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Assertiveness, Clarity, Positivity Model

ACP MODEL (Q-COM-LIT) Assertiveness, Clarity, Positivity Model Cristina Vaz de Almeida

Vaz de Almeida, C., & Belim, C. (2020). Health Professionals' Communication Competences as a Light on the Patient Pathway: The Assertiveness, Clarity, and Positivity (ACP) Model. International Journal of Applied Research on Public Health Management (IJARPHM), 6(1), 1-16. DOI: 10.4018/IJARPHM.2021010102 Retrieved from: https://www.igi-global.com/article/health-professionals-communication-c…

Almeida, C. V. (2019). Modelo de comunicação em saúde ACP: As competências de comunicação no cerne de uma literacia em saúde transversal, holística e prática. In C. Lopes & C. V. Almeida (Coords.), Literacia em saúde na prática (pp. 43-52). Lisboa: Edições ISPA [ebook] Retrieved from: http://loja.ispa.pt/produto/literacia-em-saude-na-pratica

2016

The questionnaire survey in the present investigation is mainly used to explore how physicians and nurses understand, in the therapeutic relationship, their contribution in relation to assertiveness, clear language and positivity for the improvement of health literacy, in their dimensions of access, understanding and use of the message (therapeutic adherence), of the patient. The validity of the results was verified in the intention of the questionnaire reflecting the concepts (Bryman, 2012, p. 47), in this case the communication skills, the intrinsic s to the ACP model and the dimensions of health literacy. It is intended that the Q-COM-LIT (Appendix 4) will act as a practical contribution in the assessment of the self-perceptions of the communication skills of the health professional and to serve as a future model in this evaluation of health professionals.
We started from a research of instruments already applied and validated with reference to the theme of communication (e.g. Cegala, 2003; Ferreira, Raposo & Pisco, 2017; Finset & Mjaaland, 2009; Makoul, 2001; Neumann et others, 2010; McGee & McNeilis, 1996; Silverman and others, 2013; Schriver and others, 2010) and health literacy (Sørensen and others; Saboga-Nunes, 2014).
https://docs.google.com/forms/d/1gcLppFhGbiwenPZ7Fh12P3ckABJhjDVT-bAOSc…

4 50 1

The Q-COM-LIT consists of 50 questions: sociodemographic characterization (n=7), scripts (n=3); assertiveness (n=13); clarity (n=13); positivity (n=13); open final question (n=1). The ACP group of questions comprises those numbered from 9 to 11, totaling 39 items. A Likert scale (1. It's terrible; 2. Bad; 3. Sufficient; 4. Good; 5. Excellent) for individual evaluation of the professional, based on Bryman (2012, p. 166).
To improve the enunciation and order of the questions, a pre-test was made, which gathered, between September 22 and November 10, 2019, 21 participants.
Due to the prestige of EUROPEP (1996, 2017), a user satisfaction questionnaire in Portugal (Annex 1), and because they were the researchers responsible for its translation, dissemination and evaluation, it was considered useful to submit the Q-COM-LIT to the appreciation of Professors Pedro Ferreira and Victor Raposo, who evaluated it very positively.
The age group from 35 to 44 years represents 35.7% of respondents, followed by the 45 to 54 years age group with 23.9%, 25 to 34 years with 22.9% of respondents, 3.9% of professionals aged 18 to 24 years and only 1.5% over 65 years. A total of 59.1% are married or living in a marital life, while 27% of respondents are single and 13% divorced or widowed. It is in the municipality of Lisbon that the majority resides (31.9%). Also 60.7% work in chulc, reflecting the result of dissemination in this hospital center, after the authorization of the EC (process 704/2019).

