’s alpha coefficient were used to assess the internal consistency of the questionnaire and each of the attributes separately.

McDonald’s omega coefficient for all questions of MHLS, MHLS attributes includes the ability to recognize disorders, knowledge of where to seek information, knowledge of risk factors, knowledge of self-treatment, knowledge of professional help available, attitudes that promote recognition or appropriate help-seeking behavior, were 0.797, 0.734, 0.652, 0.601, 0.602, 0.643, and 0.874 respectively.

Cronbach’s alpha coefficient for all questions of MHLS, MHLS attributes includes the ability to recognize disorders, knowledge of where to seek information, knowledge of risk factors, knowledge of self-treatment, knowledge of professional help available, attitudes that promote recognition or appropriate help-seeking behavior, were 0.789, 0.700, 0.630, 0.600, 0.600, 0.640, and 0.800, respectively.

 m.nejatian1383@gmail.com https://bmcpsychiatry.biomedcentral.com/articles/10.1186/s12888-021-03050-3#cit… Conceptual Knowledge Iran No Paper and pencil, Face-to-face Mental Health Adults: 18 to 64 years Persian Self-reported 0.789

Health Literacy about Vaccination of adults in ITalian

HLVa-IT Health Literacy about Vaccination of adults in ITalian Luigi Roberto Biasio

L.R. Biasio, C. Giambi, G. Fadda, C. Lorini, G. Bonaccorsi, F. D’Ancona
Validation of an Italian tool to assess vaccine literacy in adulthood vaccination: a pilot study
Ann Ig 2020; 32(3): 205-222 - doi:10.7416/ai.2020.2344

 2020

HLVa-IT is a tool for the self-assessment of three Vaccine Literacy (VL) scales, functional, interactive and critical, about adulthood immunization

 1 14

HLVa-IT is composed of 14 items (questions) divided into three scales: functional Vaccine Literacy (VL) (items number 1 to 5); interactive, also called communicative VL (items number 6 to 10); critical VL (items number 11 to 14).
From the psychometric point of view, functional VL questions are more about language capabilities, involving the semantic system, while the interactive/ critical questions regard more the cognitive efforts, such as problem solving and decision making.
The answers are supplied by the interviewee according to a Likert scale with four possible choices:
4-never, 3-rarely, 2-sometimes, 1-often, for the functional scale;
1-never, 2-rarely, 3-sometimes, 4-often, for the interactive and critical scale.
The score is obtained from the mean value of the answers to each scale, and is comprised between 1 and 4: a higher value corresponds to a higher
Vaccine Literacy level.

 0 minutes 200 5 minutes

Face (content) validity has been carried out with the aim of validating the apparent and external significance of HLVa-IT, through the judgement of the items provided for in the test, by a panel of experts in the vaccination field and public health.

Criterion validity has been sought verifying HLVa-IT score relation with acceptance of vaccines recommended in the adult/senior age.
A positive association was observed only on the functional scale in the population ≥ 65 years.
Construct validity was evaluated and confirmed through a significant positive correlation of HLVa-IT score with knowledge of interviewees about vaccines (Vaccine Quiz score).

Cronbach’s alfa was calculated on the answers to the questions of each of the HLVa-IT scales, functional (α=0.8157), interactive (α=0.8814) and critical (α=0.9021), as well as on interactive/critical (α=0.9369).
Inter-item correlation coefficients were significant for all pairs of questions.
Principal Component Analysis identified two main factors representing 62.70% of the total variability: all Items of the interactive/critical scale loaded on the first factor (eigenvalue =5.81), while those of the functional scale on the other factor (eigenvalue =2.97), confirming that interactive and critical scales belong to the same domain.

 lrbiasio@gmail.com via Helsinki 21, Rome, Italy http://www.seu-roma.it/riviste/annali_igiene/apps/autos.php?id=1312 lrbiasio@gmail.com /sites/default/files/webform/suggest-measure/1046/hlva-it20english20version.pdf Prose: Comprehension, Information seeking: Interactive media navigation, Information seeking: Document, Comprehension Italy Yes Paper and pencil Vaccination, Infectious Disease, Health Promotion Older Adults: 65+ years, Adults: 18 to 64 years Italian Self-reported 0.816

16 items European Health Literacy Survey Questionnaire (Italian)

HLS-EU-Q16 16 items European Health Literacy Survey Questionnaire (Italian) Chiara Lorini

Lorini, C., Lastrucci, V., Mantwill, S., Vettori, V., Bonaccorsi, G., & Florence Health Literacy Research Group. (2019). Measuring health literacy in Italy: the validation study of the HLS-EU-Q16 and of the HLS-EU-Q6 in Italian language. Annali dell'Istituto superiore di sanita, 55(1), 10-18.

