Short Assessment of Health Literacy for Portuguese-speaking Adults
Short Assessment of Health Literacy for Portuguese-speaking Adults
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DOI：
10.1590/s0034-89102012005000047
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发表时间：
2012-08-01
期刊：
影响因子：
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通讯作者：
Lee, Shoou-Yih Daniel
中科院分区：
文献类型：
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作者：
Apolinario, Daniel;Braga, Rafaela de Castro Oliveira Pereira;Lee, Shoou-Yih Daniel
目的：为了开发和验证一个简短的健康素养评估工具葡萄牙语adultes.METHODS：葡萄牙语成人健康素养的简短评估是一个评估工具，它包括50个项目，评估个人的能力，正确发音和理解常见的医疗术语。我们评估了该仪器的心理测量特性，在一个方便的样本226巴西老年人。通过将工具分数与受教育年限、自我报告的识字率和全球认知功能相关联来评估结构效度。歧视效度进行了评估，通过测试工具的准确性检测不足的健康素养，定义为未能充分理解标准的医疗prescription.Results：中度到高度的相关性被发现在评估的结构效度（斯皮尔曼的系数范围从0.63到0.76）。该仪器显示了足够的内部一致性（Cronbach的α =0.93）和足够的重测信度（组内相关系数=0.95）。检测健康素养不足的受试者工作特征曲线下面积为0.82。一个版本，包括18个项目进行了测试，并表现出类似的心理测量properties.CONCLUSIONS：该仪器开发的巴西老年人的样本中表现出良好的有效性和可靠性。它可用于研究和临床环境中，以筛查健康素养不足。
OBJECTIVE: To develop and validate a short health literacy assessment tool for Portuguese-speaking adults.METHODS: The Short Assessment of Health Literacy for Portuguese-speaking Adults is an assessment tool which consists of 50 items that assess an individual's ability to correctly pronounce and understand common medical terms. We evaluated the instrument's psychometric properties in a convenience sample of 226 Brazilian older adults. Construct validity was assessed by correlating the tool scores with years of schooling, self-reported literacy, and global cognitive functioning. Discrimination validity was assessed by testing the tool's accuracy in detecting inadequate health literacy, defined as failure to fully understand standard medical prescriptions.RESULTS: Moderate to high correlations were found in the assessment of construct validity (Spearman's coefficients ranging from 0.63 to 0.76). The instrument showed adequate internal consistency (Cronbach's alpha=0.93) and adequate test-retest reliability (intraclass correlation coefficient=0.95). The area under the receiver operating characteristic curve for detection of inadequate health literacy was 0.82. A version consisting of 18 items was tested and showed similar psychometric properties.CONCLUSIONS: The instrument developed showed good validity and reliability in a sample of Brazilian older adults. It can be used in research and clinical settings for screening inadequate health literacy.