Egészségműveltséget mérő kérdőívek validálása hazai felnőttmintán

Összefoglaló. Bevezetés: Az eredményes gyógyítás, rehabilitáció, egészségre nevelés és egészségfejlesztés elengedhetetlen feltétele, hogy az egyén az egészségműveltségének megfelelő módon jusson hozzá az egészségével kapcsolatos információkhoz. Célkitűzés: A kutatás célja két, az egészségműveltséget objektíven (Newest Vital Sign) és szubjektíven (Brief Health Literacy Screening Tool) mérő skála validálása volt. Ezen nemzetközi felmérésekben elterjedt és önmagukban is alkalmazható rövid tesztek segítségével vizsgálható az általános populáció egészségműveltsége. Módszer: A skálák tesztelése országos keresztmetszeti vizsgálat keretében zajlott a felnőtt lakosság körében. A kérdőívek megbízhatóságát és validitását az egyes kérdőíveken belüli Cronbach-α, Spearman–Brown és korrigált item-totál korrelációs együtthatók, valamint feltáró faktorelemzés (főkomponens-elemzés, varimax rotáció) segítségével értékeltük. Eredmények: A kérdőívek belső konzisztenciáját mérő Cronbach-α-érték a Newest Vital Sign kérdőív esetében 0,72, a Brief Health Literacy Screening Tool kérdőív esetében 0,87, míg a Spearman–Brown-féle korrigált korrelációval számított „split-half” megbízhatóság 0,76, illetve 0,88 volt. Az item-totál korrelációs vizsgálat során kapott korrelációs együtthatók minden esetben magasabbnak bizonyultak az elvárható 0,3-as értéknél. A faktorszerkezet feltárása rávilágított, hogy a két teszt az egészségműveltség más-más dimenzióit méri. Megbeszélés: Eredményeink alapján mindkét teszt megbízhatónak bizonyult; a Brief Health Literacy Screening Tool skála belső validitása magasabb, mint az eredeti kérdőívé. A faktorelemzés alapján a két kérdőív együttes alkalmazása is lehetséges, ha a cél a szubjektív és az objektív műveltség egyszerre történő vizsgálata. Következtetés: Eredményeink alapján javasoljuk a Brief Health Literacy Screening Tool és a Newest Vital Sign kérdőívek általunk validált változatának használatát kérdezőbiztosok által felvett, egészségműveltséget vizsgáló felmérések részeként. Orv Hetil. 2021; 162(39): 1579–1588. Summary. Introduction: Accessing health information adapted to one’s health literacy level is a prerequisite for effective healing, rehabilitation, health education, and health promotion. Objective: This research aimed to validate the Hungarian version of two instruments measuring health literacy: the performance-based Newest Vital Sign and the self-reported Brief Health Literacy Screening Tool. These short instruments, which are frequently used in international surveys, can be applied to measure health literacy among the general population. Method: The two instruments were tested in a nationwide cross-sectional study in the general population. The questionnaires’ reliability and validity were evaluated using Cronbach-α, Spearman–Brown, corrected item-total correlation coefficients, and exploratory factor analysis (principal components analysis, varimax rotation). Results: The internal consistency measured by the Cronbach-α was 0.72 for the Newest Vital Sign and 0.87 for the Brief Health Literacy Screening Tool, and the split-half reliabilities calculated with the Spearman–Brown correlation were 0.76 and 0.88, respectively. The correlation coefficients obtained during the item-total correlation analysis proved to be higher than the expected 0.3 value in all cases. Exploring the factor structure revealed that the two tests measure different dimensions of health literacy. Discussion: Both tests proved to be reliable; the internal validity of the Brief Health Literacy Screening Tool is higher than that of the original questionnaire. Based on the factor analysis, their application is possible together if the goal is to examine subjective and objective health literacy together. Conclusion: Using the validated Hungarian version of these questionnaires is recommended as part of health literacy surveys conducted by interviewers. Orv Hetil. 2021; 162(39): 1579–1588.