10 minutes 387 10 minutes

The INE (2017; 2018) indicates, for the metropolitan area of Lisbon, the total of 12 913 nurses in the hospital context and that of 1,836 FGM physicians in office. Therefore, a total of 14 749 health professionals. In an attempt to optimize the quality of the sample as much as possible, the calculation was applied to finite populations and, through quotas, proportions of reality were inserted. The total sample to be computed, applying the calculation for finite populations – <100,000 elements – (Pocinho, 2009, pp. 18-19) and considering a confidence level of 95% and a sampling error of 5%, is: 389.
The socio-demographic characterization of these respondents also seeks an approximation to the Portuguese reality. In order for the sample to be proportional to the total number of physicians and nurses, the simple three rule was applied. Intending a sampling by proportional quotas of profession and gender, the sample for the survey consisted of 341 nurses (87.7% of the total) and 48 FGM physicians (12.3%). Given the feminization rate (SNS, 2016) of medical staff – 59.1% – and that of nursing staff of 83.4% (SNS, 2016, p. 149), 21 males and 27 females and, in nursing, 283 women and 58 men ( table 2 ) are considered among physicians.
The request for the application of the survey was made to the Ethical Committees of the Regional Health Administration of Lisbon and Tagus Valley (ARSLVT), and to the EC of the University Hospital Center of Central Lisbon (CHULC). Within the CHULC, authorization was obtained by the Ethical Comission, through its Board of Directors, for the application of the online questionnaire.
Considering the reliability indexes, which are between 0.75 and 1 and, given the result for Cronbach's alpha of the Q-COM-LIT of 0.788 (for the 50 items), the values confirm the reliability of the instrument.

Based on similar studies of assessment of competencies of health professionals who used the Likert scale, such as Cegala and others (1998), Knapp, Raynor, Thistlethwaite and Jones (2009), Sperati and others (2019). As in HLS-EU (2012), there is no neutral category, and tasks/situations have been integrated. Marôco and Garcia-Marques (2006) also confirm that, in the social sciences, multi-item scales are generally used to assess different capacities, personality characteristics, or other psychological dimensions (p. 69).

Considering the reliability indexes, which are between 0.75 and 1 and, given the result for Cronbach's alpha of the Q-COM-LIT of 0.788 (for the 50 items), the values confirm the reliability of the instrument.
Although the sociodemographic questions of the survey were not in the values that could be considered low (Marôco & Garcia-Marques, 2006), excluding them the result rose to a reliability index of 0.959 .
The results of the Q-COM-LIT reinforce those of the FG, through the evaluation attributed by health professionals to their communicative competencies, combined with the ACP model – in the variables Assertiveness, Clarity and Positivity.
By evaluating the measures of central trend, such as the Median, Moda and Quartiles, it is possible to obtain a confirmation of its appreciation of health communication skills.

Katherine.waite@bmc.org Largo Maria Leonor, nº 8, 7º B Miraflores, Lisbon, Portugal, Portugal http://loja.ispa.pt/produto/literacia-em-saude-na-pratica vazdealmeidacristina@gmail.com Prose: Comprehension, Information seeking: Interactive media navigation, Information seeking: Document, Conceptual Knowledge, Comprehension, Communication: Speaker, Communication: Listener, Appraisal, Application/function Portugal Yes Paper and pencil, Mailed survey, Face-to-face, Computer-based General Adults: 18 to 64 years Portuguese Self-reported 0.961

Three-Factor Structure of the eHealth Literacy Scale Among MRI and CT Outpatients

HLS-EU-Q16 and HLS-EU-Q6 Three-Factor Structure of the eHealth Literacy Scale Among MRI and CT Outpatients Lisa Hyde

Hyde, L. L., Boyes, A. W., Evans, T. J., Mackenzie, L. J., & Sanson-Fisher, R. (2018). Three-Factor Structure of the eHealth Literacy Scale Among Magnetic Resonance Imaging and Computed Tomography Outpatients: A Confirmatory Factor Analysis. JMIR human factors, 5(1), e6. doi:10.2196/humanfactors.9039

2018

Comprehensively assesses the health literacy in women with breast cancer

4 47 0 minutes 0 minutes

CFA is used to test the three factor structure of the English eHEALS using multinational versions from the UK, New zealand, and the USA on MRI and CT outpatients

All factor loadings were significant (p<.001) and CRs exceeded .(70 ). The SRMR was .038 indicating adequate fit to the hypothesized model. CF (.944) close to threhold of acceptability (.95)

Lisa.L.Hyde@uon.edu.au https://asset.jmir.pub/assets/70666b001b82067f9591f6ffee3269d9.pdf Comprehension Australia Face-to-face General, Cancer Adults: 18 to 64 years Taiwanese Objective 0.700

Persian Mental Health Literacy Scale

MHLS -P Persian Mental Health Literacy Scale Gholmareza Ghaedamini Harouni

Ghaedamini Harouni, G., Sajjadi, H., Forouzan, A. S., Ahmadi, S., Ghafari, M., & Vameghi, M. (2021). Validation of the Persian version of the mental health literacy scale in Iran. Asia-Pacific Psychiatry. Published. https://doi.org/10.1111/appy.12447

2018

Reliable and valid measurement of MHL is a key step in the promotion of mental health at the individual and community
levels.

