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

Jaensson, Maria; Stenberg, Erik; Liang, Yuli; Nilsson, Ulrica; Dahlberg, Karuna

doi:10.1136/bmjopen-2021-056592

Cited by 5 publications

(5 citation statements)

References 50 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…The Swedish version is a translated version of the C & C HL scale, originally developed in Japan [ 36 ]. The S – C & C HL scale is a valid and reliable instrument to use in the Swedish population [ 35 , 37 ], Cronbach α = 0.87. Three items focus on an individual’s ability to retrieve information from a variety of sources, select relevant information and understand and share information with others (i.e.…”

Section: Methodsmentioning

confidence: 99%

Health literacy and digital health information-seeking behavior – a cross-sectional study among highly educated Swedes

2022

View full text Add to dashboard Cite

Background The benefits of digital development in health care may be obscured by unequal opportunities to make use of digital resources. The aim of this study was to investigate the association of health literacy with I) accessing health check test results in the Patient Electronic Health Record (PAEHR), II) searching for information to better understand individual test results, and III) using the national health information online portal provided by the Swedish national health care system. Methods This cross-sectional study included data from 434 individuals, 50–64 years old, randomly selected from the Swedish population during the year 2017 to a cohort study including health examination and a web-based survey. Health literacy was assessed at baseline using the Swedish Communicative and Critical Health Literacy scale. Digital information outcomes were assessed after three months. Adjusted odds ratios (ORs) and 95% confidence intervals (CI) for the separate outcomes were computed using logistic regression. Covariates included sex, age, education, country of birth, cardiovascular risk factors at baseline, general health, risk perception, referral, and new cardiovascular risk factors detected at health examination. Results About a third of the participants (35%) had limited health literacy, while 65% had sufficient health literacy. Sufficient health literacy was associated with accessing the PAEHR (adjusted OR 1.81 95% CI 1.07–3.06) and use of the online national health information portal provided by the Swedish national health care system (adjusted OR 2.91 95% CI 1.13–7.52) but not with searching information to better understand individual test results (adjusted OR 1.29 0.75–2.20). Conclusions Individuals with limited health literacy do not access their personal health information nor search for health information on the online national health information portal provided by the Swedish national health care system to the same extent as individuals with sufficient health literacy. More research is needed about how the level of health literacy relates to differences in online health information-seeking behavior and how digital health information sources and e-health services can be designed to ensure that the entire population has equal access to trustworthy and quality-ensured health information.

show abstract

Section: Methodsmentioning

confidence: 99%

Health literacy and digital health information-seeking behavior – a cross-sectional study among highly educated Swedes

2022

View full text Add to dashboard Cite

show abstract

“…Written informed consent was obtained before surgery, and participants completed the GSE questionnaire and study-specific questions concerning level of education. Preoperatively, participants also completed two health literacy questionnaires (10 items in total, results reported elsewhere 30 ) and provided data for the Scandinavian Obesity Surgery Registry (SOReg). The SOReg is a national quality and research registry including virtually all patients receiving bariatric surgery in Sweden.…”

Section: Methodsmentioning

confidence: 99%

The General Self-Efficacy Scale in a population planned for bariatric surgery in Sweden: a psychometric evaluation study