Download Full-text

Cross-cultural adaptation and validation of the Newest Vital Sign (NVS) health literacy instrument in general population and highly educated samples of Brazilian adults

Public Health Nutrition ◽

10.1017/s1368980017000787 ◽

2017 ◽

Vol 20 (11) ◽

pp. 1907-1913 ◽

Cited By ~ 10

Author(s):

Renne Rodrigues ◽

Selma Maffei de Andrade ◽

Alberto Durán González ◽

Marcela Maria Birolim ◽

Arthur Eumann Mesas

Keyword(s):

Factor Analysis ◽

Health Literacy ◽

General Population ◽

Cultural Adaptation ◽

Cross Cultural ◽

Cross Cultural Adaptation ◽

Highly Educated ◽

Confirmatory Factor ◽

Different Populations ◽

Newest Vital Sign

AbstractObjectiveThe present work aimed at cross-cultural adaptation and validation of the health literacy assessment tool Newest Vital Sign (NVS) in general population (GP) and highly educated (HE) samples of Brazilian adults.DesignAn expert committee reviewed the translation and back-translation processes and the cultural adaptation. The construct validity was analysed with confirmatory factor analysis and via associations with features of the study population.SettingThe final validation test was performed in two different populations from Londrina, a large town in southern Brazil.SubjectsBrazilian adults: GP (adult clients of community pharmacies;n189) and HE (public school teachers;n301).ResultsThe tool under validation showed good cross-cultural adaptation and internal consistency, with Cronbach’sαof 0·75 for GP and 0·74 for HE. Confirmatory factor analysis showed acceptable models and identified two independent factors according to the relationship between components and numeracy for both GP and HE data. According to the Brazilian Portuguese version of the NVS instrument (NVS-BR), 48·7 % of GP and 33·5 % of HE presented adequate health literacy; this condition was inversely associated with age for both populations and directly correlated with educational level for GP.ConclusionsThe NVS-BR showed good validity in two different populations of Brazilian adults and can be considered an alternative in screening for inadequate health literacy.

Download Full-text

Patients' Perceptions of Screening for Health Literacy: Reactions to the Newest Vital Sign

Journal of Health Communication ◽

10.1080/10810731003753117 ◽

2010 ◽

Vol 15 (4) ◽

pp. 402-412 ◽

Cited By ~ 30

Author(s):

Jonathan B. VanGeest ◽

Verna L. Welch ◽

Saul J. Weiner

Keyword(s):

Health Literacy ◽

Vital Sign ◽

Newest Vital Sign

Download Full-text

Letter to the Editor Re: “Limited Health Literacy in Portugal Assessed with the Newest Vital Sign” by Dagmara Paiva and Colleagues. Acta Med Port. 2017;30(12):861-869.

Acta Médica Portuguesa ◽

10.20344/amp.10292 ◽

2018 ◽

Vol 31 (3) ◽

pp. 182

Author(s):

Teresa M Salgado ◽

Fernando Fernandez-Llimos

Keyword(s):

Health Literacy ◽

Vital Sign ◽

Limited Health Literacy ◽

Letter To The Editor ◽

Newest Vital Sign ◽

Limited Health

N/A.

Download Full-text

Health Literacy: A Brief Primer for the Otolaryngologist

Otolaryngology ◽

10.1177/0194599816683664 ◽

2016 ◽

Vol 156 (3) ◽

pp. 395-396 ◽

Cited By ~ 2

Author(s):

Uchechukwu C. Megwalu

Keyword(s):

Health Care ◽

Decision Making ◽

Clinical Practice ◽

Health Literacy ◽

Medical Care ◽

Vital Sign ◽

Shared Decision ◽

Health Care Environment ◽

Care Environment ◽

Newest Vital Sign

Health literacy has been shown to affect outcomes in a number of medical conditions. Despite the complexity of care that is often required among otolaryngology patients, the literature on health literacy in this field is sparse. Otolaryngologists need to be aware of issues related to health literacy due to the changing health care environment. The increased complexity of medical care, the greater involvement of patients in shared decision making, and the higher administrative burden on patients have increased their health literacy requirements. Assessing health literacy in clinical practice may help identify patients who might require additional help in navigating the health care system. The Brief Health Literacy Screen and the Newest Vital Sign are 2 measures that are easy to apply in clinical practice.

Download Full-text

Assessment of literacy and numeracy skills related to non-steroidal anti-inflammatory drug labels

SAGE Open Medicine ◽

10.1177/2050312119834119 ◽

2019 ◽

Vol 7 ◽

pp. 205031211983411 ◽

Cited By ~ 3

Author(s):

Soo Min Jang ◽

Ruixin Jiang ◽

Darren Grabe ◽

Amy Barton Pai

Keyword(s):

