scholarly journals Conceptualisation and development of the Conversational Health Literacy Assessment Tool (CHAT)

2018 ◽  
Vol 18 (1) ◽  
Author(s):  
Jonathan O’Hara ◽  
Melanie Hawkins ◽  
Roy Batterham ◽  
Sarity Dodson ◽  
Richard H. Osborne ◽  
...  
2020 ◽  
Vol 30 (Supplement_2) ◽  
Author(s):  
J Luís ◽  
C Rocha ◽  
J Balteiro

Abstract Introduction The definition of this concept and its domains, as well as its measurement, will allow to identify health inequalities. And therefore focus the focus of professional intervention to ensure equitable access to health. The health literacy assessment tool should be based on the defined literacy concept and address the domains of the underlying theory, considering public health behaviours and outcomes. According to the European Consortium for Health Literacy, three dimensions of literacy are distinguished: functional literacy, interactive literacy and critical literacy. Objectives To compare the health literacy levels obtained by applying two different measurement tools. Methodology To assess Health Literacy levels were applied two tests: HLS-EU-PT (European Health Literacy Survey Questionnaire - Portugal) and METER (Medical Term Recognition Test). The first, quite comprehensive and previously used at European level, of self-perception, and the second more objective. These validated instruments were applied in a pharmacy in the municipality of Mealhada, to 377 individuals resident there. Results HLS-EU-PT presents 40.8% of individuals with adequate literacy, while METER classifies 49.1% of the sample. There is a difference of 8.3% in the results. However, there is a statistically significant relationship between them (p = 0.001). METER is limited to the assessment of functional literacy levels. Too narrow a perspective for a concept as broad as health literacy. In this context, when measuring literacy is based on word recognition, limited levels of health literacy are found in 50.9% of individuals. Conclusion Statistically, the two tests used present a significant correlation. Although METER misclassifies some individuals with adequate literacy who actually have inadequate literacy, this happens more often when the scores obtained are reduced. When the score on one test is high, on the other test, it also happens.


2014 ◽  
Vol 97 (2) ◽  
pp. 269-275 ◽  
Author(s):  
Dagmara Paiva ◽  
Susana Silva ◽  
Milton Severo ◽  
Pedro Ferreira ◽  
Osvaldo Santos ◽  
...  

2011 ◽  
Vol 85 (3) ◽  
pp. 505-507 ◽  
Author(s):  
Pragnesh J. Patel ◽  
Steinberg Joel ◽  
Goveas Rovena ◽  
Sailja Pedireddy ◽  
Saima Saad ◽  
...  

2018 ◽  
Vol 21 (11) ◽  
pp. 2038-2045 ◽  
Author(s):  
Elizabeth D Mansfield ◽  
Rana Wahba ◽  
Doris E Gillis ◽  
Barry D Weiss ◽  
Mary L’Abbé

AbstractObjectiveThe Newest Vital Sign© (NVS) was developed in the USA to measure patient health literacy in clinical settings. We adapted the NVS for use in Canada, in English and French, and created a computerized version. Our objective was to evaluate the reliability of the Canadian NVS as a self-administered computerized tool.DesignWe used a randomized crossover design with a washout period of 3–4 weeks to compare health literacy scores obtained using the computerized version with scores obtained using the standard interviewer-administered NVS. ANOVA models and McNemar’s tests assessed differences in outcomes assessed with each version of the NVS and order effects of the testing.SettingParticipants were recruited from multicultural catchment areas in Ontario and Nova Scotia.SubjectsEnglish- and French-speaking adults aged 18 years or older.ResultsA total of 180 (81 %) of the 222 adults (112 English/110 French) initially recruited completed both the interviewer-NVS and computer-NVS. Scores for those who completed both assessments ranged from 0 to 6 with a mean of 3·63 (sd 2·11) for the computerized NVS and 3·41 (sd 2·21) for the interview-administered NVS. Few (n 18; seven English, eleven French) participants’ health literacy assessments differed between the two versions.ConclusionsOverall, the computerized Canadian NVS performed as well as the interviewer-administered version for assessing health literacy levels of English- and French-speaking participants. This Canadian adaptation of the NVS provides Canadian researchers and public health practitioners with an easily administered health literacy assessment tool that can be used to address the needs of Canadians across health literacy levels and ultimately improve health outcomes.