3 24 0

awarness factor attitudes factor availability factor

0 minutes 1026

The structure of the mental health literacy scale was to some extent different from the one in O'Connor et al. study, but it was consistent with the definition of MHL presented by Jorm et al.

In addition, three other tools were used to examine the
psychometric properties of the MHL scale: the 12-item General Health
Questionnaire (GHQ-12) (Montazeri et al., 2003; Yaghubi et al., 2012),
the Multidimensional Health Locus of Control scale

Yes m_vameghi@yahoo.com Tehran, Tehran, Iran https://pubmed.ncbi.nlm.nih.gov/33416211/#article-details Qaedamini@gmail.com Conceptual Knowledge Iran No Face-to-face, Computer-based Mental Health, Health Literacy, General Adults: 18 to 64 years Persian Self-reported

Oral Health Literacy Adult Questionnaire

MOHL-AQ Oral Health Literacy Adult Questionnaire Mu-Hsing Ho

Ho MH, Montayre J, Chang HR, Joo JY, Naghibi Sistani MM, Lin YK, Traynor V, Chang CC, Liu MF. Validation and evaluation of the Mandarin version of the oral health literacy adult questionnaire in Taiwan. Public Health Nurs. 2020 Mar;37(2):303-309. doi: 10.1111/phn.12688. Epub 2019 Nov 19. PMID: 31742791.

2020

The Oral Health Literacy Adult Questionnaire (OHL-AQ) was developed to assess
functional literacy levels of oral health concepts.

4 17 0

0-9 inadequate oral literacy; 10-12 marginal; 12-17 adequate oral literacy

0 minutes 402

The content validity was examined by five experts specialized in dentistry, oral health
science, public health, and community health nursing regarding the accuracy, content
suitability and clarity of the translated scale and amendments were made based on their
expert opinions. A content validity index (CVI) value ≥80% was used as the assessment
standard (the proportion in which ≥80% of the experts agreed with scores ≥3 points on the
scale). All suggestions of experts were considered in modifying the questionnaire. The mean
score of total 17 items was 3.79, and the overall CVI calculated for MOHL-AQ was 95%.

hchang@uow.edu.au Comprehension China Yes Paper and pencil, Face-to-face Dental Health Adults: 18 to 64 years Mandarin Objective 0.770

Weight-Specific Health Literacy Instrument

WSHLI Weight-Specific Health Literacy Instrument Tzu-I Tsai

Tsai, T.I. and Lee, S.Y.D (2017). Development and validation of a Weight-Specific Health Literacy Instrument (WSHLI). Obesity Research & Clinical Practice 12(2): 214-221. https://doi.org/10.1016/j.orcp.2017.11.003

2018

A scale to measure individuals' health literacy with regard to weight management.

3 13 362

Definitions of health literacy were reviewed to identify key domains for weight-specific health literacy. Consultation with a diverse expert panel led to the creation of a preliminary item pool, which was then subjected to a Delphi process to select the final items. These 17 items were subsequently pilot tested. After statistical analyses, 4 items were eliminated leading to a 13 item final version.

WSHLI was significantly correlated with short form Mandarin health Literacy Scale (y=0.71, p<0.001).

Factor 1: α=0.81
Factor 2: α=0.80

titsai@ym.edu.tw https://www.sciencedirect.com/science/article/pii/S1871403X17301357 Prose: Comprehension, Numeracy, Information seeking: Document Taiwan Paper and pencil Nutrition, General Adults: 18 to 64 years Mandarin Objective

Nutrition Health Literacy Instrument for Adults with Chronic Health Conditions

Shortened NLit Nutrition Health Literacy Instrument for Adults with Chronic Health Conditions Heather Gibbs

Gibbs, H. D., Ellerbeck, E. F., Gajewski, B., Zhang, C., & Sullivan, D. K. (2017). The Nutrition Literacy Assessment Instrument is a Valid and Reliable Measure of Nutrition Literacy in Adults with Chronic Disease. Journal of nutrition education and behavior, 50(3), 247-257.e1.

2017

A tool to measure Nutrition Literacy in adult primary care population with nutrition-related chronic disease.

3 42

Scores ≤28 correct may be interpreted as “likelihood of poor nutrition literacy”;
Scores of 29–38 correct may be interpreted as “possibility of poor nutrition literacy”;
Scores ≥39 may be interpreted as “possibility of good nutrition literacy.”

