European Health Literacy Survey

Sørensen, Kristine; Röthlin, Florian; Ganahl, Kristin; Słońska, Zofia; Doyle, Gerardine; Fullam, James; Kondilis, Barbara; Agrafiotis, Demosthenes; Uiters, Ellen; Falcón, María; Mensing, M; Tchamov, Kancho; Broucke, Stephan Van den; Brand, Helmut

doi:10.1037/t65297-000

Cited by 53 publications

(73 citation statements)

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“…We found that approximately 50% of the Norwegian population and 53% of individuals with type 2 diabetes may have limited HL. These results add to the ideas of high prevalence of limited HL among European residents [1]. A key finding is that 8% of individuals with diabetes scored less than 27 points and performed below the marginal level.…”

Section: Estimating the Proportion Who Reach Each Level Of Proficiencysupporting

confidence: 69%

“…Research recognises limited health literacy (HL) as having major consequences for health outcomes [1][2][3]. In order to improve quality in the health services, reduce inequalities in health and promote factors that enhance health, the Norwegian Ministry of Health and Care Services recently published a national strategy for HL [4].…”

Section: Introductionmentioning

confidence: 99%

“…To support the strategy and provide knowledge-based policy and practice M-POHL is firmly committed to the continuing development of their comprehensive and widely used self-reported European Health Literacy Survey questionnaire (HLS-EU-Q47). The questionnaire was applied in a population study in eight European countries in 2011 [1] and later in Asian countries [5] and further European countries, such as Norway in 2014-2015 [6,7]. An accumulated body of corroborating evidence shows that the HLS-EU-Q47 data is not unidimensional [5][6][7][8][9][10][11], which gave rise to a controversy that led to the publication of the HLS-Q12 short form [7].…”

Section: Introductionmentioning

confidence: 99%

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Describing progression of health literacy skills: Establishing the HLS-Q12 cut-off scores

Guttersrud¹,

Le²,

Pettersen³

et al. 2019

Preprint

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Background The self-reported European Health Literacy Survey Questionnaire (HLS-EU-Q47) is a widely used health literacy measure. Based on confirmatory factor analyses and Rasch-modelling, the short form HLS-Q12 was developed to meet the Rasch unidimensional measurement model expectations. After its publication, there has been a worldwide call to identify HLS-Q12 cut-off scores and establish clearly delineated standards in terms of the skills assessed. This study therefore aims to identify the HLS-Q12 scores associated with statistically distinct levels of proficiency and construct a proficiency scale that expresses progression – what individuals typically know and can do at increasingly more sophisticated levels of health literacy. Methods We applied the unidimensional Rasch measurement model for polytomous items to responses from 900 randomly sampled individuals and 388 individuals with type 2 diabetes. Using Rasch-based item calibration, we constructed a proficiency scale by locating the ordered item thresholds along the scale; by applying Wright’s method for the maximum number of strata, we determined the cut-off scores for significantly different levels. By directly referring to item content that people who reached the cut-off scores view as ‘easy’, we could describe these gradually more advanced levels of health literacy. Results We identified statistically distinct levels of health literacy at the empirically identified cut-off scores 27, 33 and 39 and confirmed them by analysing the responses from individuals with diabetes. Individuals who reach these cumulative benchmarks of marginal, intermediate and advanced literacy can typically access, appraise and apply information relevant to stay healthy, improve health and critically judge health claims and compare treatments, respectively. Conclusions By revealing progression in health literacy, we extended the current models of health literacy and inform policy-makers aiming to bridge literacy gaps. Determining how to best adapt information to patients’ literacy level and thereby assist them in managing their own health is a significant clinical outcome. A substantial methodological consequence is the inevitability of Rasch modelling in measurement. We also found that Wright’s method identified rating scale cut-off scores consistently across independent samples. To unveil sources of potential biases, threats to validity and imprecision of benchmarks, replicating our study in other contexts is required.

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Section: Estimating the Proportion Who Reach Each Level Of Proficiencysupporting

confidence: 69%

Section: Introductionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

See 1 more Smart Citation

Describing progression of health literacy skills: Establishing the HLS-Q12 cut-off scores

Guttersrud¹,

Le²,

Pettersen³

et al. 2019

Preprint

View full text Add to dashboard Cite

show abstract

“…Health literacy (HL) is a multidimensional concept that has been developed since the 1970s [1], moving from an individual to a public health perspective [2]. In one of its definitions, HL is described as the degree to which individuals can obtain, process, and understand the basic health information and services they need to make appropriate health decisions [3].…”

Section: Introductionmentioning

confidence: 99%

A Scoping Review on How to Make Hospitals Health Literate Healthcare Organizations

Zanobini

Lorini

Baldasseroni³

et al. 2020

IJERPH

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The concept of health literacy is increasingly being recognised as not just an individual trait, but also as a characteristic related to families, communities, and organisations providing health and social services. The aim of this study is to identify and describe, through a scoping review approach, the characteristics and the interventions that make a hospital a health literate health care organisation (HLHO), in order to develop an integrated conceptual model. We followed Arksey and O’Malley’s five-stage scoping review framework, refined with the Joanna Briggs Institute methodology, to identify the research questions, identify relevant studies, select studies, chart the data, and collate and summarize the data. Of the 1532 titles and abstracts screened, 106 were included. Few studies have explored the effect of environmental support on health professionals, and few outcomes related to staff satisfaction/perception of helpfulness have been reported. The most common types of interventions and outcomes were related to the patients. The logical framework developed can be an effective tool to define and understand priorities and related consequences, thereby helping researchers and policymakers to have a wider vision and a more homogeneous approach to health literacy and its use and promotion in healthcare organizations.

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“…Health literacy entails the knowledge, motivation and competency to access, understand, appraise and apply information concerning healthcare, disease prevention and health promotion. [1] Hence, it relates to patients' ability to understand and monitor their disease as well as navigate the health system. Health literacy has important implications for the health care system-patient, physician and organization [2] and is essential to a person's overall health and disease prognosis as it influences their ability to self-medicate and make health-related decisions.…”

Section: Introductionmentioning

confidence: 99%

Low health literacy levels in patients with chronic retinal disease

Jandorf

Nielsen

Sørensen

et al. 2019

Preprint

Self Cite

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Background A patient’s health literacy is fundamental for navigating the health system and managing disease. This study aimed to compare the health literacy levels of patients with chronic retinal disease in Denmark. Methods This cross-sectional questionnaire study used the validated HLS-EU-Q16 questionnaire to determine the health literacy of 225 patients with age-related macular degeneration (AMD), diabetic macular edema (DME) or retinal vein occlusion (RVO), receiving intravitreal treatment at the retinal clinic, Zealand University Hospital, Denmark. Patients were consecutively included as participants for the study. All patients had the option of having the survey read aloud to them. Results Health literacy levels between the patient groups did not differ significantly, however, the proportion of patients with poor health literacy was high—65% of AMD patients, 73% of DME patients, and 63% of patients with RVO. Conclusions Low health literacy of patients with retinal disease signify a need for more health literacy research in the field of retinal diseases, to secure that patients have the timely and appropriate knowledge and competencies to manage their condition.

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European Health Literacy Survey

Cited by 53 publications

References 0 publications

Describing progression of health literacy skills: Establishing the HLS-Q12 cut-off scores

Describing progression of health literacy skills: Establishing the HLS-Q12 cut-off scores

A Scoping Review on How to Make Hospitals Health Literate Healthcare Organizations

Low health literacy levels in patients with chronic retinal disease

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