Development and Initial Pilot Testing and Validation of a Functional-Based Health Literacy Measurement Tool for Asthma/COPD Patients

Author(s):  
J. Shum ◽  
I. Poureslami ◽  
R.S. Goldstein ◽  
S.K. Gupta ◽  
S.D. Aaron ◽  
...  
2019 ◽  
Vol 46 (4) ◽  
pp. 677-688 ◽  
Author(s):  
Rita Wai Yu Chan ◽  
Adnan Kisa

Background. Despite the strong link between health literacy and cardiovascular health outcomes, health literacy measurements remain flawed and fragmented. There exists a gap in the knowledge when formulating a valid measurement to capture the broad concept of health literacy. The existence of various tools for health literacy measurement also hampers the availability of health literacy data. Additionally, little research is available on a valid measurement tool for cardiovascular health literacy. Objective. This study aims to provide an overview of the health literacy measurement tools used in the context of cardiovascular health. Method. A scoping review was conducted. Two electronic databases, Medline and Embase, were searched to identify studies that described a tool for the measurement of health literacy in the context of cardiovascular health. Results. After reviewing the available studies, 53 studies met the inclusion criteria. A total of 26 health literacy measurement tools were identified in the studies. Among the 26 tools, 16 used an objective measurement approach, 9 adopted a subjective approach, and 1 employed a mixed approach. Additionally, 28 studies used tools to measure print literacy, 15 studies measured print literacy and numeracy, and 5 studies measured print literacy, oral literacy, and numeracy. Conclusions. STOFHLA, TOFHLA, and REALM were the mostly commonly used tools in the selected studies. The majority of tools were based heavily on reading skills and word recognition. Researchers should focus on the development of more comprehensive and reliable health literacy measurement tool(s) specific to cardiovascular health to assist health care providers to more efficiently and accurately identify people with cardiovascular problems who have inadequate health literacy.


CHEST Journal ◽  
2016 ◽  
Vol 150 (4) ◽  
pp. 633A ◽  
Author(s):  
Darrin Wiebe ◽  
J FitzGerald ◽  
Jessica Shum ◽  
Selva Bayat ◽  
Brenda Kwan ◽  
...  

2020 ◽  
Vol 30 (Supplement_5) ◽  
Author(s):  
L Teufl

Abstract Background Childhood is characterized by a wide array of cognitive and social-emotional developments, which facilitate the overall learning capacities. Therefore, children should be seen as a target group for programs and interventions concerning health literacy. An appropriate measurement tool for taping children's health literacy is still needed since the quality of the current tools does not reach satisfying levels and/or these tools can only be applied in clinical settings. This study aimed to develop an age-appropriate measurement tool to fill this gap. Methods The authors used four cognitive processes (access, understand, appraise and apply) and five topics (physical activity, nutrition, media, psycho-social health, and health care) to develop the items. These items were then discussed with primary school teachers and health intervention experts. Developmental characteristics of the middle childhood guided and shaped the decisions on the test and item formats. During the pilot testing, 155 pupils aged 8 to 10 years fillet out the 60 items of the piloting-version of the QUIGK-K. Results After the pilot testing, a reduction to 40 items based on the data was made. The final QUIGK-K shows (very) good quality with regards to reliability and validity. Conclusions The application of the QUIGK-K takes 40 minutes and can be conducted in a group context. The test yields five scores representing the overall level of health literacy and detailed information on the four cognitive processes involved. Therefore, the QUIGK-K fills in the gap of the missing age-appropriate measurement tool for health literacy. Key messages An age-appropriate measurement tool for health literacy is now available for children aged 8-10 years which allows profile analyses via five test scores. The (very) satisfying test quality may be attributed to the design as a performance test and the active integration of the developmental characteristics of the target group.


2016 ◽  
Vol 24 (4) ◽  
pp. 69-80 ◽  
Author(s):  
Li-Ling Liao ◽  
Chieh-Hsing Liu ◽  
Chi-Chia Cheng ◽  
Tzu-Chau Chang

Background: Health literacy is related to health inequality, health behaviors, and health status. Globally, health literacy has primarily focused on adults and has been based on the medical model. It is necessary to understand children’s life experiences as they relate to health; thus, this study attempted to evaluate and describe the health literacy abilities of sixth-graders in Taiwan. Methods: Interviews were conducted with 10 teachers and 11 caregivers, and focus groups were conducted with 32 children. Health literacy abilities corresponding to real-life situations were identified from life skills and the Taiwanese Curriculum Guidelines for health education. Three expert meetings were held to redefine children’s health literacy using a health promotion perspective and confirmed indicators. Results: An operational definition of three aspects of children’s health literacy and 25 abilities was proposed: 11 functional health literacy abilities (e.g. understands the connection between personal health care behaviors and health); seven interactive health literacy abilities (e.g. obtains and understands information from various channels); and seven critical health literacy abilities (e.g. analyzes the relationship between personal needs and diet choices for a balanced diet). These indicators cover 10 health education categories. Conclusions: These findings highlight the importance of understanding Taiwanese children’s health literacy, and the urgency of developing an appropriate measurement tool. The definition and indicators in this study were identified using a child-centered approach focusing on children’s real-life experiences. The result serves as a solid basis for the development of the Taiwan Children’s Health Literacy Scale, and provides information for the decision-making sector on health education.


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