scholarly journals Development and Validation of Assessments of Adolescent Health Literacy: A Rasch Measurement Model Approach

2021 ◽  
Author(s):  
Sasha A. Fleary ◽  
Karen M. Freund ◽  
Claudio Nigg
Keyword(s):  
Decision Making ◽  
High School Students ◽  
Convergent Validity ◽  
Measurement Model ◽  
Rasch Measurement ◽  
Face Validity ◽  
School Students ◽  
Measurement Models ◽  
Health Decision Making ◽  
Health Decision

Abstract BackgroundHealth literacy (HL) is implicated in improved health decision-making and health promotion, and reduced racial, ethnic, and socioeconomic health disparities. Three major areas of HL include functional, interactive, and critical HL. HL skills develop throughout the lifespan as individuals’ psychosocial and cognitive capacities develop and as they accumulate experiences with navigating health systems. Though adolescence is marked by increased involvement in health decision-making, most HL studies and measures of HL have focused on adults. Both the adult and adolescent HL literature are also limited by the paucity of validated test-based measures for assessing HL. The existing test-based validated HL measures for adolescents were originally designed for adults. However, adolescents are at an earlier phase of developing their HL skills (e.g., fewer experiences navigating the health system) compared to adults and measures originally designed for adults may assume prior knowledge that adolescents may lack therein underestimating adolescents’ HL. This study developed and validated test-based assessments of adolescents’ functional, interactive, and critical HL.MethodsItems were generated in an iterative process: focus groups with adolescents to inform item content, cognitive interviews with adolescents and expert consultation established content and face validity of the initial items, items were revised or removed where indicated. High school students (n=355) completed a measurement battery including the revised HL items. The items were evaluated and validated using Rasch measurement models. ResultsThe final 6-item functional, 10-item interactive, and 7-item critical HL assessments and their composite (23 items) fit their respective Rasch models. Item-level invariance was established for gender (male vs. female), age (12-15-year-olds vs. 16-18-year-olds), and ethnicity in all assessments. The assessments had good convergent validity with an established measure of functional HL and scores on the assessments were positively related to reading instructions before taking medicine and questioning the truthfulness of information found online. ConclusionsThese assessments are the first test-based measures of adolescents’ interactive and critical HL, the first test-based measure of functional HL designed for adolescents, and first composite test-based assessment of all three major areas of HL. These assessments should be used to inform strategies for improving adolescents’ HL, decision-making, and behaviors.

Structure and Correlates of the German Version of the Brief UPPS Impulsive Behavior Scales

2009 ◽  
Vol 25 (3) ◽  
pp. 175-185 ◽  
Author(s):  
Doris Keye ◽  
Oliver Wilhelm ◽  
Klaus Oberauer
Keyword(s):  
Working Memory ◽  
High School Students ◽  
Working Memory Capacity ◽  
Measurement Model ◽  
Self Report ◽  
German Version ◽  
Impulsive Behavior ◽  
School Students ◽  
Measurement Models ◽  
Final Item

The article proposes a shortened German version of the UPPS impulsive behavior scales. In Study 1, 149 high-school students completed the UPPS questionnaire, a Big-Five questionnaire, additional established self-report scales to measure conscientiousness and impulsivity, as well as tests of working memory capacity, reasoning, and clerical speed. Measurement models were applied to the full translated UPPS scales using confirmatory factor analysis. A satisfactory measurement model could be established only by removing many of the initial items. The remaining items correlated as expected with other self-report and ability measures: Substantial correlations with impulsivity and conscientiousness contrasted with zero correlations with working memory and reasoning ability. The association between impulsivity factors and perceptual speed was primarily a result of the number of solved items rather than the number of mistakes in the speed tasks. In Study 2 the reduced item set from Study 1 was administered to 246 participants to replicate the model. The fit of this model supports the construct validity of the final item set. The generally low correlations of the UPPS with cognitive variables questions interpretations of self-reported impulsivity that are overly focused on cognition. More appropriate cognitive criteria for impulsivity constructs should be established.