0 minutes 429 25 minutes

The development of the tool included an expert panel in Nutrition education and 1 Psychometrician who revised the NLit looking improve the clarity of the format and content for the target patient population.

NLit is demonstrated by the strong relationship found between nutrition literacy scores and diet quality scores (HEI-2010). The mean HEI-2010 scores of this sample fell between the 75th and 90th percentiles of scores in the 2003–2004 NHANES nationally representative sample used to validate HEI-20103, indicating better reported diet quality than would be predicted for a general sample of US adults (Gibbs et al., 2017).

0.88

CFA=0.97

hgibbs@kumc.edu Department of Dietetics & Nutrition, Mail Stop 4013, University of Kansas Medical Center, Kansas City, KS, United States of America https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5845801/ Numeracy, Comprehension, Application/function United States of America Yes Paper and pencil, Computer-based Nutrition, Diabetes, Blood Pressure Adults: 18 to 64 years English Objective

European Health Literacy Survey Questionnaire (traditional Chinese version)

HLS-EU-Q European Health Literacy Survey Questionnaire (traditional Chinese version) Yi-Jing Huang

Huang, Y. J., Lin, G. H., Lu, W. S., Tam, K. W., Chen, C., Hou, W. H., & Hsieh, C. L. (2018). Validation of the European Health Literacy Survey Questionnaire in women with breast cancer. Cancer nursing, 41(2), E40-E48.

2018

The European Health Literacy Survey Questionnaire (HLS-EU-Q) was developed on the basis of a proposed integrated model of health literacy. The HLS-EU-Q comprises 47 items assessing 12 subdomains of health literacy formed by four information-processing competences of individuals (that is, accessing, understanding, appraising, and applying) and three health contexts (that is, healthcare, disease prevention, and health promotion).

2 47

1=very difficult, 2=difficult, 3=easy, and 4=very easy

0 minutes 475

The traditional Chinese version of the HLS-EU-Q was used in this study. IT was developed using the translation-back translation method from the original English version. It was verified by a panel of public health experts in Taiwan, and then pretested and readability and understandability.

The first-order CFA fitted with the HLS-EU-Q containing 47 items. However, Item 29, with a low factor loading (-0.05), was deleted. The modified first-order CFA adequately fitted the data of the HLS-EU-Q with 46 items. The second-order CFA model acceptably fitted with the data, but the 3 domains with high correlations (0.92-1.00) were merged into a single domain, Health Literacy. The factorial validity of the 12-subdomain HLS-EU-Q with 46 items in women with breast cancer.

houwh@tmu.edu.tw Room 1407, 14F, United Medical Building, No. 250 Wuxing Street, Xinyi District, Taipei, Taiwan https://journals.lww.com/cancernursingonline/Abstract/2018/03000/Validation_of_… Information seeking: Interactive media navigation, Information seeking: Document, Comprehension, Appraisal, Application/function Taiwan Yes Paper and pencil, Face-to-face General Adults: 18 to 64 years Taiwanese Self-reported 0.750

Health Literacy Measure for Adolescents

HELMA Health Literacy Measure for Adolescents Shahla Ghanbari

Ghanbari S, Ramezankhani A, Montazeri A, Mehrabi Y (2016) Health Literacy Measure for Adolescents (HELMA): Development and Psychometric Properties. PLoS ONE 11(2): e0149202. doi:10.1371/journal.pone.0149202

2016

It is a short questionnaire measuring health literacy among adolescents.

1 44

Please see the scoring manual.

0 minutes 582 montazeri@acecr.ac.ir P.O. Box 13185-1488, Tehran, Tehran, Iran http://journals.plos.org/plosone/article?id=10.1371/journal.pone.0149202 /sites/default/files/webform/suggest-measure/766/helma.pdf Numeracy, Comprehension, Application/function Iran Yes Paper and pencil General Adolescents: 10 to 17 years English Self-reported

Spanish Numeracy Understanding in Medicine Instrument

Spanish-NUMi Spanish Numeracy Understanding in Medicine Instrument Elizabeth Jacobs

Jackson, J. L. (2016). Capsule Commentary on Jacobs et al. Development and Validation of the Spanish-Numeracy Understanding in Medicine Instrument. Journal of General Internal Medicine, 31(11)

2016

The aim was to develop and validate a short and easy to use measure of health numeracy for Spanish-speaking adults.

