Conceptualization, Development and Psychometric Evaluations of a New Medication-Related Health Literacy Instrument: The Chinese Medication Literacy Measurement

Lin, Hsin‐Hung; Chang, Elizabeth H.; Ko, Yu; Wang, Chun Yu; Wang, Yu Shan; Mafruhah, Okti Ratna; Wu, Shang Hua; Chen, Yu Chieh; Huang, Yen-Ming

doi:10.3390/ijerph17196951

Cited by 7 publications

(2 citation statements)

References 56 publications

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“…Some Chinese scholars also conducted a study on the construction of the local medication literacy scale after introducing the MedLitRxSE English scale 13 . Hsiang Wen Lin and others developed the Chinese medication literacy measurement (ChMLM) for the use of traditional Chinese medicine in Taiwan, China, China, to measure and evaluate the medication literacy and health literacy of patients who use traditional Chinese medicine in clinical practice 14 . In 2018, Vervloet et al prepared a medication literacy interview guide.…”

Section: What Is Known and Objectivementioning

confidence: 99%

Development of Measurement Scale and its Reliability and Validity Test of Medical College Students' Medication Literacy

Zeng¹,

Sun²,

Lutong³

et al. 2023

Preprint

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What is known and objective: Irrational drug use has become a global problem threatening human health. As future doctors, pharmacists and other relevant professionals, medical college students' medication literacy is also very important, which means the mastery of college students' knowledge to use medicine will directly affect the public's level of medication literacy in the future. The purpose of this study was to develop a medication literacy scale based on the existing health literacy scale and to test its reliability and validity.Methods: The initial scale was formed through literature review, and it was modified through expert consultation and student interviews to form the initial scale from March 17, 2020 to May 12. In 2020, a questionnaire survey was conducted among 1283 students in a medical college, from which 1248 valid questionnaires were collected, and 540 samples were drawn according to a certain proportion, which was divided into two equal parts for item analysis, reliability test, validity test, etc.Results: The total Cronbach's α coefficient was 0.826(> 0.800), while the Cronbach's α coefficients of functional medication literacy, communicative medication literacy, and critical medication literacy were 0.901, 0.858, 0.851(> 0.800), and the value of half reliability was 0.852 (> 0.800), which indicated that the scale had good internal consistency reliability. Factor analysis of 14 items showed that KMO=0. 852(> 0.7) and Bartlett spherical test P< 0.001, indicating that the data were very suitable for factor analysis. Three principal axis factors were extracted by principal component analysis, and the total variance interpretation rate was 69.031% (>40%). The chi-square freedom ratio χ²/df was 2.623< 3(sample size 270), GFI=0.905>0.9(Goodness of Fit index), CFI=0.950>0.9 (Comparative Fit Index), RMSEA=0.078<0.1(Ratio of Chi-square Degrees of Freedom), NFI=0.922>0.9 (Normed Fitindex Standard Fitting Index), TLI=0.938>0.9 (Tucker-Lewis index), all within the acceptable range, indicating that the model fits the survey data as a whole. The model fit is scientific and the effective scale has high validity. The data showed that the average variance of the three dimensions was 0.692, 0.606, 0.578, all of which were greater than 0.5 and the composite reliability was 0.918, 0.884, 0.845, all of which were greater than 0.7, indicating that the scale had high aggregation validity. The square roots of the average variance extraction amount of the three dimensions (the value of diagonal was 0.832, 0.778, 0.760) were greater than the absolute value of the correlation coefficient among the three dimensions (the absolute value of the lower triangle was 0.748, 0.101, 0.037), which shows that the discrimination validity among the three dimensions of the scale is good.What is new and conclusion: A new scale for evaluating the medication literacy of medical college students was developed in Chinese language preliminarily. The reliability and validity of this scale were verified in the study, suggesting its appropriateness and applicability to measure medication literacy level for Chinese students from medical college from three dimensions: functional medication literacy, communicative medication literacy and critical medication literacy, including 14 items. The medication literacy scale has good reliability and validity and can be used as a preliminary measurement tool for medical students' medication literacy.