2020 ◽  
Author(s):  
Francesca Gallè ◽  
Patrizia Calella ◽  
Christian Napoli ◽  
Fabrizio Liguori ◽  
Giovanni Battista Orsi ◽  
...  

Abstract Background. Health literacy is a fundamental ability that allows individuals to manage their health. This study was aimed to assess health literacy and lifestyles among healthcare undergraduates in comparison to students attending other degree courses from two Italian universities. Methods. The Health Literacy Assessment Tool (HLAT-8) and the Newest Vital Sign (NVS) were used to assess health literacy. Demographic and anthropometric data, adherence to Mediterranean diet, physical activity levels and smoking habit were assessed in the enrolled sample to highlight possible associations. Results. Adequate health literacy scores were registered in the sample (27.4±4.4 HLAT-8; 4.2±1.8 NVS), with higher values among healthcare students (p<0.01). However, unhealthy behaviors were reported mainly be healthcare undergraduates. Significant associations were found between health literacy scores and adherence to the Mediterranean diet (p<0.01).Conclusions. Attending a healthcare related degree course was associated with higher health literacy scores but not with healthy behaviors. This issue should be addressed considering that the future healthcare professionals should represent a behavioral model for their patients.


2020 ◽  
Vol 34 (6) ◽  
pp. 475-483
Author(s):  
Potchara Chinnasee ◽  
Suchitra Sukonthasab ◽  
Nattaporn Lawthong

PurposeThe purpose of this study is to develop a reliable test metric that can ascertain health literacy as it relates to hypertension in the population of Thailand.Design/methodology/approachOne thousand five hundred patients from hypertension clinics in hospitals under the Ministry of Public Health, Thailand were recruited to this study. The test was developed and divided into three latent variables and four observed variables for health literacy concepts. Indexes of Item-Objective Congruence (IOC) from seven experts and Cronbach’s alpha coefficient of the entire questionnaire were evaluated for content validity and reliability. The Confirmatory Factor Analysis with LISREL also analyzed for construct validity.FindingsThe result illustrates that the Item-Objective Congruence was 0.68, and Cronbach’s alpha coefficient was 0.87. The result also shows that Barlett’s Test of Sphericity was 3129.31 (p < 0.01), and the Kaiser-Meyer-Olkin measure of sampling adequacy was 0.83. The model was fit to empirical data (Chi-square = 0.02).Originality/valueThis study concludes that the Thai Hypertension Health Literacy Assessment Tool (THHLA) created as a result of the study is valid and reliable. The test can be used to evaluate health literacy for hypertension patients in Thailand.


2016 ◽  
Vol 19 (1) ◽  
pp. 119-124 ◽  
Author(s):  
Lauren A. Linnebur ◽  
Sunny A. Linnebur

The “Newest Vital Sign” (NVS) is a validated health literacy assessment tool typically administered by clinicians. The objective of this study was to assess if the NVS could be self-administered in adolescents to measure health literacy. Sixth graders in a Colorado middle school were provided a self-administered survey containing the NVS, a section for parent permission, and a section for the student’s age, gender, grade, and previous elementary school. In all, 167 sixth graders returned usable surveys (45% return rate), and the average health literacy score was 3.75 ± 1.70. Almost two thirds (62.9%) of the students scored in the adequate health literacy range, while only 12.6% scored in the limited health literacy range. Health literacy scores were similar when evaluated based on gender. However, when students were grouped based on prior elementary school attendance, students who matriculated from one elementary school had an average NVS score significantly lower than two other elementary schools (p < .001 and p < .05). Self-administration of the NVS was successful and showed similar health literacy scores compared to other studies in adolescents. Using the NVS as a self-administered tool could greatly increase its function as a quick health literacy assessment for adolescents, both in clinical practice and in school-based health education.


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