European Health Literacy Survey Questionnaire--French Versions

Objective: to investigate the psychometric properties of the Brazilian Portuguese version of the health literacy questionnaire European Health Literacy Survey Questionnaire short-short form (HLS-EU-Q6) in Brazilian adults. Method: the instrument was translated and pre-tested in a sample of 50 individuals. Subsequently, it was applied to a sample of 783 adult individuals. The data went through an appropriate process of testing the properties, with the combination of techniques of Exploratory Factor Analysis, Confirmatory Factor Analysis and Item Response Theory. For the assessment of reliability, the Cronbach's alpha and McDonald's Omega indicators were used. Cross-validation with full data analysis was applied. Results: the majority of the participants was female (68.1%), with a mean age of 38.6 (sd=14.5) years old and 33.5% studied up to elementary school. The results indicated a unidimensional model with an explained variance of 71.23%, adequate factor load levels, commonality and item discrimination, as well as stability and replicability of the instrument to other populations. Conclusion: the Brazilian version of HLS-EU-Q6 indicated that the instrument is suitable for indiscriminate application in the population to which it is intended to assess health literacy levels.

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Establishing the HLS-M-Q18 short version of the European Health Literacy survey questionnaire for the Malaysian context

10.21203/rs.2.21043/v2 ◽

2020 ◽

Author(s):

Emma Mohamad ◽

Manimaran Krishnan Kaundan ◽

Mohammad Rezal Hamzah ◽

Arina Anis Azlan ◽

Suffian Hadi Ayub ◽

...

Keyword(s):

Factor Analysis ◽

Health Literacy ◽

Confirmatory Factor Analysis ◽

Categorical Variables ◽

Short Version ◽

Survey Questionnaire ◽

Confirmatory Factor ◽

Literacy Survey ◽

European Health ◽

Item Scale

Abstract Background: The European Health Literacy Survey Questionnaire (HLS-EU-Q47) is becoming a widely used tool to measure health literacy (HL), including in Malaysia. There are efforts to reduce the 47-item scale to parsimonious short item scales that still reflect the assumptions and requirements of the conceptual model. This study used confirmatory factor analysis to reduce the 47-item scale to a short scale that can offer a feasible HL screening tool with sufficient psychometric properties. Methods: A cross-sectional survey was conducted on the Malaysian population based on ethnic distribution to ensure that the short version instrument reflects the country’s varied ethnicities. The survey was administered by well-trained interviewers working for the Ministry of Health Malaysia. A total of 866 responses were obtained. Data was analysed using multi-factorial confirmatory factor analysis (CFA) with categorical variables. Results: The analysis resulted in a satisfactory 18-item model. There were high correlations among the 18 items. The internal consistency reliability was robust, with no floor/ceiling effects. These results represented equivalence and consistency among the responses to items, suggesting that these items were homogenous in measuring Malaysian health literacy. The strong convergent and discriminant validity of the model makes the proposed 18 items a suitable short version of the health literacy instrument for Malaysia. Conclusions: The researchers propose the 18-item instrument to be named HLS-M-Q18. This short version instrument may be used in measuring health literacy in Malaysia as it achieved robust reliability, structural validity and construct validity that fulfilled goodness-of-fit criteria.

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Do adolescents understand the items of the European Health Literacy Survey Questionnaire (HLS-EU-Q47) – German version? Findings from cognitive interviews of the project “Measurement of Health Literacy Among Adolescents” (MOHLAA) in Germany

Archives of Public Health ◽

10.1186/s13690-018-0276-2 ◽

2018 ◽

Vol 76 (1) ◽

Cited By ~ 10

Author(s):

Olga Maria Domanska ◽

Christiane Firnges ◽

Torsten Michael Bollweg ◽

Kristine Sørensen ◽

Christine Holmberg ◽

...

