Development and initial validation of a computer-administered health literacy assessment in Spanish and English: FLIGHT/VIDAS.
Development and initial validation of a computer-administered health literacy assessment in Spanish and English: FLIGHT/VIDAS.
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DOI：
10.2147/prom.s48384
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发表时间：
2013
期刊：
影响因子：
--
通讯作者：
Loewenstein D
中科院分区：
文献类型：
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作者：
Ownby RL;Acevedo A;Waldrop-Valverde D;Jacobs RJ;Caballero J;Davenport R;Homs AM;Czaja SJ;Loewenstein D
目前的卫生知识普及措施受到了一些批评，包括使用的内容范围有限，针对小型和非典型患者群体的发展，以及心理测量特征差。在本文中，我们报告了一个新的计算机管理和评分的健康素养措施，解决这些局限性的发展和初步验证。措施中的项目反映了与健康促进和维护以及疾病护理有关的广泛内容。开发过程的重点是创建一种在西班牙语和英语中都有用的测量方法，同时不需要大量的临床医生培训和个人管理和评分时间。这些项目包括几种形式，包括基于简短录像的问题，以便评估听力理解和与在互联网上获取信息有关的技能。在本文中，我们报告的中期分析，详细介绍了项目的初步开发和试点测试（项目的第一阶段）在西班牙语和英语的群体。然后，我们描述第2阶段，其中包括第二轮测试的项目，在新的组的西班牙语和英语的发言者，和评价的新措施的可靠性和有效性的其他措施。数据显示，四个规模（一般健康素养，算术，概念知识，听力理解），通过项目和因素分析的过程中，有显着的关系，现有的措施，健康素养。
Current measures of health literacy have been criticized on a number of grounds, including use of a limited range of content, development on small and atypical patient groups, and poor psychometric characteristics. In this paper, we report the development and preliminary validation of a new computer-administered and -scored health literacy measure addressing these limitations. Items in the measure reflect a wide range of content related to health promotion and maintenance as well as care for diseases. The development process has focused on creating a measure that will be useful in both Spanish and English, while not requiring substantial time for clinician training and individual administration and scoring. The items incorporate several formats, including questions based on brief videos, which allow for the assessment of listening comprehension and the skills related to obtaining information on the Internet. In this paper, we report the interim analyses detailing the initial development and pilot testing of the items (phase 1 of the project) in groups of Spanish and English speakers. We then describe phase 2, which included a second round of testing of the items, in new groups of Spanish and English speakers, and evaluation of the new measure’s reliability and validity in relation to other measures. Data are presented that show that four scales (general health literacy, numeracy, conceptual knowledge, and listening comprehension), developed through a process of item and factor analyses, have significant relations to existing measures of health literacy.