Manipulate Me

2020 ◽  
Vol 36 (4) ◽  
pp. 554-562
Author(s):  
Alica Thissen ◽  
Frank M. Spinath ◽  
Nicolas Becker
Keyword(s):  
High School Students ◽  
Spatial Ability ◽  
Convergent Validity ◽  
Item Difficulty ◽  
Test Results ◽  
Response Elimination ◽  
School Students ◽  
Test Environment ◽  
Response Options ◽  
Construction Task

Abstract. The cube construction task represents a novel format in the assessment of spatial ability through mental cube rotation tasks. Instead of selecting the correct answer from several response options, respondents construct their own response in a computerized test environment, leading to a higher demand for spatial ability. In the present study with a sample of 146 German high-school students, we tested an approach to manipulate the item difficulties in order to create items with a greater difficulty range. Furthermore, we compared the cube task in a distractor-free and a distractor-based version while the item stems were held identical. The average item difficulty of the distractor-free format was significantly higher than in the distractor-based format ( M = 0.27 vs. M = 0.46) and the distractor-free format showed a broader range of item difficulties (.02 ≤  pi ≤ .95 vs. .37 ≤  pi ≤ .63). The analyses of the test results also showed that the distractor-free format had a significantly higher correlation with a broad intelligence test ( r = .57 vs. r = .17). Reasons for the higher convergent validity of the distractor-free format (prevention of response elimination strategies and the broader range of item difficulties) and further research possibilities are discussed.

scholarly journals The NCCMT’s dynamic model for evidence-informed public health

2020 ◽  
Vol 30 (Supplement_5) ◽  
Author(s):  
E Clark ◽  
S Neil-Sztramko ◽  
M Dobbins
Keyword(s):  
Public Health ◽  
Decision Making ◽  
Research Evidence ◽  
Decision Makers ◽  
Local Data ◽  
Public Health Decision ◽  
Health Decision Making ◽  
Political Preferences ◽  
Health Decision ◽  
Structured Approach

Abstract Issue It is well accepted that public health decision makers should use the best available research evidence in their decision-making process. However, research evidence alone is insufficient to inform public health decision making. Description of the problem As new challenges to public health emerge, there can be a paucity of high quality research evidence to inform decisions on new topics. Public health decision makers must combine various sources of evidence with their public health expertise to make evidence-informed decisions. The National Collaborating Centre for Methods and Tools (NCCMT) has developed a model which combines research evidence with other critical sources of evidence that can help guide decision makers in evidence-informed decision making. Results The NCCMT's model for evidence-informed public health combines findings from research evidence with local data and context, community and political preferences and actions and evidence on available resources. The model has been widely used across Canada and worldwide, and has been integrated into many public health organizations' decision-making processes. The model is also used for teaching an evidence-informed public health approach in Masters of Public Health programs around the globe. The model provides a structured approach to integrating evidence from several critical sources into public health decision making. Use of the model helps ensure that important research, contextual and preference information is sought and incorporated. Lessons Next steps for the model include development of a tool to facilitate synthesis of evidence across all four domains. Although Indigenous knowledges are relevant for public health decision making and should be considered as part of a complete assessment the current model does not capture Indigenous knowledges. Key messages Decision making in public health requires integrating the best available evidence, including research findings, local data and context, community and political preferences and available resources. The NCCMT’s model for evidence-informed public health provides a structured approach to integrating evidence from several critical sources into public health decision making.

scholarly journals Reproductive Health Decision-Making in Perinatally HIV-Infected Adolescents and Young Adults

2012 ◽  
Vol 17 (5) ◽  
pp. 797-808 ◽  
Author(s):  
Cynthia Fair ◽  
Lori Wiener ◽  
Sima Zadeh ◽  
Jamie Albright ◽  
Claude Ann Mellins ◽  
...  
Keyword(s):  
Decision Making ◽  
Young Adults ◽  
Reproductive Health ◽  
Adolescents And Young Adults ◽  
Health Decision Making ◽  
Health Decision
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