Keyword(s):

Health Literacy ◽

Cognitive Interviews ◽

Survey Questionnaire ◽

German Version ◽

Literacy Survey ◽

European Health

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A short-form suggestion for the Turkish version of the European Health Literacy Survey Questionnaire: a development and validation study in university students

Global Health Promotion ◽

10.1177/17579759211064261 ◽

2021 ◽

pp. 175797592110642

Author(s):

Mehmet Ali Sungur ◽

Zerrin Gamsizkan ◽

Demet Hanife Sungur

Keyword(s):

Factor Analysis ◽

Health Literacy ◽

Short Form ◽

Cross Sectional Study ◽

Survey Questionnaire ◽

Sectional Study ◽

Turkish Version ◽

Cross Sectional ◽

Literacy Survey ◽

European Health

The European Health Literacy Survey Questionnaire was translated into Turkish following a validity and reliability study, but there is no comprehensive short form available. We aimed to suggest a short form of the 47-item Turkish version of European Health Literacy Survey Questionnaire in this study. Data were obtained from a cross-sectional study that included a total of 686 students, 345 male and 341 female, conducted in nine different faculties of a university using the Turkish version of European Health Literacy Survey Questionnaire. The development process of the short form was conducted using principal component analysis with exploratory factor analysis, and correlation and regression analyses. The validation process was done using confirmatory factor analysis and regression analysis. Based on the results, a 12-item short form was developed, retaining the conceptual framework of the European Health Literacy Survey Questionnaire. The short form was shown to have adequate psychometric properties with high reliability, good validity, a high and moderate level of correlation, and a good model fit with the independent dataset in this cross-sectional study. The short form developed in this study was demonstrated to be a valid and reliable tool to measure health literacy easily and rapidly in Turkey.

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Psychometric Assessment of the European Health Literacy Survey Questionnaire (HLS-EU-Q16) for Arabic/French-Speaking Migrants in Southern Europe

International Journal of Environmental Research and Public Health ◽

10.3390/ijerph17218181 ◽

2020 ◽

Vol 17 (21) ◽

pp. 8181

Author(s):

Pilar Bas-Sarmiento ◽

Miriam Poza-Méndez ◽

Martina Fernández-Gutiérrez ◽

Juan Luis González-Caballero ◽

María Falcón Romero

Keyword(s):

Health Literacy ◽

Sign Test ◽

Survey Questionnaire ◽

Three Dimensional Model ◽

Cross Sectional Survey ◽

Structural Validity ◽

Cross Sectional ◽

French Speaking ◽

Literacy Survey ◽

European Health

Improving health literacy (HL) is critical for addressing health inequalities. Low literacy rates are believed to be more prevalent in ethnic minorities, which may have an impact on people’s health. For measures to be implemented in this regard, HL must be evaluated to obtain specific indicators. Our aim, therefore, was to develop a version of the European Health Literacy Survey Questionnaire (HLS-EU-Q16), which is recommended to be used with vulnerable populations, suited to Arabic/French-speaking migrants who reside in south-eastern Spain, and to explore its psychometric properties for assessing health literacy in this population. A cross-sectional survey was carried out in a convenient sample of 205 migrants. The structural validity was calculated by a confirmatory factorial analysis (CFA), which suggested appropriate adjustment indicators, and which indicated that the three-dimensional model is adequately adjusted to the data obtained in the study. The coefficient omega showed high internal consistency in the three HL dimensions (health care, disease prevention, and health promotion). Concurrent validity presented a significant correlation with the Newest Vital Sign test (r = 0.390; p < 0.001). The multigroup CFA showed that the heterogeneity of the sample used was not a problem for establishing the structural validity of the scale. The Arabic/French version showed good construct validity.

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Measuring health literacy in populations: illuminating the design and development process of the European Health Literacy Survey Questionnaire (HLS-EU-Q)

BMC Public Health ◽

10.1186/1471-2458-13-948 ◽

2013 ◽

Vol 13 (1) ◽

Cited By ~ 268

Author(s):

Kristine Sørensen ◽

Stephan Van den Broucke ◽

Jürgen M Pelikan ◽

James Fullam ◽

Gerardine Doyle ◽

...

