Chinese Health Literacy Scale for Diabetes – multiple‐choice version (CHLSD‐MC): a validation study

Leung, Angela Yee Man; Lau, Ho Fan; Chau, Pui Hing; Chan, Esther W.

doi:10.1111/jocn.12902

Cited by 6 publications

(4 citation statements)

References 3 publications

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“…Health literacy was measured using 15 multiple-choice questions described in the Chinese Health Literacy Scale for Diabetes, 29 which measures the capability of a respondent regarding their understanding and processing of basic health information that assists in health decisions. A higher score represents better knowledge in health literacy.…”

Section: Methodsmentioning

confidence: 99%

Can a modified theory of planned behavior explain the effects of empowerment education for people with type 2 diabetes?

Lin

Cheung²,

Hung³

et al. 2020

Therapeutic Advances in Endocrinology

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Background: The effectiveness of the Patient Empowerment Program (PEP) has been demonstrated in people with diabetes mellitus (DM); however, the underlying reasons for its effectiveness remain unclear. To improve effectiveness, we need to study the psychological mechanism(s) of PEP to understand why it is effective. This study hypothesized that the Theory of Planned Behavior (TPB), modified specifically for people with DM, could describe the mechanism explaining PEP effects. Methods: A longitudinal design was used. Patients with type 2 DM ( n = 365; 151 males; mean age = 62.9 ± 9.6 years) received two education sessions (i.e. seminars delivered by registered nurses to provide disease-specific knowledge), and some ( n = 210) further enrolled afterwards in five empowerment sessions (i.e. small-group interactive workshops conducted by social workers to practice action planning, problem solving, and experience sharing). Validated questionnaires were used to measure risk perception, health literacy, attitude, subjective norm, perceived behavioral control and behavioral intention on diabetes self-care behaviors, and four diabetes self-care behaviors (diet control, exercise, blood glucose monitoring, and foot care) at baseline. Three months later (i.e. at the end of PEP), all participants completed the behavioral intention and diabetes self-care behaviors measures again. Attitude, subjective norm, perceived behavioral control, behavioral intention, and diabetes self-care behaviors were assessed to represent the TPB constructs. Risk perception and health literacy elements relevant to people with DM were assessed and added to modify the TPB. Results: The behavioral intention was associated with three diabetes self-care behaviors: exercise, blood glucose monitoring, and foot care. The behavioral intention was found to be a significant mediator in the following relationships: empowerment session participation and exercise (β = 0.045, p = 0.04), and empowerment session participation and foot care (β = 0.099, p < 0.001). Conclusions: The effects of enrollment of empowerment sessions in PEP on exercise and foot care were likely to be mediated through behavioral intention.

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Section: Methodsmentioning

confidence: 99%

Can a modified theory of planned behavior explain the effects of empowerment education for people with type 2 diabetes?

Lin

Cheung²,

Hung³

et al. 2020

Therapeutic Advances in Endocrinology

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“…The main independent variable was the level of HL, which was measured using the multiple-choice version of the CHLSD (22,23). The CHLSD comprises four components (remember, understand, apply, and analysis) with 34 items.…”

Section: Study Patients and Designmentioning

confidence: 99%

Health literacy and depression in women with type 2 diabetes mellitus

Hsu

Su²,

Kuo

2020

Clinics

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The prevalence of diabetes mellitus has recently increased in Taiwan, and depression is common among these patients. Moreover, a lack of health literacy may lead to depression. In this study, we explored the correlation between health literacy and depression in diabetic women. METHODS: In this cross-sectional study, 152 women with type 2 diabetes mellitus were recruited from the outpatient clinic of a regional teaching hospital in Taiwan. The data were collected through medical records and a self-reported structured questionnaire, which included items on basic attributes, self-rated health status, the Center for Epidemiologic Studies Depression Scale (CES-D), and Chinese Health Literacy Scale for Diabetes (CHLSD). The results were analyzed using descriptive statistical analyses, bivariate correlation tests, and linear regression analyses. RESULTS: One hundred thirty-five valid questionnaires were obtained. Approximately 20% of the participants had a higher tendency toward depression as per their CES-D score, and the CHLSD results showed that 13.33% had poor health literacy. There was a negative correlation between health literacy and depressive tendencies after adjusting for self-rated health status, economic satisfaction status, employment status, and education level using multivariate linear regression analyses. For each 1-point rise in the CHLSD score, the CES-D score decreased by 0.17 points (z= À 2.05, p=0.042). CONCLUSIONS: A negative correlation was identified between health literacy and depression. Self-rated health status, economic satisfaction, employment status, and higher education level are factors that also affect depressive tendency among diabetic women.

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“…PLOS ONE Chinese [317] Dumenci et al [84] Cancer Health Literacy Along a Continuum (CHLT-30) & (CHLT-6) American [318]; Chinese [319] -Matsuoka et al [87] Heart Failure-specific Health Literacy scale (HF-specific HL)…”

Section: Pelikan Et Al [61]mentioning

confidence: 99%

Measuring health literacy: A systematic review and bibliometric analysis of instruments from 1993 to 2021

et al. 2022

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Background It has been about 30 years since the first health literacy instrument was developed. This study aimed to review all existing instruments to summarize the current knowledge on the development of existing measurement instruments and their possible translation and validation in other languages different from the original languages. Methods The review was conducted using PubMed, Web of Science, Scopus, and Google Scholar on all published papers on health literacy instrument development and psychometric properties in English biomedical journals from 1993 to the end of 2021. Results The findings were summarized and synthesized on several headings, including general instruments, condition specific health literacy instruments (disease & content), population- specific instruments, and electronic health. Overall, 4848 citations were retrieved. After removing duplicates (n = 2336) and non-related papers (n = 2175), 361 studies (162 papers introducing an instrument and 199 papers reporting translation and psychometric properties of an original instrument) were selected for the final review. The original instruments included 39 general health literacy instruments, 90 condition specific (disease or content) health literacy instruments, 22 population- specific instruments, and 11 electronic health literacy instruments. Almost all papers reported reliability and validity, and the findings indicated that most existing health literacy instruments benefit from some relatively good psychometric properties. Conclusion This review highlighted that there were more than enough instruments for measuring health literacy. In addition, we found that a number of instruments did not report psychometric properties sufficiently. However, evidence suggest that well developed instruments and those reported adequate measures of validation could be helpful if appropriately selected based on objectives of a given study. Perhaps an authorized institution such as World Health Organization should take responsibility and provide a clear guideline for measuring health literacy as appropriate.

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Chinese Health Literacy Scale for Diabetes – multiple‐choice version (CHLSD‐MC): a validation study

Cited by 6 publications

References 3 publications

Can a modified theory of planned behavior explain the effects of empowerment education for people with type 2 diabetes?

Can a modified theory of planned behavior explain the effects of empowerment education for people with type 2 diabetes?

Health literacy and depression in women with type 2 diabetes mellitus

Measuring health literacy: A systematic review and bibliometric analysis of instruments from 1993 to 2021

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