et al. 2022

Self Cite

View full text Add to dashboard Cite

ObjectivesThis study psychometrically evaluated General Self-Efficacy (GSE) Scale in patients planned for bariatric surgery in Sweden.DesignA cross-sectional psychometric study. The psychometric evaluation was guided by the COnsensus-based Standards for the selection of health status Measurement Instruments checklist for health-related reported-patient outcomes.SettingThree bariatric centres in Sweden.ParticipantsAdult patients≥18 years old scheduled for primary bariatric surgery (with sleeve gastrectomy or Roux-en-Y gastric bypass).Primary and secondary measuresPsychometric properties of the GSE.ResultsIn total, 704 patients were included in the analysis. Mean values for GSE items were 2.9–3.4 and the mean GSE sum score was 31.4 (SD 4.7). There were no floor or ceiling effects. Cronbach’s alpha was 0.89. Men reported a higher mean GSE than did women, that is, 31.2 (SD 4.8) for women versus 32.1 (SD 4.3) for men, p=0.03. Correlation coefficients were weak or negligible: GSE and mental component summary score of 36-Item Short Form Health Survey (SF-36)/RAND 36, r=0.18 (p<0.00); GSE and physical component summary score of SF-36/RAND 36, r=0.07 (p=0.138); GSE and obesity-related problem scale r=−0.15 (p=0.001) and GSE and level of education, r=0.04 (p=0.35). Confirmatory factor analysis indicated a one-factor construct with a satisfactory goodness of fit, that is, Comparative Fit Index=0.927, root mean square error of approximation=0.092 and standardised root mean square residual=0.045. The factor GSE explained almost half or over half of the variance of each item (0.45–0.75, p-values<0.001).ConclusionsThe GSE scale is a valid and reliable scale that can be used to assess general self-efficacy in patients undergoing bariatric surgery.

show abstract

“…After rescaling the 5-point scale such that a score of 1–2 results in a value of 1000, a score of 3 gives a value of 100, and a score of 4–5 gives a value of 1, the transformed values are summarised and each respondent is categorised as having a ‘Deficient communicative and critical HL’ for sums ≥ 1000, ‘Problematic communicative and critical HL’ for sums > 100 and < 1000, and ‘Adequate communicative and critical HL’ for sums < 100 ( Mårtensson and Wångdahl, 2017 ). The Swedish version of the C & C HLS is valid and reliable for use in the Swedish population, with good internal consistency (Cronbach’s α = 0.87) ( Wångdahl and Mårtensson, 2014 ; Jaensson et al ., 2021 ).…”

Section: Methodsmentioning

confidence: 99%

Health literacy and its association with mental and spiritual well-being among women experiencing homelessness

Rosenblad,

Klarare,

Rapaport

et al. 2024

Health Promotion International

View full text Add to dashboard Cite

Low health literacy (HL) has been linked to low self-rated health, reduced efficacy of behaviour change, and challenges in preventing, treating, or managing health conditions. People experiencing homelessness are at risk of poor HL; however, few studies have investigated HL in relation to mental and spiritual well-being among people experiencing homelessness in general, or women experiencing homelessness specifically. This cross-sectional study of 46 women experiencing homelessness in Stockholm, Sweden, recruited during the period October 2019–December 2020, aimed to examine how HL was associated with mental and spiritual well-being among women experiencing homelessness. Participants answered questions about socio-demographic characteristics (age, length of homelessness, education) and digital technology (mobile phone/the Internet) use, in addition to Swedish language versions of three questionnaires administered through structured, face-to-face interviews: the Communicative and Critical Health Literacy Scale, the General Health Questionnaire 12 and the Functional Assessment of Chronic Illness Therapy-Spiritual Well-Being. Data were analysed using linear regression, which revealed statistically significant associations between HL and mental well-being (p = .009), and between HL and spiritual well-being (p = .022). However, neither socio-demographic characteristics nor digital technology use were significantly associated with HL. In conclusion, promoting HL may improve mental and spiritual well-being in this vulnerable population. An advisory board of women with lived experiences of homelessness (n = 5) supported the interpretation of the findings and emphasised the need to consider HL in relation to basic needs such as ‘housing first’. Moreover, health information and services should be accessible to people with different degrees of HL.

show abstract

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

Cited by 5 publications

References 50 publications

Health literacy and digital health information-seeking behavior – a cross-sectional study among highly educated Swedes

Health literacy and digital health information-seeking behavior – a cross-sectional study among highly educated Swedes

The General Self-Efficacy Scale in a population planned for bariatric surgery in Sweden: a psychometric evaluation study

Health literacy and its association with mental and spiritual well-being among women experiencing homelessness

Contact Info

Product

Resources

About