 2019

The Italian version of the HLS-EU-Q16, a comprehensive health literacy tool

 3 16

Considering the HLS-EUQ16 score, three levels of HL were defined:
- inadequate HL (0-8)
- problematic HL (9-12)
- adequate HL (13-16)

 0 minutes 223 10 minutes

Cronbach’s alphas for was 0.799.
5% of the subjects were excluded from generating the score of HLS-EU-Q16 due to excess of “don’t know/refusal” responses

 chiara.lorini@unifi.it viale GB Morgagni 48, Firenze, Italy http://old.iss.it/binary/publ/cont/ANN_19_01_04.pdf chiara.lorini@unifi.it Comprehension Italy Yes Phone-based Health Promotion Adults: 18 to 64 years Italian Self-reported 0.799

Health Literacy Assessment Tool

HLAT-8 Health Literacy Assessment Tool Thomas Abel 2014

An assessment tool for public health and health promotion research. With only eight short questions, this new tool can provide a time- and cost-effective measure to be included in broader health surveys. For more specifically focused HL surveys, the tool may also be considered and linked to an expanded set of more detailed items.

 3 8 0 minutes 8349 thomas.abel@ispm.unibe.ch https://doi.org/10.1093/heapro/dat096 thomas.abel@ispm.unibe.ch Media Literacy, Information seeking: Interactive media navigation, Information seeking: Document, Application/function China, Switzerland Paper and pencil General Adults: 18 to 64 years English Self-reported 0.640

Health Literacy Assessment Using Talking Touchscreen Technology (Short form)

Health LiTT Health Literacy Assessment Using Talking Touchscreen Technology (Short form) Noel Slesinger

Slesinger, N. C., Yost, K. J., Choi, S. W., & Hahn, E. A. (2020). Validation of a Short Form for Health Literacy Assessment Using Talking Touchscreen Technology. Health literacy research and practice, 4(4), e200–e207. https://doi.org/10.3928/24748307-20200909-01

 2020

Provides rapid assessment of health literacy. Measures prose, document, and quantitative literacy by self-administration on a touchscreen computer.

 2 10

Inadequate health literacy
Marginal health literacy
Adequate health literacy

 133 7 minutes

Convergent validity was assessed by comparing scores for the Health LiTT short form to scores for other, commonly used measures of health literacy -- TOFHLA, REALM, NVS. The criterion for strong correlation was a Spearman correlation of 0.5 or greater. Spearman correlations between Health LiTT and other health literacy measures were greater than the criterion of 0.5 and ranged from 0.52 for the correlation with TOFHLA numeracy to 0.69 for the correlation with the REALM.

This 10-item Health LiTT short form has sufficient reliability to be used for group-level comparisons.

 noel.slesinger@northwestern.edu https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7544526/ http://www.healthlitt.org/Pages/default.aspx Prose: Pronunciation, Prose: Comprehension, Numeracy, Information seeking: Document, Comprehension United States of America Yes Face-to-face, Computer-based General Older Adults: 65+ years, Adults: 18 to 64 years English Objective 0.730

Health Literacy Instrument for Adults

HELIA Health Literacy Instrument for Adults Mahmoud Tavousi

Tavousi, M., Haeri-Mehrizi, A., Rakhshani, F., Rafiefar, S., Soleymanian, A., Sarbandi, F., Ardestani, M., Ghanbari, S., &amp; Montazeri, A. (2020). Development and validation of a short and easy-to-use instrument for measuring health literacy: The Health Literacy Instrument for adults (Helia). BMC Public Health, 20(1). https://doi.org/10.1186/s12889-020-08787-2

 2020

The Health Literacy Instrument for Adults (HELIA) is a short and easy-to-use instrument for measuring health literacy in adults.

