„Health Literacy“ im Kindes- und Jugendalter

Zamora, Pablo; Pinheiro, Paulo; Okan, Orkan; Bitzer, EM; Jordan, Susanne; Bittlingmayer, Uwe H.; Kessl, Fabian; Lenz, Albert; Wasem, Jürgen; Jochimsen, Maren A.; Bauer, Ullrich

doi:10.1007/s11553-015-0492-3

Cited by 29 publications

(10 citation statements)

References 20 publications

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“…To close this gap, the "Measurement of Health Literacy Among Adolescents (MOHLAA)" project aimed to develop and validate an age-adjusted instrument in the German language to assess self-reported generic health literacy. The project was conducted as part of the German Health Literacy in Childhood and Adolescence (HLCA) Consortium [29].…”

Section: Introductionmentioning

confidence: 99%

Development and Psychometric Properties of a Questionnaire Assessing Self-Reported Generic Health Literacy in Adolescence

Domańska

Bollweg

Loer

et al. 2020

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Health literacy is a promising approach to promoting health and preventing disease among children and adolescents. Promoting health literacy in early stages of life could contribute to reducing health inequalities. However, it is difficult to identify concrete needs for action as there are few age-adjusted measures to assess generic health literacy in young people. Our aim was to develop a multidimensional measure of health literacy in German to assess generic health literacy among 14- to 17-year-old adolescents, namely, the “Measurement of Health Literacy Among Adolescents Questionnaire” (MOHLAA-Q). The development process included two stages. Stage 1 comprised the development and validation using a literature review, two rounds of cognitive interviews, two focus groups and two rounds of expert assessments by health literacy experts. Stage 2 included a standard pretest (n = 625) of the questionnaire draft to examine the psychometric properties, reliability and different validity aspects. The MOHLAA-Q consists of 29 items in four scales: (A) “Dealing with health-related information (HLS-EU-Q12-adolescents-DE)”; (B) “Communication and interaction skills”, (C) “Attitudes toward one’s own health and health information”, and (D) “Health-related knowledge”. The confirmatory factor analysis indicated a multidimensional structure of the MOHLAA-Q. The internal consistency coefficients (Cronbach’s α) of the scales varied from 0.54 to 0.77. The development of the MOHLAA-Q constitutes a significant step towards the comprehensive measurement of adolescents’ health literacy. However, further research is necessary to re-examine its structural validity and to improve the internal consistency of two scales.

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Section: Introductionmentioning

confidence: 99%

Development and Psychometric Properties of a Questionnaire Assessing Self-Reported Generic Health Literacy in Adolescence

Domańska

Bollweg

Loer

et al. 2020

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“…To identify the needs of children and adolescents and to address specific target areas for action, validated and reliable measurement instruments to assess health literacy are crucial [ 5 , 26 , 27 ]. Although over a hundred instruments measuring either specific or generic health literacy in adults have been identified in several systematic and/or scoping reviews [ 4 , 31 – 37 ], to date there is only one systematic review on child and adolescent measurement tools [ 38 ].…”

Section: Introductionmentioning

confidence: 99%

Generic health literacy measurement instruments for children and adolescents: a systematic review of the literature