4 6 1 0 minutes 232

This measure was developed using response theory. Items for this measure were generated based on qualitative studies in English and Spanish speaking adults and translated into Spanish using a group translation and consensus process.

Scores were positively correlated with print literacy as measured by the S- TOFHLA (r = 0.67; p < 0.001) and varied as predicted across grade level.

Cronbach's alpha was computed as a measure of reliability and a Pearson's correlation was used to evaluate the association between test scores and the S-TOFHLA and education level.

liz.jacobs@austin.utexas.edu University of Texas Austin, Dell Medical School, Austin, TX, United States of America https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5071279/ Numeracy, Comprehension United States of America No Paper and pencil, Face-to-face General Adults: 18 to 64 years English Objective 0.720

Cancer Health Literacy Test - Spanish Version

CHLT-30-DKspa Cancer Health Literacy Test - Spanish Version Margarita Echeverri

Echeverri M, Anderson D, Nápoles AM. (2016). Cancer Health Literacy Test-30-Spanish (CHLT-30-DKspa), a new Spanish-language version of the Cancer Health Literacy Test (CHLT-30) for Spanish-speaking Latinos, Journal of Health Communications: International Perspectives, 21:sup1, 69-78, http://dx.doi.org/10.1080/10810730.2015.1131777

2016

Adaptation and validation to Spanish of the CHLT-30 tool. The tool includes a "do no know" option that was relevant for the target populations

3 30 1

0 = wrong answer
1 = right answer

0 minutes 400 20 minutes mechever@xula.edu 1 Drexel Drive, Xavier University of Louisiana, New Orleans, LA, United States of America https://www.ncbi.nlm.nih.gov/pubmed/27043760 mechever@xula.edu Prose: Comprehension, Numeracy, Information seeking: Document, Conceptual Knowledge, Comprehension, Application/function United States of America No Paper and pencil Cancer Older Adults: 65+ years, Adults: 18 to 64 years Spanish Self-reported 0.880

health literacy on social determinants of health questionnaire

HL-SDHQ health literacy on social determinants of health questionnaire Masayoshi Matsumoto

Masayoshi, M., & Kazuhiro, N. (2017). Development of the health literacy on social determinants of health questionnaire in Japanese adults. BMC Public Health, 17:30.

2017

HL-SDHQ clarifies the relationship between the ten domains of the social determinants of health and health in each domain and is able to measure whether it is possible to access, understand, appraise, and apply related information.

1 33 0 minutes 831 15 minutes

To ensure the content validity of the question items for the ten domains, the items were examined and adapted through discussions with researchers from public health, nursing, and social sciences working in related fields. No questions were revised in this task.

Scores on the HL-SDHQ was significantly associated with the the HP-HL index of the Japanese version of the HLS-EU-Q47 (r = 0.74, p < 0.001),

masamatsu.11@gmail.com 3-1-1 Kyoubashi TOKYO SQUARE GARDEN, Chuo-ku, Tokyo, Japan https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5217562/pdf/12889_2016_Article_397… /sites/default/files/webform/suggest-measure/781/hl-sdhq20original20version.pdf Comprehension, Application/function Japan No Computer-based General Older Adults: 65+ years, Adults: 18 to 64 years Japanese Self-reported 0.920

Health Literacy Scale in Korean

HLS-K Health Literacy Scale in Korean Eun-Hyun Lee

Lee, E., & Lee, Y. W. (2017). First order vs. second-order structural validity of the Health Literacy Scle in patients with daibetes. Scandanavian Journal of Caring Sciences, 32(1), 441-447. doi:10.1111/scs,12460

2017

Tool to Measure Health Literacy Scale (HLS) in Korean patients with diabetes.

3 14 459

The development of the tool included rigorous translation and back‐translation technique from the original Japanese version of the HLS. Two bilingual laypersons were independently involved in each translation, and there was an expert panel that discussed any discrepancies between the versions

The second-order three-factor model of the HLS-K exhibited a good fit to the data, as indicated by χ2 /df = 3.891, SRMR = 0.042, GFI = 0.924, RMSEA = 0.079 (90% CI = 0.069-0.090), and CFI = 0.962. The second-order three-factor model empirically demonstrated that both communicative and critical factors explained the variance in the overall health literacy better than did the functional factor (Lee et al., 2017)

