Development and validation of<scp>C</scp>hinese<scp>H</scp>ealth<scp>L</scp>iteracy<scp>S</scp>cale for<scp>D</scp>iabetes

Leung, Angela Yee Man; Lou, VW; Cheung, Mike K. T.; Chan, Symphorosa S. C.; Chi, Iris

doi:10.1111/jocn.12018

Cited by 35 publications

(25 citation statements)

References 33 publications

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“…Similarly, issues of cultural equivalency was noted as a challenge in translating “TOFHLA-like” measures since some items on the TOFHLA are specific to healthcare in the US. As a result, new HL measures for specific cultural/linguistic groups within and outside the US emerged in the literature over the last few years [41,42,45,52,55,56,61,64,65,67,83,84,87,88,90,92,97,101,102,106,108,110]. Among these 37 non-English language measures, only two specified the racial/ethnic characteristics of their sample beyond simply describing the general population in which the measure was being validated [35,64].…”

Section: Resultsmentioning

confidence: 99%

State of the science of health literacy measures: Validity implications for minority populations

Nguyen

Park

Han

et al. 2015

Patient Education and Counseling

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Objectives To review the evidence supporting the validity of health literacy (HL) measures for ethnic minority populations. Methods PubMed, CINAHL, and PsycINFO databases were searched for HL measures between 1965 and 2013. Results A total of 109HL measures were identified; 37 were non-English HL measures and 72 were English language measures. Of the 72 English language measures, 17 did not specify the racial/ethnic characteristic of their sample. Of the remaining 55 measures, 10 (18%) did not include blacks, 30 (55%) did not include Hispanics, and 35 (64%) did not include Asians in their validation sample. When Hispanic and Asian Americans were included, they accounted for small percentages in the overall sample. Between 2005–2013, a growing number of REALM and TOFHLA translations were identified, and new HL measures for specific cultural/linguistic groups within and outside the United States were developed. Conclusions While there are a growing number of new and translated HL measures for minority populations, many existing HL measures have not been properly validated for minority groups. Practice Implications HL measures that have not been properly validated for a given population should be piloted before wider use. In addition, improving HL instrument development/validation methods are imperative to increase the validity of these measures for minority populations.

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Section: Resultsmentioning

confidence: 99%

State of the science of health literacy measures: Validity implications for minority populations

Nguyen

Park

Han

et al. 2015

Patient Education and Counseling

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“…Bloom's Taxonomy was recently adopted as the framework in the research team's development of another health literacy scale that measured the ability of Chinese patients with Type II diabetes mellitus to understand and interpret health information (Leung, Lou, Cheung, Chan, & Chi, 2012). The present study continues this effort to isolate an appropriate framework for developing a health literacy scale for patients with chronic illnesses.…”

Section: Methodsmentioning

confidence: 99%

Development and Validation of the Chinese Health Literacy Scale for Chronic Care

Leung

Cheung²,

Lou

et al. 2013

Journal of Health Communication

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This study aims to develop and test the psychometric properties of the Chinese Health Literacy Scale for Chronic Care (CHLCC). This is a methodological study with a sample of 262 patients 65 years of age and older who had chronic illnesses. Pearson's correlation, independent sample t tests, and analyses of variance were used. The CHLCC showed a significant positive correlation with Chinese literacy levels (r = 0.80; p < .001) but was negatively correlated with age (r = −0.31; p < .001). Respondents who were male (t = 4.34; p < .001) and who had reached Grade 12 or higher in school (F = 51.80; p < .001) had higher CHLCC scores than did their counterparts. Individuals with high levels of health literacy had fewer hospitalizations than did their counterparts (β = −0.31; incidence rate ratio = 0.73; p < .05). The CHLCC also displayed good internal reliability (Cronbach's α = 0.91) and good test-retest reliability (intraclass correlation coefficient = 0.77; p < .01). The CHLCC is a valid and reliable measure for assessing health literacy among Chinese patients with chronic illness. The scale could be used by practitioners before implementing health promotion and education.

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“…Using Bloom's taxonomy, CHLSD was developed as a tool for assessing health literacy among Chinese adults with diabetes (Leung et al . ). It consists of four subscales: remembering (18 items), understanding (four items), applying (four items) and analysing (four items) (Leung et al .…”

Section: Introductionmentioning

confidence: 97%

“…It consists of four subscales: remembering (18 items), understanding (four items), applying (four items) and analysing (four items) (Leung et al . ). The last three subscales were originally developed as open‐ended (OE) questions and was an assessor‐administered tool in which the assessor showed the cards to the patient, and the patient referred to these cards and answered the questions.…”

Section: Introductionmentioning

confidence: 97%

“…The CHLSD ranged from 0 to 68, with a cut‐off of 48 indicating low health literacy (Leung et al . ). Since this scale had been published, the tool was used by practitioners and researchers for both health screening and research purposes, for example, in the study of perceived capacity of communication and health literacy among patients with diabetes (Leung et al .…”

Section: Introductionmentioning

confidence: 97%

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

Leung¹,

Lau

Chau³

et al. 2015

Journal of Clinical Nursing

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Development and validation ofChineseHealthLiteracyScale forDiabetes

Abstract: We recommend that clinicians use this tool to assess patients' health literacy before conducting any kind of health promotion.

Cited by 35 publications

References 33 publications

State of the science of health literacy measures: Validity implications for minority populations

State of the science of health literacy measures: Validity implications for minority populations

Development and Validation of the Chinese Health Literacy Scale for Chronic Care

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

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