The psychometric testing of the functional, communicative, and critical health literacy tool

Zegers, Carli; Gonzales, Kelly; Smith, Lynette M.; Pullen, Carol H.; Alba, Armando De; Fiandt, Kathryn

doi:10.1016/j.pec.2020.05.019

Cited by 13 publications

(10 citation statements)

References 10 publications

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“…The comprehension of the information provided by the doctor, including the terms related to the illness of the patient, does not lead to the companions recognizing that they collaborate with doctors. These results are consistent with the patient studies that have reported that interventions aimed at improving functional literacy were less efficient than those which developed interactive health literacy (Zegers et al, 2020).…”

Section: Discussionsupporting

confidence: 90%

Accompanying Patients Aged 65 or Over: How Companions’ Health Literacy Affects Value Co-Creation During Medical Encounters

2021

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Objectives: The recent health crisis has led to a tightening of visitor policies during medical consultations. This work studies the relationship between the companion’s health literacy (functional, interactive, and critical) and the companion’s co-creation of value (co-production and value in use). Methods: Six hypotheses are tested by means of a sample of companions of chronically ill patients over the age of 65, using structural equation modeling. Results: Functional literacy does not predict the co-creation of value through either of its dimensions (co-production and value in use). Interactive literacy has a positive influence on co-production and a negative influence on value in use. Critical literacy only positively influences value in use. Discussion: Merely understanding the health information is not sufficient for the companion to be recognized as a collaborator or “ally” of the doctor. It is necessary to encourage the companion’s communication and critical evaluation skills.

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Section: Discussionsupporting

confidence: 90%

Accompanying Patients Aged 65 or Over: How Companions’ Health Literacy Affects Value Co-Creation During Medical Encounters

2021

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“…Functional literacy is closely linked to reading comprehension and numeracy skills [ 23 ]. Although reading comprehension competence is similar between the sexes [ 24 ], studies have found that females have poorer numeracy skills than males [ 25 ], including those with higher education [ 26 ].…”

Section: Discussionmentioning

confidence: 99%

eHealth Literacy and Beliefs About Medicines Among Taiwanese College Students: Cross-sectional Study

Huang¹,

Chiang²,

Yang³

2021

JMIR Med Inform

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Background Good eHealth literacy and correct beliefs about medicines are beneficial for making good health care decisions and may further influence an individual's quality of life. However, few studies have discussed these two factors simultaneously. Moreover, gender differences are associated with health literacy and beliefs about medicines. Therefore, it is important to examine the multiple relationships between college students’ eHealth literacy and beliefs about medicines, as well as gender differences. Objective This study aims to (1) examine the multiple relationships between eHealth literacy and beliefs about medicines and (2) analyze gender differences in eHealth literacy and beliefs about medicines with Taiwanese college students. Methods We used a paper-and-pencil questionnaire that included age, gender, 3-level eHealth literacy, and beliefs about medicines to collect data. In total, 475 data points were obtained and analyzed through independent t tests and canonical correlation analyses. Results The t test (t473=3.73; P<.001; t473=–2.10; P=.04) showed that women had lower functional eHealth literacy and more specific concerns about medicines than men. Canonical correlation analyses indicated that the first and second canonical correlation coefficients between eHealth literacy and beliefs about medicines reached a significant level, implying that a multivariate relationship indeed existed. Conclusions These findings reveal that women in Taiwan have lower functional eHealth literacy and stronger concerns about medicines than men. In addition, students with higher eHealth literacy have more positive perceptions of and beliefs about medicines.

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“…Structural validity was tested with confirmatory factor analysis (CFA) 39. We assumed a one-factor model with five items for the Swedish FHL scale and a two-factor model for the Swedish C & C HL scale 44. Before running the CFA, the presence of outliers was investigated.…”

Section: Methodsmentioning

confidence: 99%

“…39 We assumed a one-factor model with five items for the Swedish FHL scale and a two-factor model for the Swedish C & C HL scale. 44 Before running the CFA, the presence of outliers was investigated. Based on the squared Mahalanobis distance, there were 28 outliers and 29 outliers detected in the questionnaires of Swedish FHL and Swedish C & C HL, respectively.…”

Section: Psychometric Testing and Statistical Analysismentioning

confidence: 99%

Validity and reliability of the Swedish Functional Health Literacy scale and the Swedish Communicative and Critical Health Literacy scale in patients undergoing bariatric surgery in Sweden: a prospective psychometric evaluation study

et al. 2021

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ObjectivesThe aim was to psychometrically test and evaluate the Swedish functional health literacy scale and the Swedish communicative and critical health literacy scale in patients undergoing bariatric surgery.DesignA prospective cross-sectional psychometric study.SettingPatients from three bariatric centres in Sweden were consecutively included in this study.ParticipantsA total of 704 patients undergoing bariatric surgery filled in the questionnaires preoperatively. Inclusion criteria were scheduled for primary bariatric surgery (Roux-en-Y gastric bypass or sleeve gastrectomy) and greater than 17 years, proficiency in Swedish.Primary and secondary measuresPsychometric outcomes of the Swedish Functional Health Literacy scale and the Swedish Communicative and Critical Health Literacy scale.ResultsThere was a higher proportion of females (74.4%, n=523) to males (25.6%, n=180). The mean age was 42 years (SD 11.5). Limited functional health literacy and limited communicative and critical health literacy (including both inadequate and problematic health literacy) was reported in 55% (n=390) and 40% (n=285), respectively. Cronbach alpha for the Swedish Functional Health Literacy scale was α=0.86 and for the Swedish Communicative and Critical Health Literacy scale, α=0.87. Construct validity showed weak to negative correlations between the Swedish Functional Health Literacy scale and income, education and SF-36/RAND36 summary scores. Confirmatory factor analysis showed a one-factor solution for the Swedish Functional Health Literacy scale and a two-factor solution for the Swedish Communicative and Critical Health Literacy scale.ConclusionsThe Swedish Functional Health Literacy scale and the Swedish Communicative and Critical Health Literacy scale are valid and reliable to use for patients undergoing bariatric surgery in a Swedish context. Measuring dimensions of health literacy can be used as a guide for the development of health literacy friendly patient information in patients undergoing bariatric surgery.

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The psychometric testing of the functional, communicative, and critical health literacy tool

Cited by 13 publications

References 10 publications

Accompanying Patients Aged 65 or Over: How Companions’ Health Literacy Affects Value Co-Creation During Medical Encounters

Accompanying Patients Aged 65 or Over: How Companions’ Health Literacy Affects Value Co-Creation During Medical Encounters

eHealth Literacy and Beliefs About Medicines Among Taiwanese College Students: Cross-sectional Study

Validity and reliability of the Swedish Functional Health Literacy scale and the Swedish Communicative and Critical Health Literacy scale in patients undergoing bariatric surgery in Sweden: a prospective psychometric evaluation study

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