Functional = 0.92, communicative = 0.86, critical = 0.90 .
Cronbach's alpha for the internal consistency reliability of the HLS‐K in the present study was 0.90, which is higher than the values of 0.78 and 0.81 found for the Japanese version 5, 8, and of 0.77 for the German version 10. However, the Cronbach's alpha values for all languages versions satisfied the normal criterion of 0.70, which suggests that the HLS exhibits internal consistency reliability across languages.

ehlee@ajou.ac.kr Eun‐Hyun Lee, Graduate School of Public Health, Ajou University, 164 Worldcup‐ro,, Yeongtong‐gu, Suwon‐si, Gyeonggi‐do, South Korea https://onlinelibrary.wiley.com/doi/full/10.1111/scs.12460 Information seeking: Document, Comprehension, Communication: Speaker, Communication: Listener, Appraisal, Application/function South Korea Paper and pencil Diabetes Adults: 18 to 64 years Korean Self-reported 0.900

Newest Vital Sign Traditional Chinese

NVS-TC Newest Vital Sign Traditional Chinese Hsu-Min Tseng

Tseng, H.M., Liao, S.F., Wen, Y.P., & Chuang, Y.J. (2018). Adapation and validation of a measure of health literacy in Taiwan: The Newest Vital Sign. Biomedical Journal41(4): 273-27. https://doi.org/10.1016/j.bj.2018.07.001

2018

A tool to measure health literacy and numeracy.

3 6

A score greater than or equal to 4 indicates adequate health literacy.

232

The original NVS was translated into Chinese by two independent translators with health backgrounds and the two version were then synthesized. Some cultural adaptations were made to the nutrition label (i.e. changing the units of measure) and the syntehsized version was then back translated to English. A group volunteer of volunteers were then cognitively debriefed to ensure there were no difficulties in comprehension of the NVS-TC.

NVS-TC correlates significantly with Nutrition Label Survey (r=0.58, p<0.001), Diabetes Nutrition Knowledge Test (r=0.38, p<0.001), and the 3 Brief Screening Questions ( r=0.18, p<0.01).

tsenghm@mail.sgu.edu.tw 259 Wen-hua 1st Rd, Guedishan, Taoyuan, Taiwan https://www.sciencedirect.com/science/article/pii/S2319417017302627 Prose: Comprehension, Numeracy, Information seeking: Document, Application/function Taiwan Yes Paper and pencil General Older Adults: 65+ years, Adults: 18 to 64 years Mandarin 0.700

Short Assessment of Health Literacy in Portugal

SAHLPA-23 Short Assessment of Health Literacy in Portugal Carla Pires

Pires, C., Rosa, P., Vigário, M., & Cavaco, A. (2018). Short Assessment of Health Literacy (SAHL) in Portugal: Development and validation of a self-administered tool. Primary Health Care Research & Development, 1-18. doi:10.1017/S1463423618000087

2018

A self administrated tool to measure health literacy among the European Portuguese speaking adults.

3 23

They were scored as follows: incorrect answer: 0 points; partially correct answer containing some incorrect information: 1 point; partially correct answer without any incorrect information: 2 points; correct answer: 3 points; thus the maximum score was total score for each was 24 points.Participants scoring <20 (80%) (maximum score=24) were defined has having inadequate health literacy.

0 minutes 503 15 minutes

The development of the tool included adaptation and validation of the SAHLPA-18 tool and addition of 5 new items to the tool. The method of administration and scoring was also modified for this tool.

Cronbach’s α >0.7, mean-corrected item-total correlation >0.7

cmbpires@gmail.com Researcher, Department of Social Pharmacy, Faculty of Pharmacy, University of Lisbon, Avenida Professor Gama Pinto, Lisbon, Portugal https://www.cambridge.org/core/journals/primary-health-care-research-and-develo… Prose: Comprehension, Numeracy, Communication: Speaker Portugal Yes Paper and pencil General Adults: 18 to 64 years Portuguese Objective 0.700

italian version of the single-item literacy screener

SILS-IT italian version of the single-item literacy screener Guglielmo Bonaccorsi

Bonaccorsi, G., Grazzini, M., Pieri, L., Santomauro, F., Ciancio, M., & Lorini, C. (2017). Assessment of Health Literacy and validation of single-item literacy screener (SILS) in a sample of Italian people. Ann Ist Super Sanita. 53(3):205-212. doi: 10.4415/ANN_17_03_05

2006

A single-item test to identify inadequate health literacy, in Italian language

2 1

Response recorded on a 5-point Likert-type scale and categorized as inadequate or adequate (score>=2 for inadequate HL).