 1 33

Inadequate, Problematic, Sufficient, Excellent

 0 minutes 323 montazeri@acecr.ac.ir Tehran, Tehran, Iran https://bmcpublichealth.biomedcentral.com/articles/10.1186/s12889-020-08787-2 /sites/default/files/webform/suggest-measure/1066/helia.en_.pdf Information seeking: Document, Comprehension, Appraisal, Application/function Iran Yes Paper and pencil General Adults: 18 to 64 years English Self-reported

eHealth Literacy Questionnaire (eHLQ)

eHLQ eHealth Literacy Questionnaire (eHLQ) Lars Kayser

Kayser L, Karnoe A, Furstrand D, Batterham R, Christensen KB, Elsworth G, Osborne RH. A Multidimensional Tool Based on the eHealth Literacy Framework: Development and Initial Validity Testing of the eHealth Literacy Questionnaire (eHLQ). J Med Internet Res 2018;20(2):e36

DOI: 10.2196/jmir.8371
PMID: 29434011
PMCID: 5826975

 2018

For people to be able to access, understand, and benefit from the increasing digitalization of health services, it is critical that services are provided in a way that meets the user’s needs, resources, and competence. The eHLQ captures the 7-dimensional eHealth Literacy Framework (eHLF) that describes users' attributes, user's interaction with technologies and user's experience with digital health systems.

 3 35

7 continuous scales with score range of 1 - 4.

 0 minutes 475 7 minutes

Application of the validity-driven approach, including Concept Mapping, i.e. grounded consultation with patients, health professionals, public health professionals and IT experts. Data from concept mapping were obtained in two cultures (Danish and English) as well as a global e-consultation. Items were were simultaneously constructed in Danish and English to uncover and remove idiomatic expressions in either language to support international equivalence of the constructs.

5 scales had a reliability above 0.8 while scales 2 and 6 had acceptable reliability of over 0.77.

 rosborne@swin.edu.au Centre for Global Health and Equity, Swinburne University of Technology, Melbourne, VIC, Australia https://www.jmir.org/2018/2/e36/ rosborne@swinburne.edu.au Information seeking: Interactive media navigation, Information seeking: Document, Conceptual Knowledge, Comprehension, Appraisal, Application/function Denmark, Norway, France, Germany, Australia, Taiwan No Phone-based, Paper and pencil, Mailed survey, Face-to-face, Computer-based Health Promotion, Digital health Older Adults: 65+ years, Adults: 18 to 64 years English Self-reported

Mental Health Literacy Questionnaire (MHLQ) Among Young Iranian Soldiers

MHLQ Mental Health Literacy Questionnaire (MHLQ) Among Young Iranian Soldiers Erfab Soleimani-Sefat

Soleimani-Sefat E, Parandeh A, Rahmati F, Kamalikhah T. Development and Psychometric Properties of the Mental Health Literacy Questionnaire (MHLQ) Among Young Iranian Soldiers. Int J Prev Med. 2022 Jul 15;13:101. doi: 10.4103/ijpvm.IJPVM_468_20. PMID: 36119956; PMCID: PMC9470910.

 2022

This study is the first step in the designing and psychometrics of the Mental Health Literacy Questionnaire (MHLQ) in Iran. The purpose of this study was to design the psychometric properties of the MHLQ in soldiers.

 2 31 0 minutes 251

The CVR and CVI statistics were used for quantitative examination of content validity by using 10 healthcare professionals. Likewise, we interviewed 9 soldiers for ambiguous complex items. According to the Lawshe's table and the experts’ judgment (n = 10), every item with a CVR <0.62 and based on Waltz and Bausell, a CVI <0.79 was excluded from the questionnaire.

 0.81 fatemeh_rahmati@bmsu.ac.ir Iran https://pubmed.ncbi.nlm.nih.gov/36119956/ Iran Computer-based Mental Health Older Adults: 65+ years, Adults: 18 to 64 years Persian Self-reported 0.760

Health Literacy Battery for Three Phases of Stroke

HL-3S Health Literacy Battery for Three Phases of Stroke Yi-Jing Huang

Huang, Y.-J., Chen, C.-T., Sørensen, K., Hsieh, C.-L., &amp; Hou, W.-H. (2020). Development of a battery of phase-adaptive health literacy tests for stroke survivors. Patient Education and Counseling, 103(11), 2342–2346. https://doi.org/10.1016/j.pec.2020.04.023

 2020

The HL-3S was developed to assess patients’ essential health literacy competencies in the acute, subacute, and chronic phases after stroke. Clinicians can select one of the tests in the HL-3S corresponding to the patient’s stroke recovery timeline and thereby provide adaptive health education programs.

