Validation of three Arabic health literacy assessment tools in Lebanon

Fadda, Marta; Kanj, Mayada; Kabakian‐Khasholian, Tamar; Schulz, Peter

doi:10.1093/heapro/daw079

Cited by 23 publications

(33 citation statements)

References 34 publications

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“…Inadequate and marginal FHL levels can be collapsed to low or limited FHL (Garcia, Espinoza, Lichtenstein, & Hazuda, 2013). The validity of the S‐TOFHLA, including the Arabic version, was previously demonstrated (Fadda et al, 2018). Cronbach's α of the S‐TOFHLA in the current study was .89.…”

Section: Methodsmentioning

confidence: 84%

“…FHL of family caregivers was assessed using the Arabic version (Fadda, Kanj, Kabakian‐Khasholian, & Johannes Schulz, 2018) of the short Test of FHL for Adults (S‐TOFHLA; Baker et al, 1999). The S‐TOFHLA is a reading comprehension, 7‐minute time‐limited test that examines basic reading skills necessary for effective functioning in a health context (Baker et al, 1999).…”

Section: Methodsmentioning

confidence: 99%

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Functional health literacy and caregiving burden among family caregivers of patients with end‐stage renal disease

Abed

Khalifeh

Khalil

et al. 2020

Research in Nursing & Health

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Family caregivers of patients with end‐stage renal disease (ESRD) experience significant caregiver‐related burden, yet the contribution of their functional health literacy (FHL) to caregiving burden has not been elucidated. We investigated the magnitude of FHL and caregiving burden and their association in a descriptive, correlational cross‐sectional study of family caregivers of Jordanian patients with ESRD (N = 88). The short versions of the FHL for Adults and the Zarit Burden Interview were used for assessment of caregivers. Demographic and clinical information of patients and their family caregivers were self‐reported. Of family caregivers, 41% had limited FHL and 38% experienced high caregiver burden. FHL and history of comorbidity in family caregivers predicted caregiving burden independent of demographic and clinical factors. Consideration of FHL in support interventions for family caregivers may minimize some of the high perceived caregiving burden, but clinical trials of such interventions are needed to confirm this conclusion.

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Section: Methodsmentioning

confidence: 84%

Section: Methodsmentioning

confidence: 99%

Functional health literacy and caregiving burden among family caregivers of patients with end‐stage renal disease

Abed

Khalifeh

Khalil

et al. 2020

Research in Nursing & Health

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“…Five instruments [22,23,24,25,26] had to be excluded because their object of application was not the general population (e.g., patients). Six excluded instruments [27,28,29,30,31] were direct translations of already-developed instruments in several languages or were repeat verification of the same tool.…”

Section: Resultsmentioning

confidence: 99%

Assessment Tools for Health Literacy among the General Population: A Systematic Review

Liu

Zeng

Shen

et al. 2018

IJERPH

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Health literacy is an important determinant of health, and is one of the key indicators of a healthy city. Developing and improving methods to measure health literacy is prudent and necessary. This review summarizes the findings of published tools for assessing health literacy among the general population to provide a reference for establishing health literacy assessment tools in the future. In this systematic review, PubMed, Embase, and Web of Science were used to search articles regarding tools for assessing health literacy among the general population published up to 10 January 2018. Two researchers independently conducted literature screening, quality assessment of methodology, and data extraction according to preset inclusion and exclusion criteria. The quality assessment of the research was examined with the use of the specifications of the reporting guidelines for survey research (SURGE). Eleven articles met the inclusion criteria. All included instruments in monitoring the health literacy of the general population were presented through the form of questionnaires. The multistage process of making all the scales generally involved the following steps: item development, pre-testing, and evaluation of readability. However, the specific methods were different. Internal consistency for all the instruments was acceptable but with weak consistency among the subscales for some instruments. Most of the identified instruments derived from the definition of health literacy or were based on existing health literacy theory. Approximately 30% of the performed studies provided no description of the important features specified in the SURGE. This review indicates a trend in the increasing tools for assessing the health literacy of the general population by using multidimensional structures and comprehensive measurement approaches. However, no clear “consensus” was observed in the dimensions of health literacy tools.

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“…1 Health literacy has been found to be an essential predictor of health status and adherence to medications. 2 , 3 , 4 A systematic review of 35 health literacy studies found a significant positive correlation between health literacy and medication adherence. 4 Lack of knowledge about illness and treatment and poor medication adherence are usually associated with inadequate chronic disease control.…”

Section: Introductionmentioning

confidence: 99%

Measuring the health literacy level of Arabic speaking population in Saudi Arabia using translated health literacy instruments

Alkhaldi¹,

Al‐Jumaili²,

AlNemer³

et al. 2018

Pharm Pract (Granada)

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Background:Health literacy is an essential predictor of health status, disease control and adherence to medications.Objectives:The study goals were to assess the health literacy level of the general population in Saudi Arabia using translated Gulf Arabic version of the short-version of the Test of Functional Health Literacy in Adults (S-TOFHLA) and Single Item Literacy Screener (SILS) tests and to measure the relationship between health literacy and education level.Methods:The study was a cross-sectional with a convenience sample of 123 participants from the general population in Riyadh. Data were collected using the modified (Gulf) Arabic versions of both S-TOFHLA and SILS. Fisher’s Exact test was used to measure the difference of the health literacy scores according to the education degrees and Cronbach’s alpha was used to measure the internal consistency of the S-TOFHLA items.Results:More than half (55.4%) of the participants were male, 50.4% had a middle school or less education level, and we found that 84.4% had adequate health literacy as measured by the S-TOFHLA, compared to 49.6% as measured by SILS. The Fisher’s Exact test showed a significant difference (P<.05) in the S-TOFHLA and SILS scores according to education categories.Conclusions:The level of education has a significant positive association with S-TOFHLA and SILS results. The Gulf Arabic version of S-TOFHLA is a reliable test with a good internal consistency and a significant positive correlation between the two parts of S-TOFHLA. We recommend the use of S-TOFHLA or SILS at the first patient visit.

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Validation of three Arabic health literacy assessment tools in Lebanon

Cited by 23 publications

References 34 publications

Functional health literacy and caregiving burden among family caregivers of patients with end‐stage renal disease

Functional health literacy and caregiving burden among family caregivers of patients with end‐stage renal disease

Assessment Tools for Health Literacy among the General Population: A Systematic Review

Measuring the health literacy level of Arabic speaking population in Saudi Arabia using translated health literacy instruments

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