Keyword(s):

Health Literacy ◽

Development Process ◽

Survey Questionnaire ◽

Design And Development ◽

Literacy Survey ◽

European Health

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Validity and measurement invariance across sex, age, and education level of the French short versions of the European Health Literacy Survey Questionnaire

PLoS ONE ◽

10.1371/journal.pone.0208091 ◽

2018 ◽

Vol 13 (12) ◽

pp. e0208091 ◽

Cited By ~ 9

Author(s):

Alexandra Rouquette ◽

Théotime Nadot ◽

Pierre Labitrie ◽

Stephan Van den Broucke ◽

Julien Mancini ◽

...

Keyword(s):

Health Literacy ◽

Measurement Invariance ◽

Education Level ◽

Survey Questionnaire ◽

Literacy Survey ◽

European Health ◽

Short Versions

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Gesundheitskompetenz von Menschen mit chronischer Erkrankung in Deutschland

Das Gesundheitswesen ◽

10.1055/a-1276-0418 ◽

2020 ◽

Vol 82 (11) ◽

pp. 836-843

Author(s):

Doris Schaeffer ◽

Lennert Griese ◽

Eva-Maria Berens

Keyword(s):

Health Literacy ◽

Vital Sign ◽

Odds Ratio ◽

Survey Questionnaire ◽

Prävention Und Gesundheitsförderung ◽

Literacy Survey ◽

European Health ◽

Newest Vital Sign

Zusammenfassung Hintergrund Menschen mit chronischen Erkrankungen (MmcE) sind mit vielfältigen Anforderungen der Krankheitsbewältigung und der Versorgungsnutzung konfrontiert. Entsprechend hoch ist ihr Bedarf an Information und auch an Gesundheitskompetenz (GK). Während das Thema international seit längerem die Aufmerksamkeit der Forschung findet, fehlen für Deutschland bislang Untersuchungen zur GK von MmcE. Ziel und Methode Ziel der vorliegenden Analyse ist es, die GK von MmcE in Deutschland vertiefend zu analysieren. Dazu wurden Querschnittsdaten von insgesamt 499 MmcE des deutschen Gesundheitskompetenzsurveys (HLS-GER) genutzt. Die GK wurde mit dem European Health Literacy Survey Questionnaire (HLS-EU-Q 47) erfasst. Potenzielle Unterschiede bei der Verteilung von GK wurden nach Geschlecht, Alter, Sozialstatus, finanzielle Ressourcen, Bildungsniveau und literale Fähigkeiten (gemessen mit dem Newest Vital Sign (NVS)) und krankheitsbezogenen Merkmalen (Krankheitsanzahl und -dauer) mittels Chi-Quadrat Test geprüft. Ebenso wurde der Einfluss dieser Faktoren auf GK bei MmcE mittels multipler logistischer Regression untersucht. Ergebnisse 72,7% der MmcE weisen eine geringe GK auf. Dabei variiert die GK stark nach den untersuchten Bereichen Krankheitsbewältigung/-versorgung, Prävention und Gesundheitsförderung. Ein niedriger Sozialstatus (Odds Ratio (OR): 4,4 [1, 8; 10, 7]), geringe finanzielle Ressourcen (OR: 2,0 [1,2; 3,1]), limitierte literale Fähigkeiten (OR: 2,7 [1,4; 5,0]) sowie ein mittleres Bildungsniveau (OR: 0,5 [0,3; 0,9]) sind in der multiplen logistischen Regression mit geringer Gesundheitskompetenz assoziiert. Krankheitsanzahl und -dauer zeigen keinen signifikanten Zusammenhang mit geringer GK. Schlussfolgerung Die Analyse liefert erste Erkenntnisse für Deutschland, die künftig der Vertiefung bedürfen. Sie liefern aber schon jetzt wichtige Hinweise für die Interventionsentwicklung. Erforderlich ist es, zielgruppenspezifische Interventionen zur Stärkung der persönlichen GK von MmcE zu entwickeln, die sich speziell an chronisch Erkrankte mit niedrigem Sozialstatus, geringen finanziellen Ressourcen und eingeschränkter Literalität richten. Um Stigmatisierungen zu vermeiden, ist es wichtig, dass Interventionen zugleich auf die Reduktion bestehender Anforderungen in der Lebensumwelt zielen und die Suche, Aneignung und Verarbeitung von Information erleichtern und damit zur Verringerung von Ungleichheiten beitragen.

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