 3 30 442

We developed the HL-3S based on the Integrated Model of Health Literacy, which incorporated three health subdomains (health care [HC], disability prevention [DP], and health promotion [HP]) and four information-processing competencies (accessing, understanding, appraising, and applying) related to health decision-making and health-related tasks.

Each item was reviewed by 24–36 stroke survivors and their families to ensure comprehension of item phrasing. The initial item banks were administered to a convenience sample of stroke survivors to examine the fit of the Rasch model.

A panel of clinical experts and Rasch experts selected items from each of the three Rasch-based item banks for the HL-3S, based on the content representativeness and item difficulties. Additionally, the unidimensionality, local independence, and Rasch reliability of the HL-3S were examined using Rasch analysis.

The Rasch reliability coefficient of the three tests in the HL-3S was in the range 0.86–0.87, indicating that the HL-3S yields estimates of health literacy in stroke survivors with satisfactory reliability. Thus, the HL-3S can be used to precisely assess the health literacy of stroke survivors.

 houwh@tmu.edu.tw Master Program in Long-Term Care and School of Gerontology Health Management, College of Nursing, Taipei Medical University, No. 250, Wuxing St., Xinyi Dist., Taipei City 110, Taiwan., Taipei City, Taiwan Information seeking: Document Taiwan Stroke, Health Literacy Adults: 18 to 64 years Mandarin Self-reported

Health Literacy Instrument for Adults (2)

HELIA Health Literacy Instrument for Adults (2) Mahmoud Tavousi

Tavousi, M., Haeri-Mehrizi, A., Rakhshani, F. et al. Development and validation of a short and easy-to-use instrument for measuring health literacy: the Health Literacy Instrument for Adults (HELIA). BMC Public Health 20, 656 (2020). https://doi.org/10.1186/s12889-020-08787-2

 2020

Instrument for measuring skills related to health literacy among adults such as ability to obtain health information (access); understand health information (understanding); ability to assess and evaluate the health information (appraisal); and use the information to make a decision (apply or use health-related information. The measure does not test people’s knowledge but rather examines skills relevant to health literacy.

 3 47 323

15 Public Health Experts reviewed items. Items were checked for relevance, clarity, simplicity, and necessity. Experts were also asked to comment on wording and grammar.

 0.84 moc.liamg@isuovat.m https://bmcpublichealth.biomedcentral.com/articles/10.1186/s12889-020-08787-2 Conceptual Knowledge, Comprehension, Appraisal, Application/function Iran Paper and pencil Health Promotion, General Adults: 18 to 64 years Persian Self-reported 0.890

Adapting the European Health Literacy Surbey Questionnaire for Fourth-Grade Student in Germany

HLS-Child-Q15 Adapting the European Health Literacy Surbey Questionnaire for Fourth-Grade Student in Germany Torsten Bollweg

Bollweg, T. M., Okan, O., Freţian, A. M., Bröder, J., Domanska, O. M., Jordan, S., Bruland, D., Pinheiro, P., & Bauer, U. (2020). Adapting the European Health Literacy Survey Questionnaire for Fourth-Grade Students in Germany: Validation and Psychometric Analysis. Health literacy research and practice, 4(3), e144–e159. https://doi.org/10.3928/24748307-20200428-01

 2020

An adapted version of the European Health Literacy Survey Questionnaire(HLS-EU-Q) used in adult self-reported health literacy to assess younger age groups so that self-reported health literacy could be assessed continuously.

 4 15 907 10 minutes torsten.bollweg@uni-bielefield.de Centre for prevention and intervention in childhood and adolescence, faculty of educational science, Bielefield University, Universitaetsstrasse 25, Bielefield, Germany Conceptual Knowledge, Comprehension Germany Paper and pencil Children: 0 to 9 years German Self-reported

Short form health literacy survey questionnaire

HLS-SF12 Short form health literacy survey questionnaire Tuyen V Duong

Duong, T. V., Aringazina, A., Baisunova, G., Nurjanah, N., Pham, T. V., Pham, K. M., Truong, T. Q., Nguyen, K. T., Oo, W. M., Su, T. T., Abdul Majid, H., Sørensen, K., Lin, I.-F., Chang, Y., Yang, S. H., & Chang, P. W. S. (2019, Apr 10). Development and validation of a new short-form health literacy instrument (HLS-SF12) for the general public in six Asian countries. HLRP: Health Literacy Research and Practice, 3(2), e91-e102. https://doi.org/10.3928/24748307-20190225-01

