Cancer Health Literacy Test-30-Spanish (CHLT-30-DKspa), a New Spanish-Language Version of the Cancer Health Literacy Test (CHLT-30) for Spanish-Speaking Latinos

Echeverri, Margarita; Anderson, David V.; Nápoles, Anna María

doi:10.1080/10810730.2015.1131777

Cited by 16 publications

(25 citation statements)

References 34 publications

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“…To our knowledge, only few studies had demonstrated an association between HL and QOL among cancer survivors in China using three brief screening questions. Previous research has used more complex and extensive questionnaires to measure HL, such as the Rapid Estimate of Adult Literacy in Medicine,22 30 Cancer Health Literacy Test-30,31 Short-Form Test of Functional Health Literacy in Adults5 32 33 and others, which are impractical for use in busy clinical settings. Despite differences in the nature of HL assessment techniques, our results are consistent with those of previous studies that identified inadequate HL as a risk factor for QOL among cancer survivors 5 14 34.…”

Section: Discussionmentioning

confidence: 99%

Relationship between health literacy and quality of life among cancer survivors in China: a cross-sectional study

Xia

Deng

et al. 2019

BMJ Open

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ObjectiveTo evaluate the association between health literacy (HL) and quality of life (QOL) among cancer survivors in China.DesignCross-sectional study in China.Setting and participantsThis is a cross-sectional observational study of 4589 cancer survivors aged 18 years and older from the Shanghai Cancer Rehabilitation Club. Participants were enrolled and completed the questionnaires between May and July 2017.MeasurementHL was assessed by three established screening questions and QOL was evaluated using the simplified Chinese version of the European Organisation for Research and Treatment of Cancer Quality-of-Life Questionnaire-Core 30 items. Answers to all questionnaires were collected through face-to-face interviews or through self-administered questionnaires for literate participants. Participants were excluded if they did not answer any one of the HL questions. Baseline characteristics were compared by levels of HL using χ2 test for categorical variables and Wilcoxon rank-sum test for non-normal continuous variables. The item response theory (IRT) was used to evaluate the existing measure of HL. Linear regression and logistic regression models were used to investigate the association between HL and QOL. SAS V.9.4 and MULTILOG V.7.03 were used in the analysis.ResultsThere were 4589 participants included in the study. The calculated results of IRT scale parameters of HL entries indicate that the entries have better discrimination and difficulty. Of the 4589 respondents, 159 (3.5%) had low HL. After adjusting for sociodemographic characteristics, treatment regimen and years with cancers, for each one-point decrement in HL score the QOL score increased by 2.07 (p<0.001). Cancer survivors with low HL were less likely than those with adequate HL to achieve better QOL. In logistic regression, low HL was independently associated with poor QOL (adjusted OR, 2.81; 95% CI 1.94 to 4.06; p<0.001).ConclusionsLow HL was independently associated with poor QOL among cancer survivors of the Shanghai Cancer Rehabilitation Club.

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Section: Discussionmentioning

confidence: 99%

Relationship between health literacy and quality of life among cancer survivors in China: a cross-sectional study

Xia

Deng

et al. 2019

BMJ Open

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“…Figure 1 depicts our conceptual framework for this study. CHL implies having the skills and competencies required to seek and understand cancer-related information and risks and make decisions about cancer diagnosis, treatments, and participation in research [ 17 ]. As individuals acquire health-related information, they make informed decisions regarding cancer care and participation, ultimately reducing their health risks and improving their quality of life.…”

Section: Methodsmentioning

confidence: 99%

“…Spanish (CHLT-30-DKspa) and English (CHLT-30-DKeng) versions of the CHLT-30 (Cronbach Alpha = 0.88) were used. Because the Spanish version included a “don’t know” (DK) response option for each question [ 17 ], we added the same DK response option to the English version and pilot-tested it among 24 English-speaking members of the African American and White communities (12 in each community). The CHLT-30 includes 30 multiple-choice questions related to different domains of cancer health literacy (knowledge, reading, and numeracy), where only one response option is correct for each item.…”

Section: Methodsmentioning

confidence: 99%

“…Health literacy has been defined as “the wide range of skills and competencies that people develop to seek out, comprehend, evaluate, and use health information and concepts to make informed choices, reduce health risks, and improve quality of life” [ 16 ] (pp.196–197). Based on this definition, Echeverri and colleagues defined cancer health literacy (CHL) as an “individual’s capacity to seek out, comprehend, evaluate, and use basic information and services needed to make appropriate decisions regarding cancer prevention, diagnosis, and treatment” [ 17 ] (p. 70).…”