et al. 2018

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BackgroundHealth literacy is an important health promotion concern and recently children and adolescents have been the focus of increased academic attention. To assess the health literacy of this population, researchers have been focussing on developing instruments to measure their health literacy. Compared to the wider availability of instruments for adults, only a few tools are known for younger age groups. The objective of this study is to systematically review the field of generic child and adolescent health literacy measurement instruments that are currently available.MethodA systematic literature search was undertaken in five databases (PubMed, CINAHL, PsycNET, ERIC, and FIS) on articles published between January 1990 and July 2015, addressing children and adolescents ≤18 years old. Eligible articles were analysed, data was extracted, and synthesised according to review objectives.ResultsFifteen generic health literacy measurement instruments for children and adolescents were identified. All, except two, are self-administered instruments. Seven are objective measures (performance-based tests), seven are subjective measures (self-reporting), and one uses a mixed-method measurement. Most instruments applied a broad and multidimensional understanding of health literacy. The instruments were developed in eight different countries, with most tools originating in the United States (n = 6). Among the instruments, 31 different components related to health literacy were identified. Accordingly, the studies exhibit a variety of implicit or explicit conceptual and operational definitions, and most instruments have been used in schools and other educational contexts. While the youngest age group studied was 7-year-old children within a parent-child study, there is only one instrument specifically designed for primary school children and none for early years.ConclusionsDespite the reported paucity of health literacy research involving children and adolescents, an unexpected number of health literacy measurement studies in children’s populations was found. Most instruments tend to measure their own specific understanding of health literacy and not all provide sufficient conceptual information. To advance health literacy instruments, a much more standardised approach is necessary including improved reporting on the development and validation processes. Further research is required to improve health literacy instruments for children and adolescents and to provide knowledge to inform effective interventions.Electronic supplementary materialThe online version of this article (10.1186/s12889-018-5054-0) contains supplementary material, which is available to authorized users.

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“…However, for promoting health literacy in this target group, a sound data basis for adolescents' perceived relevance as well as the meaningfulness of health information and their current health literacy level and its distribution is a necessary condition for the development of any evidence-based interventions [14,18]. To date, less attention has been paid to the collection of dates focusing on adolescent health literacy [19][20][21][22], a situation which also applies to Germany. Few studies measuring adolescent health literacy focus on specific health literacy domains, age groups or subgroups [23][24][25][26][27][28][29].…”

Section: Introductionmentioning

confidence: 99%

“…It is charged with identification, surveillance and prevention of diseases as well as monitoring and analyzing long-term public health trends in Germany. The MOHLAA 2 project is part of the German Health Literacy in Childhood and Adolescence (HLCA) Consortium, funded by the German Federal Ministry of Education and Research (BMBF-grant number 01EL1824D) [20].…”

Section: Introductionmentioning

confidence: 99%

Online Survey for the Assessment of Generic Health Literacy among Adolescents in Germany (GeKoJu): Study Protocol

Loer

Domańska

Kuhnert

et al. 2020

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The promotion of health literacy at a young age can protect, maintain and improve health across the life course. Yet to date, a sound data basis on adolescent health literacy as a requirement for the development of strategies to promote health literacy has not been given. This paper presents a study protocol for the online survey “Health Literacy Among Adolescents” (GeKoJu) that collects the first nation-wide representative data on self-reported generic health among adolescents aged 14–17 years in Germany. The objectives of the survey are (1) to assess the distribution of generic health literacy among adolescents in Germany, (2) to identify socio-demographic and social factors in regard to health literacy and (3) to assess the association of health literacy and health-related outcomes. The cross-sectional survey was conducted from September 2019 through December 2019. A two-stage stratified cluster sampling strategy was applied. Individuals invited to participate in the survey (N = 6608) were randomly selected among German-speaking adolescents aged 14–17 years, with permanent residence in Germany. Generic health literacy is measured with the “Measurement of Health Literacy Among Adolescents-Questionnaire” (MOHLAA-Q). Data collection also covers questions on health behavior, subjective health status, personal and social resources, socio-demographic and social factors and health services use. Results of the GeKoJu survey will provide data for the development of strategies to promote generic health literacy among families, in schools, communities and health care.

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„Health Literacy“ im Kindes- und Jugendalter

Cited by 29 publications

References 20 publications

Development and Psychometric Properties of a Questionnaire Assessing Self-Reported Generic Health Literacy in Adolescence

Development and Psychometric Properties of a Questionnaire Assessing Self-Reported Generic Health Literacy in Adolescence

Generic health literacy measurement instruments for children and adolescents: a systematic review of the literature

Online Survey for the Assessment of Generic Health Literacy among Adolescents in Germany (GeKoJu): Study Protocol

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