 2019

A 12-item short-form HL questionnaire (HLS-SF12) was developed, retaining the conceptual framework of the HLS-EU-Q47 and accounting for the high variance of the full-form. The HLS-SF12 was demonstrated to have adequate psychometric properties, including high reliability, good criterion-related validity, a moderate and high level of item-scale convergent validity, no floor or ceiling effect, and good model-data-fit throughout the populations in six countries (Indonesia, Kazakhstan, Malaysia, Myanmar, Taiwan, and Vietnam).

 3 11 10024

moderate and high level of item-scale convergent validity

 peter.chang3@gmail.com Taiwan https://doi.org/10.3928/24748307-20190225-01 duongtuyenvna@gmail.com Information seeking: Interactive media navigation, Information seeking: Document, Conceptual Knowledge, Comprehension, Communication: Speaker, Communication: Listener, Appraisal, Application/function Indonesia, Kazakhstan, Malaysia, Myanmar, Taiwan, Vietnam Paper and pencil, Face-to-face, Computer-based General Older Adults: 65+ years, Adults: 18 to 64 years English Self-reported 0.850

Digital Healthy Diet Literacy

DDL-4 Digital Healthy Diet Literacy Tuyen V Duong

Duong, T.V., Pham, K.M., Do, B.N., Kim, G.B., Dam, H.T.B., Le, V.-T.T., Nguyen, T.T.P., Nguyen, H.T., Nguyen, T.T., Le, T.T., Do, H.T.T., & Yang, S.-H. (2020). Digital Healthy Diet Literacy and Self-Perceived Eating Behavior Change during COVID-19 Pandemic among Undergraduate Nursing and Medical Students: A Rapid Online Survey. Int. J. Environ. Res. Public Health, 17(19), 7185. https://doi.org/10.3390/ijerph17197185

 2020

The DDL scale is an expanded concept of health literacy, refers to the ability to access, understand, judge, and apply digital healthy-diet-related information to improve healthy eating behavior and health outcomes (Duong et al., 2020). DDL consists 4 items related to ability to process the information in the domain of digital healthy diet. Participants reported difficulty in performing each task item based on 4-point Likert scales from 1 = very difficult to 2 = fairly difficult, 3 = fairly easy, and 4 = very easy. The DDL index was standardized to a unified metric from 0 to 50 with higher scores representing better DDL using Formula (1):
Index = (Mean − 1) × (50/3) (1)

where Index is the specific index calculated, Mean is the mean of all participating items for each individual, 1 is the minimal possible value of the mean (leading to a minimum value of the index of 0), 3 is the range of the mean, and 50 is the chosen maximum value.

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satisfactory

satisfactory

 tvduong@tmu.edu.tw No. 250 Wuxing St.,, Taipei, Taiwan https://pubmed.ncbi.nlm.nih.gov/33008102/ duongtuyenvna@gmail.com Information seeking: Interactive media navigation, Information seeking: Document, Application/function Vietnam Paper and pencil, Face-to-face, Computer-based Nutrition, Digital health Adults: 18 to 64 years Vietnamese Self-reported 0.860

Age Adapted Survey version of the European Health Literacy Questionnaire for fourth-graders

HLS-Child-Q15 Age Adapted Survey version of the European Health Literacy Questionnaire for fourth-graders Torsten Bollweg

Bollweg, T. M., Okan, O., Freţian, A. M., Bröder, J., Domanska, O. M., Jordan, S., . . . Bauer, U. (2020). Adapting the European Health Literacy Survey Questionnaire for Fourth-Grade Students in Germany: Validation and Psychometric Analysis. Health Lit Res Pract, 4(3), e144-e159. https://doi.org/10.3928/24748307-20200428-01

 2020

The HLS-Child-Q15 is an adapted version of the European Health Literacy Survey Questionnaire. Thus, it is a self-administered self-report measure of children's perceived difficulty or ease in dealing with health-related information ("subjective health literacy"). The measure was adapted specifically for German fourth-graders (age 9 to 10), but an English translation is provided.

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The HLS-Child-Q15 was developed with careful consideration of the target group, the underlying theoretical model and the original HLS-Child-Q47 items. Also, it was pre-tested qualitatively with members of the target group.

