Measuring health literacy in populations: illuminating the design and development process of the European Health Literacy Survey Questionnaire (HLS-EU-Q)
Measuring health literacy in populations: illuminating the design and development process of the European Health Literacy Survey Questionnaire (HLS-EU-Q)
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DOI：
10.1186/1471-2458-13-948
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发表时间：
2013-10-10
影响因子：
4.5
通讯作者：
Brand, Helmut
中科院分区：
文献类型：
--
作者：
Sorensen, Kristine;van den Broucke, Stephan;Brand, Helmut
背景：已经开发了几种测量工具来测量健康素养。这些工具在方法和设计上各不相同，但很少有侧重于人口的全面卫生知识普及。本文描述了欧洲健康素养调查问卷的设计和开发（HLS-EU-Q），一个创新的、全面的工具来衡量人群的健康素养。方法：根据概念模型和定义，该过程包括项目开发、预测试、现场测试、外部咨询、简单语言检查以及从英语翻译成保加利亚语、荷兰语、德语、希腊语、波兰语、结果：制定过程产生了HLS-EU-Q，其中包括两个部分，一个是核心卫生知识普及部分，另一个是与卫生知识普及有关的决定因素和成果部分。健康知识部分包括47个项目，解决自我报告的在医疗保健、疾病预防和健康促进决策任务中获取、理解、评估和应用信息方面的困难。第二部分包括项目相关的，健康行为，健康状况，卫生服务的使用，社区参与，社会人口和社会经济factors.Conclusions：通过阐明HLS-EU-Q的设计和开发过程中的详细步骤，它的目的是提供一个更深入的了解其目的，它的能力和它的局限性，为他人使用的工具。通过促进广泛应用，HLS-EU-Q将在更多国家得到验证，以提高对不同人群健康素养的理解。
Background: Several measurement tools have been developed to measure health literacy. The tools vary in their approach and design, but few have focused on comprehensive health literacy in populations. This paper describes the design and development of the European Health Literacy Survey Questionnaire (HLS-EU-Q), an innovative, comprehensive tool to measure health literacy in populations.Methods: Based on a conceptual model and definition, the process involved item development, pre-testing, field-testing, external consultation, plain language check, and translation from English to Bulgarian, Dutch, German, Greek, Polish, and Spanish.Results: The development process resulted in the HLS-EU-Q, which entailed two sections, a core health literacy section and a section on determinants and outcomes associated to health literacy. The health literacy section included 47 items addressing self-reported difficulties in accessing, understanding, appraising and applying information in tasks concerning decisions making in healthcare, disease prevention, and health promotion. The second section included items related to, health behaviour, health status, health service use, community participation, socio-demographic and socio-economic factors.Conclusions: By illuminating the detailed steps in the design and development process of the HLS-EU-Q, it is the aim to provide a deeper understanding of its purpose, its capability and its limitations for others using the tool. By stimulating a wide application it is the vision that HLS-EU-Q will be validated in more countries to enhance the understanding of health literacy in different populations.