Development and Validation of a Heart Failure–Specific Health Literacy Scale

Abstract

Our new HL scale was demonstrated to be a reliable, valid instrument for measuring functional, communicative, and critical HL in patients with HF. Exploring a patient's HL level, including the ability to access, understand, and use health information as well as the ability to read and write, may provide better understanding of patients' potential barriers to self-care.

Health literacy among caregivers of patients with heart failure: A multicentre cross‐sectional survey

“…Older caregivers also showed a decrease in the reading skills. These results suggest that it would be appropriate to undertake educational programmes aimed at increasing the levels of health literacy of this particular category of caregivers, as suggested for patients (Matsuoka, Kato et al., ; Matsuoka, Tsuchihashi‐Makaya et al., ).…”

“…Second, despite participant enrolment in five hospitals, the sample cannot be considered representative of all Italian caregivers’ population. Third, most of the tools used to assess HL (including S‐TOFHLA) do focus only on a specific domain of HL, the functional one (Matsuoka, Kato et al., ; Matsuoka, Tsuchihashi‐Makaya et al., ) while, according to Nutbeam (), the concept of health literacy includes three domains: functional (the ability to read and write), communicative (the ability to gather and transmit information) and critical (the ability to critically examine information).…”

First‐order vs. second‐order structural validity of the Health Literacy Scale in patients with diabetes

“…In the German version, this item reportedly represents a confusing phrase relating to either self‐collected information or information received from doctors . Matsuoka et al recently reported that this item should be replaced with a communicative factor rather than a critical factor. Item 11 may need to be considered further in future psychometric studies of the HLS.…”

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

“…One reason for this poor association might be because existing instruments of health literacy are too general to capture wide ranges of abilities specific to medication use [ 20 ]. Although some health literacy instruments (e.g., either general health literacy [ 12 ], disease-specific [ 30 , 31 , 32 , 33 , 34 , 35 ], or having certain related domains [ 36 , 37 , 38 ]) are available, none of these instruments/measures or domains are specifically designed to assess the levels of medication-related health literacy. A few instruments have been developed to assess levels of medication-related health literacy, including the 14-item Medication Literacy Assessment (MedLitRxSE) [ 39 ], 20-item Numeracy Understanding in Medicine Instrument (NUMi) [ 40 ], 21-item Montana State University Complementary and Alternative Medicine (MSU CAM) Health Literacy [ 41 ], and 6-item Medication Health Literacy Measure (MHLM) [ 42 ]; the application of these instruments is restricted due to their limited domains covered.…”