Health literacy assessment: Translation and cultural adaptation to the Portuguese population

Espírito‐Santo, Margarida; Nascimento, Tânia; Pinto, Ezequiel; Sousa‐Coelho, Ana Luísa De; Newman, Jeff D.

doi:10.1111/jep.13319

Cited by 4 publications

(21 citation statements)

References 30 publications

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“…When we considered the structure of the construct being estimated by the instrument, the results of the conducted CFA indicate the existence of a one-factor model that showed good fit for the observed data through linear modeling, which is in line with the results of another study [ 49 ]. The grouping of questions around one factor clearly indicates that HL is a one-dimensional construct that does not have subscales, which is confirmed by the literature descriptions of the theoretical basis of HL [ 18 ].…”

Section: Discussionsupporting

confidence: 84%

“…The value of the Cronbach alpha coefficient (α = 0.91) indicates an extremely high level of reliability of SAHLCA-50 for testing the HL construct, with also high values of the Cronbach alpha coefficient for the other three instruments used in parallel (NVS-HR = 0.78, SHC = 0.90, SWLS = 0.84). The high level of reliability of SAHLSA-50 is also shown by other studies [ 18 , 49 , 56 ], which indicates the intercultural applicability of this instrument.…”

Section: Discussionsupporting

confidence: 81%

“…The analysis of the collected data was performed using the statistical package IBM SPSS 23. In order to examine the factor structure of SAHLCA-50 on the Croatian sample, we performed Confirmatory Factor Analysis (CFA) and the maximum likelihood method to verify the fit of the one-factor model described in the previous studies [ 49 ]. The following indices were used: the penalizing function (χ 2 /degrees of freedom [df]), with values lower than 3 indicating good fit; the comparative fit index (CFI), which ranges from 0 to 1 and with a minimum good fit value of 0.90; and the standardized root mean square residual (SRMR) index, with values lower than 0.08 indicating a good fit [ 50 ].…”

Section: Methodsmentioning

confidence: 99%

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Croatian Version of the Short Assessment of Health Literacy for Spanish Adults (SAHLSA-50): Cross-Cultural Adaptation and Psychometric Evaluation

et al. 2022

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(1) Background: Short Assessment of Health Literacy for Spanish Adults (SAHLSA-50) was originally designed for Spanish-speaking regions, and translations validated for several languages. The aim of the study was to adapt and verify the psychometric characteristics of SAHLSA-50 in the Croatian context; (2) Methods: The cross-sectional study included 590 respondents from the general population older than 18 years of age. Health literacy was measured by two scales: SAHLCA-50 and the Croatian version of the Newest Vital Sign screening test (NVS-HR), which was used as a measure of concurrent validity. Subjective Health Complaints (SHC) and Satisfaction with Life Scale (SWLS) questionnaires were also used to assess convergent validity; (3) Results: Internal consistency reliability of SAHLCA-50 was high and corresponds to the findings of the authors of the original research. The Cronbach alpha coefficient for SAHLCA-50 version was 0.91. The correlation of SAHLCA-50 with the NVS-HR test speaks in favor of concurrent validity. Correlation between health literacy and SHC speaks for convergent validity, just as was expected, while correlation with life satisfaction was not observed; (4) Conclusions: The SAHLCA-50 test can be a good and quick tool to assess health literacy of the adult population in the Croatian language. HL can affect the health and quality of life of the individual and the wider community.

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Section: Discussionsupporting

confidence: 84%

Section: Discussionsupporting

confidence: 81%

Section: Methodsmentioning

confidence: 99%

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Croatian Version of the Short Assessment of Health Literacy for Spanish Adults (SAHLSA-50): Cross-Cultural Adaptation and Psychometric Evaluation

et al. 2022

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“…Regarding the sampling method, 2 studies [30, 34] used a probabilistic method, and 9 [23, 31, 33, 36, 37, 41, 42, 44, 45] a non-probabilistic including convenience, or snowball sampling. Sample sizes are variable in the publications that were analysed, with a minimum of N = 81 [43] and a maximum of N = 4,938 individuals [34] regarding the P-OHLI and the Questionnaire for Assessment of Mental Health Literacy (QuALiSMental), respectively.…”

Section: Resultsmentioning

confidence: 99%

A Systematic Review of Health Literacy Measurement Instruments in Portugal

Barros

Santos

Santos-Silva

2022

Port J Public Health

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Introduction: Health literacy evaluation is considered a priority issue in the health literacy research field. The complexity of the multiple definitions of health literacy and the diversity of instruments to evaluate health literacy has become a challenge to the establishment of comparisons across different studies. This work aimed to provide a systematic literature review of the existing measurement instruments adapted or developed for different groups of the Portuguese population. Methods: A comprehensive search of digital databases was conducted to systematize and understand the available knowledge about health literacy measurement in Portugal and to identify assessment tools and studies developed. The selection process was based on PRISMA guidelines. Results: A total of 17 publications were analysed regarding different aspects, which resulted in the identification of 11 different instruments, that were adapted or developed to measure health literacy in different groups of the Portuguese population, mainly adults, adolescents, and young adults. Seven instruments focusing on general health literacy (including e-health), 2 on mental health literacy, and the other 2 on oral health literacy were identified. Discussion/Conclusion: This study presents the first general overview of health literacy measurement in Portugal and clearly shows that to deepen our knowledge of health literacy in the Portuguese population it is essential to broaden the scope and the target of health literacy assessment to have a comprehensive understanding that will allow transforming our reality regarding health and disease.

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“…Short Assessment of Health Literacy for Spanish-speaking Adults (SAHLSA-50) Dutch [242]; Portuguese [243][244][245]; Dutch [246]; Spanish & English [247] SAHLPA-33 [248] Morris et al…”

Section: Lee Et Al [42]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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Health literacy assessment: Translation and cultural adaptation to the Portuguese population

Cited by 4 publications

References 30 publications

Croatian Version of the Short Assessment of Health Literacy for Spanish Adults (SAHLSA-50): Cross-Cultural Adaptation and Psychometric Evaluation

Croatian Version of the Short Assessment of Health Literacy for Spanish Adults (SAHLSA-50): Cross-Cultural Adaptation and Psychometric Evaluation

A Systematic Review of Health Literacy Measurement Instruments in Portugal

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

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