All Aspects of Health Literacy Scale (AAHLS): Developing a tool to measure functional, communicative and critical health literacy in primary healthcare settings

Chinn, Deborah; McCarthy, Catherine

doi:10.1016/j.pec.2012.10.019

Cited by 207 publications

(216 citation statements)

References 43 publications

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“…[15] 2.2 Variables and measurements Health literacy was measured by the Test of All Aspects of Health Literacy Scale (AAHLS) before and after the intervention. [6] The scale was constructed to reflect three aspects of health literacy: functional (4 items), communicative (3 items), and critical health literacy (7 items). Empowerment Questions (Emp) in critical health literacy items address empowerment of participants (community and social engagement).…”

Section: Samplementioning

confidence: 99%

“…[3,4,6,16,17] Functional literacy skills consist of two major parts: obtaining and understanding basic health information. The lower right box lists a number of methods that one should incorporate in helping individuals make appropriate health decisions such as 1) using plain/primary language, 2) incorporating a teach-back method, and 3) avoiding jargons.…”

Section: Conceptual Frameworkmentioning

confidence: 99%

“…The authors who created this tool added these two questions as part of empowerment measurements. [6] This empowerment is assumed to be evolved in critical literacy after enhancing the previous two aspects of health literacy (functional and communicative). In the PreEmp Q2, only (40%) of the participants compared with (47%) in PostEmp took action toward health issues in the past.…”

Section: Empmentioning

confidence: 99%

“…Individuals with ULHL should become competent in these two skills (functional and complex) in order to make appropriate health decisions. [6] Health literacy, however, has been addressed more narrowly as the ability to read and write. [3,6,7] Health literacy is more than the deficiency in reading instructions or writing.…”

Section: Introductionmentioning

confidence: 99%

“…[6] Health literacy, however, has been addressed more narrowly as the ability to read and write. [3,6,7] Health literacy is more than the deficiency in reading instructions or writing. Individuals according to the definition of health literacy should be able to obtain available health information.…”

Section: Introductionmentioning

confidence: 99%

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Health literacy of Iraqi immigrant adults: pilot study

Hatamleh

2016

IJH

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Objective: This study aimed to examine the effect of a 3-hour educational program on the health literacy of Iraqi immigrants in the U.S. Methods: The pilot study was implemented using a Pretest-Posttest design. Iraqi immigrants (n = 30) who were 18 years or older, used English as a second language and lived in the U.S. for at least five months, participated in the study. Health literacy (functional, communicative and critical) was measured before and after an educational program by using the "Test of All Aspects of Health Literacy Scale (AAHLS)". Results: Based on the results of this pilot study, the mean of AAHLS total score for the pretest was 13.3, and the mean of total score for the posttest was 16.03. So, there is significant improvement in health literacy after the program. Conclusions: Although the results indicated a significant improvement of PostTotal health literacy scores (M = 16.3, SD = 3.04) over PreTotal health literacy score (M = 13.13, SD = 3.13), t (29) = 4.917, p < .001, the functional literacy subscale did not show similar improvement.

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Section: Samplementioning

confidence: 99%

Section: Conceptual Frameworkmentioning

confidence: 99%

Section: Empmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

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Health literacy of Iraqi immigrant adults: pilot study

Hatamleh

2016

IJH

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Community health literacy outcome measurement practices: A scoping review of recent interventions

Sawyers

Anderson

Aslani

et al. 2022

Health Science Reports

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Introduction Evidence suggests that, while a preference for functional Health Literacy (HL) outcome measurement exists, researchers are converging towards more all‐encompassing instruments. While this claim is present in the HL field, minimal research has comprehensively explored the state of community HL measurement practices at the direct and proxy level. The almost exclusive focus on direct, as opposed to proxy, community HL measurement indicates a review of progress is needed. Objective To identify HL outcome measurement practices for community HL interventions at the direct and proxy level of measurement. Search Strategy Medline, PsycINFO, Web of Science, ERIC, Embase, Scopus, CINAHL, ProQuest Dissertations and Theses, Google Scholar and targeted websites were searched. Inclusion Criteria Studies were sampled from the general population, included HL as an outcome of interest, involved an intervention aiming to improve HL, were English‐text publications and were published ≥2010. Data Extraction and Synthesis Study author(s) and publication years, sample characteristics, intervention profiles and direct and proxy instrument and outcome measurement information were extracted. Full‐text review retrieved 25 eligible studies. Main Results In total, 21 unique direct and 38 unique proxy instruments were extracted. The majority of interventions assessed functional compared to communicative, critical, and other HL domains, with objective instruments more frequently used than subjective or combined objective‐subjective types, though more unique subjective HL instruments were extracted overall. The Test of Functional HL in Adults was the most popular instrument, and perceived health, knowledge, behaviors and health intentions were the most frequent proxy outcome measures, with only the Healthy Lifestyle Behavior Scale‐II and Patient Activation Measure used across multiple interventions. Discussion and Conclusions Direct HL outcome practices endured a unidimensional profile, despite previous suggestions of a convergence towards holistic instruments. This review provides the first overview of proxy HL measurement across community HL interventions, identifying substantial variation in proxy outcome practices. Patient or Public Contribution A University‐based senior librarian contributed to the development of the search strategy, and reviewed iterations of the strategy until refinement was complete. No further public or patient contribution was made given the review‐based nature of the research.

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Health Literacy of Migrants: Environmental Risks to Health

Tutu

Busingye

2019

Migration, Social Capital, and Health

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All Aspects of Health Literacy Scale (AAHLS): Developing a tool to measure functional, communicative and critical health literacy in primary healthcare settings

Cited by 207 publications

References 43 publications

Health literacy of Iraqi immigrant adults: pilot study

Health literacy of Iraqi immigrant adults: pilot study

Community health literacy outcome measurement practices: A scoping review of recent interventions

Health Literacy of Migrants: Environmental Risks to Health

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