0 minutes 174 1 minutes

As respect NVS:
- Spearman’s rho= -0.679 (p<0.001).
- Area Under ROC Curve: 0.847 considering “adequate HL” at the NVS vs “high likelihood
of limited HL” + “possibility of limited HL” at NVS; 0.875 considering “adequate HL” +“possibility of limited HL” at the NVS vs “high likelihood of limited HL” at the NVS.
- with a cut-off value of 2, considering “adequate HL” at the NVS vs “high likelihood
of limited HL” + “possibility of limited HL” at NVS: 70.8% Sensitivity, 89.0% Specificity; 82.2% total accuracy; 79.3% Positive Predicted Value; 83.6% Negative Predicted Value, 0.6 Cohen's kappa value
- with a cut-off value of 2, considering “adequate HL” + “high likelihood
of limited HL” at the NVS vs “possibility of limited HL” at NVS: 83.3 Sensitivity, 82.6 Specificity, 82.8 total accuracy, 60.3 Positive Predicted Value, 94.0 Negative Predicted Value, 0.6 Cohen's kappa value

chiara.lorini@unifi.it viale GB Morgagni 48, Firenze, FI, Italy http://www.iss.it/binary/publ/cont/ANN_17_03_05.pdf http://www.iss.it/binary/publ/cont/ANN_17_03_05.pdf Application/function Italy Face-to-face Health Promotion Older Adults: 65+ years, Adults: 18 to 64 years Italian Self-reported

Italian Medical Term Recognition Test

IMETER Italian Medical Term Recognition Test Luigi Roberto Biasio

Biasio, L. R., Corbellini, G., & D'Alessandro, D. (2017). An Italian validation of "METER", an easy-to-use Health Literacy (HL) screener. Annali Igiene, (29), 171-178. Retrieved November 27, 2017.
doi:10.7416/ai.2017.2144

2017

Simple measure (screener) to detect the ability to recognize italian medical terms

3 70 0

0–20 correct medical terms checked-off = low health literacy levels
21–34 correct medical terms checked-off = marginal health literacy levels
35–40 correct medical terms checked-off = high (functional) health literacy levels

3 minutes 224 2 minutes

40 real medical words and 30 non-medical words

Cronbach’s alpha = 0.93 and 0.86, in medical students group and non-medical students group, respectively

lrbiasio@gmail.com via Helsinki 21, Rome, Latium, Italy http://www.seu-roma.it/riviste/annali_igiene/open_access/articoli/09625a228755c… /sites/default/files/webform/suggest-measure/861/imeter2020italian20medical20term20recognition20test.pdf Comprehension, Application/function Italy Yes Paper and pencil General Adults: 18 to 64 years Italian Objective 0.930

Medical Term Recognition Test Portuguese Version

METER - PT Medical Term Recognition Test Portuguese Version Dagmara Paiva

Paiva, D., Silva, S., Severo, M., Ferreira, P., Santos, O., Lunet, N., & Azevedo, A. (2014). Cross-cultural adaptation and validation of the health literacy assessment tool METER in the Portuguese adult population. Patient Educ Couns, 97(2), 269-275. doi:10.1016/j.pec.2014.07.024

2014

It is a self-administered instrument that consists of a list of 40 medical words and 30 made-up non-words that intuitively sound like real medical terms. The participants are requested to mark only the words they are sure to be actual words.

1 70 0

Adequate health literacy: 35 or more correct answers in the words subscale and 18 or more correct answers in the non-words subscale;
Inadequate health literacy: 34 or less correct answers in the words subscale or 17 or less correct answers in the non-words subscale.

0 minutes 249 3 minutes

Based on a priori hypothesis that scores were related to health-related occupation and educational attainment.

anazev@med.up.pt Departamento de Ciências da Saúde Pública e Forenses e Educação Médica, Faculdade de Medicina da Universidade do Porto, CIM-FMUP Rua Doutor Plácido da Costa, Porto, Porto, Portugal http://www.pec-journal.com/article/S0738-3991(14)00298-5/fulltext /sites/default/files/webform/suggest-measure/866/meter-pt.pdf Prose: Comprehension, Conceptual Knowledge Portugal Yes Paper and pencil General Older Adults: 65+ years, Adults: 18 to 64 years Portuguese Objective 0.894

