Validation of the short assessment of health literacy (SAHL-D) and short-form development: Rasch analysis

Woudstra, Anke J.; Meppelink, Corine S.; Maat, Henk Pander; Oosterhaven, Janke; Fransen, Mirjam P.; Dima, Alexandra

doi:10.1186/s12874-019-0762-4

Cited by 16 publications

(11 citation statements)

References 27 publications

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“…One measure frequently applied in international research is the SAHL test. A score between 0 and 14 suggests that the examinee has a low level of health literacy [6][7]. The application of the SAHL test to both groups showed a low level of health literacy in the group of adolescent childbearing women vs. the control group.…”

Section: Discussionmentioning

confidence: 93%

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Pregnancy in Teenage Romanian Mothers

Radu¹,

Manolescu²,

Chivu³

et al. 2022

Cureus

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Background and purposeTeenage pregnancy is associated with an increased risk of adverse pregnancy outcomes. The objective of this research is to determine the profile of the pregnant teenager and the medical complications associated with pregnancy at this young age. Materials and methodsA cross-sectional study based on a 29-item questionnaire was conducted in 2019 and 2020 in Ploiești, Romania. The participants were divided into two groups, namely, Group A, consisting of 100 minor, teenage childbearing women under the age of 18, and Group B, consisting of 100 childbearing women over 18 years of age. ResultsGroup A had a mean age of 16.56 ± 1.65. The percentage of births in very young girls (13-15 years) from group A is 28%. In 65 adolescents, sexual intercourse began at the age of 14. Pregnancy monitoring, expressed by the number of medical examinations, shows significant differences between the studied groups. The Short Assessment of Health Literacy (SAHL) test applied to both groups revealed a low level of health literacy in group A. Also in this group A, teenagers gave birth to low-birth-weight children, the percentage is statistically significant (14% vs. 4%). The gestational age in this group had an average of 36.88 ± 2.13 weeks, compared to the gestational age in the control group of 38.41 ± 1.57 weeks. In Romania, there are teenagers who became mothers at an early age. There should be educational programs in rural and urban schools and communities. Poverty leads to inadequate medical supervision with significant consequences for the health of the mother and child, lack of education (school dropout, illiteracy), and inability to find a job. The midwife can play a key role in rural communities through health education conducted on specific communication channels and with different forms of presentation of messages, adapted to their needs. A good target would be the parents of adolescent mothers and better communication with them.

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Section: Discussionmentioning

confidence: 93%

“…A frequently used measure in international research for the accurate measurement of health literacy is the SAHL test. A score between 0 and 14 suggests that the examinee has a low level of health knowledge [6][7].…”

Section: Methodsmentioning

confidence: 99%

Pregnancy in Teenage Romanian Mothers

Radu¹,

Manolescu²,

Chivu³

et al. 2022

Cureus

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“…People have to select the correct meaning of each word [24]. The 13 item version of the comprehension test has previously been validated, with higher scores indicating higher Comprehension skills (scores range from 0 to 13) [25].…”

Section: Methodsmentioning

confidence: 99%

The Role of Health Literacy in Explaining the Relation between Educational Level and Decision Making about Colorectal Cancer Screening

Woudstra

Smets

Verdam

et al. 2019

IJERPH

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Little is known about why educational inequalities exist in informed decision making in colorectal cancer (CRC) screening. Insight into the role and impact of health literacy is essential for intervention development. This study investigates associations between health literacy and informed decision making in CRC screening and explores to what extent health literacy mediates the association between education and informed decision making in CRC screening. In total, 696 individuals eligible for CRC screening (55–75 years of age) were recruited from online panels and filled in an online questionnaire at T0 (n = 696), T1 (n = 407) and T2 (n = 327). A hypothetical mediation model was tested using structural equation modelling. Outcomes included CRC knowledge, CRC screening knowledge, attitude, injunctive norm, descriptive norm, risk perception, self-efficacy, decisional conflict and decisional certainty. Health literacy domains included Comprehension, Application, Numeracy and Communication. Comprehension, Application and Numeracy, were found to mediate the association between education and knowledge about CRC and CRC screening, injunctive norm, descriptive norm, decisional conflict and decisional certainty. In light of these findings, targeting multiple health literacy domains in decision-support interventions is essential for facilitating informed decision making in CRC screening.

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“…Participants have to select the correct meaning of each word, using a multiple-choice format. For the SAHL-D, individuals with <9 out of 13 correct responses were considered as having low reading and understanding skills [16]. The NVS-D is a 6-question tool to assess an individual's ability to find and interpret information (both text and numerical information) on an ice cream nutrition label.…”

Section: Background Characteristicsmentioning

confidence: 99%

Women’s Participation in Decision-Making in Maternity Care: A Qualitative Exploration of Clients’ Health Literacy Skills and Needs for Support

Murugesu

Damman

Derksen

et al. 2021

IJERPH

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Shared decision-making requires adequate functional health literacy (HL) skills from clients to understand information, as well as interactive and critical HL skills to obtain, appraise and apply information about available options. This study aimed to explore women’s HL skills and needs for support regarding shared decision-making in maternity care. In-depth interviews were held among women in Dutch maternity care who scored low (n = 10) and high (n = 13) on basic health literacy screening test(s). HL skills and perceived needs for support were identified through thematic analysis. Women appeared to be highly engaged in the decision-making process. They mentioned searching and selecting general information about pregnancy and labor, constructing their preferences based on their own pre-existing knowledge and experiences and by discussions with partners and significant others. However, women with low basic skills and primigravida perceived difficulties in finding reliable information, understanding probabilistic information, constructing preferences based on benefit/harm information and preparing for consultations. Women also emphasized dealing with uncertainties, changing circumstances of pregnancy and labor, and emotions. Maternity care professionals could further support clients by guiding them towards reliable information. To facilitate participation in decision-making, preparing women for consultations (e.g., agenda setting) and supporting them in a timely manner to understand benefit/harm information seem important.

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Validation of the short assessment of health literacy (SAHL-D) and short-form development: Rasch analysis

Cited by 16 publications

References 27 publications

Pregnancy in Teenage Romanian Mothers

Pregnancy in Teenage Romanian Mothers

The Role of Health Literacy in Explaining the Relation between Educational Level and Decision Making about Colorectal Cancer Screening

Women’s Participation in Decision-Making in Maternity Care: A Qualitative Exploration of Clients’ Health Literacy Skills and Needs for Support

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