All Aspects of Health Literacy Scale (AAHLS): Developing a tool to measure functional, communicative and critical health literacy in primary healthcare settings
All Aspects of Health Literacy Scale (AAHLS): Developing a tool to measure functional, communicative and critical health literacy in primary healthcare settings
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DOI：
10.1016/j.pec.2012.10.019
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发表时间：
2013-02-01
影响因子：
3.5
通讯作者：
McCarthy, Catherine
中科院分区：
文献类型：
--
作者：
Chinn, Deborah;McCarthy, Catherine
目的：我们的目的是开发和试点的工具来衡量在初级卫生保健设置的健康素养，包括功能，沟通和关键的健康literacy.Methods：与初级卫生保健的提供者和用户协商后，我们开发了一个14项自我报告的规模，这是试行了146名参与者。结果：该量表具有较好的信度（Cronbach’s alpha = 0.74），但各分量表的信度不一致。主成分分析表明，规模项目加载四个因素，相应的技能，使用书面健康信息，与卫生保健提供者沟通，健康信息管理和评估断言的个人自主权与健康。总体分数和不同的分量表分数与少数民族的地位，教育水平和自我评价的健康状况，虽然图片是complex.Conclusion：健康素养是一个复杂的和不断发展的结构。尽管如此，我们成功地开发了一个简短的措施，有关不同的健康素养能力，超越功能识字skills.Practice的影响：评估使用AAHLS可以提供重要的信息，为医疗保健从业人员的健康素养的需求和服务用户的能力。(C)2012爱思唯尔爱尔兰有限公司保留所有权利。
Objective: Our aim was to develop and pilot a tool to measure health literacy in primary health care settings, encompassing functional, communicative and critical health literacy.Methods: Following consultation with providers and users of primary health care we developed a fourteen-item self-report scale, which was piloted on 146 participants. The reliability, content and construct validity of the scale was investigated as well as relationships between scores on the scales and participant characteristics.Results: The overall scale had adequate reliability (Cronbach's alpha = 0.74), though reliability of the subscales was less consistent. Principal component analysis indicated that scale items loaded on four factors, corresponding to skills in using written health information; communicating with health care providers; health information management and appraisal assertion of individual autonomy with regards to health. Overall scores and different subscale scores were associated with ethnic minority status, educational level, and self-rated health status, though the picture was complex.Conclusion: Health literacy is a complex and evolving construct. Nevertheless, we succeeded in developing a brief measure relating to different health literacy competencies, beyond functional literacy skills.Practice implications: Assessment using the AAHLS can provide important information for health care practitioners about the health literacy needs and capabilities of service users. (C) 2012 Elsevier Ireland Ltd. All rights reserved.