Section: Introductionmentioning

confidence: 99%

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Cancer Health Literacy and Willingness to Participate in Cancer Research and Donate Bio-Specimens

Echeverri

Anderson

Nápoles

et al. 2018

IJERPH

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Although it has been well documented that poor health literacy is associated with limited participation in cancer clinical trials, studies assessing the relationships between cancer health literacy (CHL) and participation in research among diverse populations are lacking. In this study, we examined the relationship between CHL and willingness to participate in cancer research and/or donate bio-specimens (WPRDB) among African Americans, Latinos, and Whites. Participants completed the Cancer Health Literacy Test and the Multidimensional Cancer Literacy Questionnaire. Total-scale and subscale scores, frequencies, means, and distributions were computed. Analyses of variance, the Bonferroni procedure, and the Holm method were used to examine significant differences among groups. Cronbach’s alphas estimated scales’ internal consistency reliability. Significant interactions were found between race/ethnicity, gender, and CHL on WPRDB scales and subscale scores, even after education and age were taken into account. Our study confirms that CHL plays an important role that should be considered and researched further. The majority of participants were more willing to participate in non-invasive research studies (surveys, interviews, and training) or collection of bio-specimens (saliva, check cells, urine, and blood) and in studies led by their own healthcare providers, and local hospitals and universities. However, participants were less willing to participate in more-invasive studies requiring them to take medications, undergo medical procedures or donate skin/tissues. We conclude that addressing low levels of CHL and using community-based participatory approaches to address the lack of knowledge and trust about cancer research among diverse populations may increase not only their willingness to participate in research and donate bio-specimens, but may also have a positive effect on actual participation rates.

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“…Based on widely accepted definitions of HL [2,3], Echeverri and colleagues defined Cancer Health Literacy (CHL) as the “individual’s capacity to seek out, comprehend, evaluate, and use basic information and services needed to make appropriate decisions regarding cancer prevention, diagnosis and treatment” [10, p70]. Only a few CHL measures were available in Spanish at the time we conducted this study: the Cancer Literacy Measure [11], the Cultural Cancer Screening Scale [12]; and the Cervical Cancer Literacy Assessment Tool [13].…”

Section: Introductionmentioning

confidence: 99%

Assessing Cancer Health Literacy among Spanish-Speaking Latinos

2017

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Health literacy is a dynamic construct that changes with specific health conditions; thus, new disease-specific health literacy tools are needed. Since cancer is the leading cause of death among Latinos, the largest and fastest-growing minority population in the nation, there is a need to develop tools to assess cancer health literacy (CHL) among the Spanish-speaking population. The Cancer Health Literacy Test, Spanish version (CHLT-30-DKspa) was applied to identify Spanish-speaking individuals with low CHL and ascertain which items in the tool best discriminate between CHL level groups. Cross-sectional field test of the CHLT-30-DKspa among Spanish-speaking Latinos. Latent class analysis (LCA) identified participants with varying CHL levels. Probability of correct answers, odds ratios, and standardized errors were used to identify the items that allow the classification of individuals among the latent classes. LCA resulted in a three-latent-class model predicting 39.4% of participants to be in the HIGH class, 43.3% in the MEDIUM class, and 17.3% in the LOW class. Eleven items (the CHLT-11-DKspa) meet the criteria to clearly separate participants with HIGH and LOW classes of CHL. Although the best model fit was a three-class solution, results showed a clear separation of individuals from HIGH versus LOW levels of CHL, but separation of those in the MEDIUM level was not as clear. The CHLT-11-DKspa is a shorter measure that may be relatively easy to use in a clinical encounter to identify Spanish-speaking patients with the poorest levels of CHL who may require additional support to understand medical instructions and care plans.

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Cancer Health Literacy Test-30-Spanish (CHLT-30-DKspa), a New Spanish-Language Version of the Cancer Health Literacy Test (CHLT-30) for Spanish-Speaking Latinos

Cited by 16 publications

References 34 publications

Relationship between health literacy and quality of life among cancer survivors in China: a cross-sectional study

Relationship between health literacy and quality of life among cancer survivors in China: a cross-sectional study

Cancer Health Literacy and Willingness to Participate in Cancer Research and Donate Bio-Specimens

Assessing Cancer Health Literacy among Spanish-Speaking Latinos

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