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Section: What Is Known and Objectivementioning

confidence: 99%

Development of Measurement Scale and its Reliability and Validity Test of Medical College Students' Medication Literacy

Zeng¹,

Sun²,

Lutong³

et al. 2023

Preprint

View full text Add to dashboard Cite

show abstract

“…Several self-reported tools have been developed to assess the levels of medication literacy so far. Among them, tools applicable to the whole population mainly included Medication Literacy Questionnaire ( 18 ), Medication Literacy Assessment in Spanish and English (MedLitRxSE) ( 15 ), Chinese Medication Literacy Measurement (ChMLM) ( 19 , 20 ), and Functional Medication Literacy Tool ( 21 ). In addition, there are several tools specific to the targeted population that are used for assessing the levels of medication literacy [e.g., pregnant women ( 22 ) and hemodialysis patients ( 23 )] and specific drugs [e.g., non-steroidal anti-inflammatory drugs ( 24 ) and cold drugs ( 25 )].…”

Section: Introductionmentioning

confidence: 99%

Psychometric properties and validation of the revised Chinese Medication Literacy Scale for Hypertensive Patients (C-MLSHP-R)

Qin

Duan

Yao

et al. 2022

Front. Cardiovasc. Med.

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BackgroundMedication literacy is one of the key indicators that can affect the self-management of medications and medication safety. This study aimed to revise the Chinese Medication Literacy Scale for hypertensive patients (C-MLSHP) and test the reliability and validity of the revised scale.MethodsWe revised the C-MLSHP by several methods, i.e., focus group discussion, expert consultation, patient interview, and pilot study, based on the established evaluation index system of medication literacy for hypertensive patients. Then, a formal survey using the revised Chinese Medication Literacy Scale for hypertensive patients (C-MLSHP-R) was carried out on hypertensive patients from hospitals and community healthcare centers in Changsha city of China to test its reliability and validity. The reliability was evaluated with Cronbach's α coefficient, split-half reliability, and test–retest reliability. The validity was evaluated with content validity, construct validity, convergent validity, discriminant validity, and criterion-related validity.ResultsThe C-MLSHP-R contained 18 items within four domains, i.e., the knowledge domain included four items, the attitude domain had three items, the skill domain involved seven items, and the practice domain included four items. A total of 339 hypertensive patients participated in the formal survey. The results showed that the Cronbach's α coefficient of C-MLSHP-R was 0.802, and for each domain ranged from 0.639 to 0.815. The split-half reliability coefficient of C-MLSHP-R was 0.709, and for each domain ranged from 0.648 to 0.792. The test–retest reliability coefficient of C-MLSHP-R was 0.851, and for each domain ranged from 0.655 to 0.857. The I-CVI of each item ranged from 0.833 to 1.000, the S-CVI/Ave of C-MLSHP-R was 0.981, the S-CVI/UA was 0.889, and for each domain ranged from 0.958 to 1.000. Confirmatory factor analysis results showed that the model fitted well. The convergent validity of C-MLSHP-R was acceptable, and the discriminant validity was good. The criterion coefficient between C-MLSHP-R and C-MLSHP was 0.797, and for each domain ranged from 0.609 to 0.755.ConclusionCompared with C-MLSHP, the C-MLSHP-R with 18 items was much shorter for measuring, and had decreased reliability within the acceptable range and better validity, which was more appropriate and time-saving to assess the medication literacy level for hypertensive patients scientifically and conveniently.

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Medication Literacy Test for Older Adults: psychometric analysis and standardization of the new instrument

Neiva Pantuzza,

Reis,

Botelho

et al. 2024

Int J Clin Pharm

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Conceptualization, Development and Psychometric Evaluations of a New Medication-Related Health Literacy Instrument: The Chinese Medication Literacy Measurement

Cited by 7 publications

References 56 publications

Development of Measurement Scale and its Reliability and Validity Test of Medical College Students' Medication Literacy

Development of Measurement Scale and its Reliability and Validity Test of Medical College Students' Medication Literacy

Psychometric properties and validation of the revised Chinese Medication Literacy Scale for Hypertensive Patients (C-MLSHP-R)

Medication Literacy Test for Older Adults: psychometric analysis and standardization of the new instrument

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