More information on the development process and pretesting:
Bollweg, T. M., Okan, O., Pinheiro, P., Bröder, J., Bruland, D., Freţian, A. M., . . . Bauer, U. (2020). Adapting the European Health Literacy Survey for Fourth-Grade Students in Germany: Questionnaire Development and Qualitative Pretest. Health Lit Res Pract, 4(2), e119-e128. https://doi.org/10.3928/24748307-20200326-01

In the validation study, validity was assessed regarding correlation of the HLS-Child-Q with a cloze procedure functional health literacy test (TOFHLA-Style; convergent validity) and correlation with self-efficacy (discriminant validity).

Correlation between HLS-Child-Q15 and functional health literacy was weak but significant (r = .107, p < .001). This indicates that the measured contructs ("reading comprehension" vs. "perceived difficulty or ease in dealing with health-related information") are not very similar.

Correlation between HLS-Child-Q15 scores and self-efficacy indicators items was stronger (r = .280 to .306, p < .001). This indicates that self-efficacy and perceived difficulty or ease in dealing with health-related information are somewhat related, which is plausible due to the phrasing of HLS-Child-Q15 items ("how easy or difficult is it for you to....").

Split-half realibility was high: r = 0.771

 torsten.bollweg@uni-bielefeld.de Bielefeld, Germany https://doi.org/10.3928/24748307-20200428-01 https://doi.org/10.3928/24748307-20200428-01 Comprehension, Communication: Listener, Application/function Germany No Paper and pencil General Adolescents: 10 to 17 years, Children: 0 to 9 years German Self-reported 0.791

Health Literacy Questionnaire Urdu (Australia) version

HLQ-Urdu (Australia) Health Literacy Questionnaire Urdu (Australia) version Ahsan Saleem

Saleem, A., Steadman, K.J., Osborne, R.H., La Caze, A. (2020). Translating and validating the Health Literacy Questionnaire into Urdu: a robust nine-dimension confirmatory factor model. Health Promotion International. https://doi.org/10.1093/heapro/daaa149

 2020

HLQ-Urdu is the Urdu version of the Health Literacy Questionnaire (HLQ). It measures traditional functional health literacy as well as 8 other elements in the Urdu language to cover the full construct of health literacy. The HLQ-Urdu has been validated for Urdu-speaking migrants. The HLQ was carefully developed and tested over many years using a validity-driven approach. It was designed for and is used in National Surveys, Clinical Trials, general surveys, for quality improvement, evaluation studies, and, importantly, to uncover mechanisms behind health inequalities to inform intervention development. The HLQ has been found to be useful at the patient-clinician level. Each measure is highly reliable (4 to 6 items) and generates key information about an individual's perceived health literacy abilities, and their experiences. As a multi-dimensional tool that has been designed to provide researchers, practitioners, organisations and governments with data describing the health literacy strengths and limitations of individuals and populations. As each scale is independent, 1 or more sales may be used to measure specific research questions or evaluate specific outcomes. To measure the full multidimensional concept of health literacy all 9 scales are required.

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Independent scales measuring health literacy on a continuous scale. Scores range between 1 to 4 (for first 5 scales) and 1 to 5 (for scales 6 to 9).

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The Health Literacy Questionnaire was adapted using forward-backward translation, consensus conference and cognitive interviews.

The development of the tool followed the protocol mandated by the authors of HLQ. The process included forward and blinded back-translation by professional/certified translators. The final questionnaire was approved after a 4-hour consensus teleconference.

Except for scale 1 (0.79), Cronbach's α was >0.8 for all the scales. Due to the known weaknesses of Cronbach's alpha (ie that a high number of items results in artificially high alpha, and that its calculation is based on a normal distribution of the data and equidistance between response options), composite reliability was also calculated. The composite reliability ranged from 0.84 to 0.91 for all scales.

 ghe-licences@swin.edu.au School of Pharmacy, The University of Queensland, Pharmacy Australia Centre of Excellence (PACE), 20 Cornwall Street, Woolloongabba, QLD, Australia https://doi.org/10.1093/heapro/daaa149 rosborne@swin.edu.au Prose: Comprehension, Numeracy, Comprehension, Communication: Speaker, Application/function Australia No Phone-based, Computer-based Health Promotion, General Older Adults: 65+ years, Adults: 18 to 64 years Urdu Self-reported 0.800