Primary Care ◽

Health Literacy ◽

Vital Sign ◽

Over The Counter ◽

Inflammatory Drug ◽

Scale Range ◽

Inflammatory Drugs ◽

Newest Vital Sign ◽

Anti Inflammatory ◽

Medication Label

Background: Non-steroidal anti-inflammatory drugs are widely used and have a potential for over-the-counter misuse. Limited health literacy is associated with poor health outcomes. Identification of new strategies to assess literacy and numeracy could be useful in targeting effective education initiatives. Objective: To characterize numeracy and literacy skills related to non-steroidal anti-inflammatory drug labels in primary care patients. Methods: Patients were recruited and consented over an 8-month period after their regular primary care visit. Demographic information was collected and two instruments were administered to assess literacy and numeracy skills: (1) a medication label literacy instrument focused on non-steroidal anti-inflammatory drugs (MedLit-NSAID) and (2) a general healthy literacy-screening tool, the Newest Vital Sign. Two questions on the MedLit-NSAID instrument evaluated understanding of the Food and Drug Administration medication guide for non-steroidal anti-inflammatory drugs and the Food and Drug Administration approved over-the-counter label. Results: A total of 145 patients were enrolled. Mean MedLit-NSAID and Newest Vital Sign scores were 6.8 (scale range 0–8) and 4.2 (scale range 0–6), respectively. Higher education level was associated with higher scores for both tools (p ⩽ 0.05). Total MedLit-NSAID scores on average were higher in females compared with males (6.5 vs 6, p = 0.05). Patients with decreased kidney function (n = 18) had significantly lower MedLit-NSAID scores (p ⩽ 0.05). Test–retest scores were not significantly different for MedLit-NSAID (p = 0.32). The correlation between the tools was 0.54 and internal consistency MedLit-NSAID was 0.61. Conclusion: A medication information focused instrument provided specific information to assess health literacy related to non-steroidal anti-inflammatory drug labels. This information could be utilized to develop patient education initiatives for medication label comprehension.

Download Full-text

I will do it tomorrow! Exploring the dimensionality of procrastination in Poland

Time & Society ◽

10.1177/0961463x16678251 ◽

2016 ◽

Vol 28 (1) ◽

pp. 415-437 ◽

Cited By ~ 3

Author(s):

Aneta M Przepiorka ◽

Agata Blachnio ◽

Juan F Díaz-Morales

Keyword(s):

Principal Component Analysis ◽

Factor Analysis ◽

Correlation Coefficients ◽

Principal Component ◽

International Debate ◽

Total Correlation ◽

Adult Participants ◽

Confirmatory Factor ◽

Decisional Procrastination ◽

Best Fit

The aim of this study was to analyze the psychometric properties of the widely used general procrastination, decisional procrastination, and adult inventory of procrastination scales in both undergraduate and adult Polish populations. Polish versions of these scales were filled out by 390 student and 513 adult participants. Principal component analysis indicated one-factor structure for each scale. The pattern of loadings was congruent between student and adult samples. The item-total correlation coefficients were adequate in each sample, with higher Cronbach's alpha values in adults compared to students, who reported higher procrastination scores in general procrastination and decisional procrastination scales. Confirmatory factor analysis showed that the unidimensional model emerged as the best fit when the three scales were considered together. The results of the study suggest that Polish versions of the three procrastination scales are effective and reliable and contribute to the international debate about the dimensionality of procrastination.

Download Full-text

The Relationship between Subjective and Objective Scales on CTS Symptom Severity Using a Self-Administered Questionnaire

Proceedings of the Human Factors and Ergonomics Society Annual Meeting ◽

10.1177/154193120204601328 ◽

2002 ◽

Vol 46 (13) ◽

pp. 1137-1141

Author(s):

Dongjoon Kong ◽

Andris Freivalds ◽

Milind J. Kothari ◽

Sanjiv H. Naidu

Keyword(s):

Factor Analysis ◽

Symptom Severity ◽

Screening Tool ◽

Correlation Coefficients ◽

The Other ◽

Wrist Flexion ◽

Mechanical Problem ◽

Highly Correlated ◽

The Relationship ◽

Self Administered Questionnaire

A group of 39 CTS patients with 60 affected hands participated in the study. A self-administered questionnaire developed by Levine et al. (1993) and nerve conduction measures (NCS) were used. The factor analysis showed a consistent result with previous studies: Primary (numbness, tingling, and nocturnal symptoms) and Secondary (pain, weakness, and clumsiness) symptoms. Peason's correlation coefficients showed that two primary symptoms (numbness and tingling) were highly correlated ( p <.05) with NCS results while the other symptoms were not. Among the primary symptoms, only nocturnal symptoms did not show any significant correlation with NCS results. The nocturnal symptoms could be more of a mechanical problem of wrist flexion at night and not a reflection of nerve slowing at night versus daytime but still was a good measure of CTS. The primary symptoms could be used as a potential screening tool for early CTS in the workplace.

Download Full-text