Evaluation Tool Development for Food Literacy Programs

FLBC Evaluation Tool Development for Food Literacy Programs Andrea Begley

Begley, A., Paynter, E., Dhaliwal, S.S. (2018). Evaluation Tool Development for Food Literacy Programs, Nutrients, 10(11): pii: E1617

Version 2 of the FLBC tool published (2021)
Paynter, E.; Begley, A.; Butcher, L.M.; Dhaliwal, S.S. The Validation and Improvement of a Food Literacy Behavior Checklist for Food Literacy Programs. Int. J. Environ. Res. Public Health 2021, 18, 13282. https://doi.org/10.3390/ijerph182413282

2018

The aim of this paper is to describe the development and validation of a self-administered questionnaire to measure food literacy behaviour for the Food Sensations for Adults program delivery in Western Australia.
A 14 item measure was developed based on similar questions used in previous research and questions developed to meet the program objectives.

2 14 0

Never (1) Sometimes (2) Most of the time (3) Always (4)

0 minutes 882 10 minutes

An original list of previously used 27 behavior questions drawn from EFNEP along with other research was used as the starting point and narrowed down to 18 behavior items for the pilot testing for face validity. Consideration was given to colloquial terms, and these were changed as necessary such as 'grocery' used in the US to 'shopping' in Australia. Items selected were to be consistently answered on the same Likert scale of frequency from 'never'(1) to 'always'(5).

Cronbach's alpha was used to explore internal consistency of each of the defined food literacy behavior factors, calculated to be 0.79, 0.76, and 0.81 for Plan & Manage, Selection, and Preparation.

a.begley@curtin.edu.au School of Population Health, Curtin University, Perth 6152, Perth, Western Australia, Australia https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6267114/ https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6267114/ Application/function Australia Yes Paper and pencil Nutrition Older Adults: 65+ years, Adults: 18 to 64 years English Self-reported

Greek version of the European Health Literacy Survey Questionnaire 16

greekversi Greek version of the European Health Literacy Survey Questionnaire 16 Areti Efthymiou

Efthymiou, A., Middleton, N., Charalambous, A., & Papastavrou, E. (2017). The Association of Health Literacy and Electronic Health Literacy With Self-Efficacy, Coping, and Caregiving Perceptions Among Carers of People With Dementia: Research Protocol for a Descriptive Correlational Study. JMIR Research Protocols, 6(11): e221. doi: 10.2196/resprot.8080

2017

A tool in the Greek language to measure general health literacy.

1 16

Sufficient health literacy
Problematic health literacy
Inadequate health literacy

0 minutes 107 15 minutes

An expert panel assessed content and face validity. Exploratory and confirmatory analyses were used to evaluate the metrics of the tool.

To be published

This is a preliminary publication with minimal information on the reliability of the scale. More information reliability will be released in a subsequent publication.

arefthymiou@yahoo.com https://www.researchprotocols.org/2017/11/e221/ Media Literacy, Information seeking: Document, Conceptual Knowledge, Application/function Greece, Cyprus Yes Phone-based, Paper and pencil, Face-to-face General Older Adults: 65+ years, Adults: 18 to 64 years Greek Self-reported 0.770

Chinese Medication Literacy Measure - Taiwanese

ChMLM Chinese Medication Literacy Measure - Taiwanese Ying-Chih Yeh

Yeh, Y., Lin, H., Chang, E.H., Huang, Y., Chen, Y., Wang, C., Liu, J., Ko, Y. (2017). Development and Validation of a Chinese Medication Literacy Measure, Health Expectations, 20:1296-1301.

2017

To develop and validate the first Chinese medication literacy measure ChMLM)

3 17 0 minutes 602

Initial list of ChMLM was adapted from a previously validated medication-related instrument by a pharmacist researcher. The first version contained 25 items and was reviewed by a panel of 11 multidisciplinary and bilingual experts and researchers with backgrounds in psychometrics. Most experts were bilingual and were encouraged to modify items. The final version contained 17 items and utilized a Likert scale. Content validity was confirmed by the expert panel.

Among the seventeen items, fourteen had item-total correlations of 0.40 or higher.

nancyko@tmu.edu.tw School of Pharmacy, College of Pharmacy, Taipei Medical University, 250 Wu-Hsing Street, Taipei, Taiwan https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5689244/ Comprehension, Application/function Taiwan Paper and pencil, Face-to-face, Computer-based Medication Older Adults: 65+ years, Adults: 18 to 64 years Taiwanese Objective 0.720
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