Testing health literacy skills in older Korean adults
Testing health literacy skills in older Korean adults
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DOI：
10.1016/j.pec.2009.04.002
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发表时间：
2009-06-01
影响因子：
3.5
通讯作者：
Hyun, Soo In
中科院分区：
文献类型：
--
作者：
Lee, Tae Wha;Kang, Soo Jin;Hyun, Soo In
目的：本研究的目的是为韩国老年人的有限健康素养开发一种有效可靠的筛查试验。方法：以经验参考文献为基础，生成102个题项库，经专家评审、实地考察和内容效度分析，最终缩减为29个题项，共3个分量表。采用便利样本（411名社区居住老年人）和探索性因子分析建立结构效度和信度，采用Cronbach’s alpha。Rasch分析也用于评估结构的单维性和项目充分性。结果：Rasch分析显示，量表具有单向度，大部分项目拟合良好。最后一个工具是韩国健康素养量表（KHLS），它是一份包含短文、图片和图表的24项问卷，采用多项选择答案格式，内部一致性为0.891。有13个理解和计算问题和1个与健康相关的问题；给药时间为15-20分钟。结论：KHLS在文化上适合作为社区中韩国老年人有限读写能力的筛查试验。实践启示：韩国研究人员现在有一个有效的健康素养工具研究与老年参与者。2009爱思唯尔爱尔兰有限公司版权所有。
Objective: The purpose of this study was to develop a valid and reliable screening test for limited health literacy for older Korean adults.Methods: A pool of 102 items was generated based on empirical referents, which, after expert review, field study, and content validity, was reduced to 29 items with three subscales. Construct validity and reliability were established using a convenience sample of 411 community dwelling elderly participants and exploratory factor analysis, and Cronbach's alpha was employed. Rasch analysis was also performed to assess the unidimensionality of the construct and item adequacy.Results: Rasch analysis showed that the scale was unidimensional and the majority of the items demonstrated good fit. The final instrument, the Korean Health Literacy Scale (KHLS), is a 24-item questionnaire containing short passages, pictures, and graphs with multiple-choice answer format, with an internal consistency of .891. There are 13 comprehension and numeracy questions and I I questions about health-related terms; the test requires 15-20 min for administration.Conclusion: KHLS is culturally suitable as a screening test for limited literacy for older Korean adults in the community.Practice Implications: Korean-investigators now have a validated health literacy tool for research with elderly participants. (C) 2009 Elsevier Ireland Ltd. All rights reserved.