Validation of the Dutch functional, communicative and critical health literacy scales.
Validation of the Dutch functional, communicative and critical health literacy scales.
复制标题
荷兰功能性、交际性和批判性健康素养量表的验证。
DOI：
10.1016/j.pec.2012.07.014
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发表时间：
2012
影响因子：
3.5
通讯作者：
M. A. van de Laar
中科院分区：
文献类型：
--
作者：
R. van der Vaart;C. Drossaert;E. Taal;P. T. ten Klooster;R. Hilderink;J. Klaase;M. A. van de Laar
目的虽然大多数现有的健康素养(HL)测量主要集中在阅读理解上，但Ishikawa等人的功能性、交际性和批判性健康素养量表。[19]目的是测量更广泛的HL谱。本研究的目的是评估该工具的荷兰语翻译的效度。方法对乳腺癌患者和风湿性疾病患者进行两项调查研究(n=79和n=209)和一项认知访谈研究(n=18)。结果分析表明，该量表测量了三个不同的因素，对交际性和关键性HL的收敛效度令人满意。然而，对条目的理解和回答选项的适宜性提出了一些问题。结论HL量表似乎有希望测量HL的广泛定义。本文建议对量表的部分条目和回答选项进行修订，使量表更易于理解，从而提高量表的内容效度和分布特性。应该在实践中使用改进的版本，以了解患者的HL水平。这将有助于为低HL技能的人制定合适的教育计划。
OBJECTIVEWhile most existing health literacy (HL) measures focus primarily on reading comprehension, the functional, communicative and critical HL scales from Ishikawa et al. [19] aim to measure a broader HL spectrum. The objective of this study was to evaluate the validity of the Dutch translation of this instrument.METHODSTwo survey studies (n=79 and n=209) and one cognitive interview study (n=18) were performed among samples of breast cancer patients and patients with rheumatic diseases.RESULTSAnalyses showed the scales measured three distinct factors and convergent validity was satisfactory for communicative and critical HL. Nevertheless, the comprehension of the items and the suitability of the response options raised some problems.CONCLUSIONThe HL scales seem promising to measure a broad definition of HL. By revising some of the items and response options as proposed in this article, the scale will become more understandable for people with low HL skills, which might increase the content validity and the distributional properties of the scale.PRACTICE IMPLICATIONSThe scale should be revised and revalidated. An improved version should be used in practice to gain insight into HL levels of patients. This will help to develop suitable education programs for people with low HL skills.