scholarly journals Using the Health Literacy Questionnaire (HLQ) with Providers in the Early Intervention Setting: A Qualitative Validity Testing Study

2020 ◽  
Vol 17 (7) ◽  
pp. 2603 ◽  
Author(s):  
Catherine J. Leslie ◽  
Melanie Hawkins ◽  
Diane L. Smith
Keyword(s):  
Early Intervention ◽  
Health Literacy ◽  
Health Equity ◽  
The United States ◽  
Validity Testing ◽  
Child Health Outcomes ◽  
Health Literacy Questionnaire ◽  
Low Health Literacy ◽  
Study Results ◽  
Provider Perspective

More than one in four parents in the United States of America (USA) have low health literacy, which is associated with reduced health equity and negatively impacts child health outcomes. Early intervention (EI) programs are optimally placed to build the health literacy capacity of caregivers, which could improve health equity. The health literacy of interdisciplinary EI providers has not previously been measured. This study used the Health Literacy Questionnaire (HLQ) with EI providers (n = 10) to investigate evidence based on response (cognitive) processes. Narratives from cognitive interviews gave reasons for HLQ score choices, and concordance and discordance between HLQ item intent descriptions and narrative data were assessed using thematic analysis. Results found scales with highest concordance for Scales 3, 6, and 9 (each 96%, n = 24). Concordance was lowest on Scale 5 (88%, n = 22), although still strong with only 12% discordance. Three themes reflecting discordance were identified: (1) Differences between Australian and USA culture/health systems; (2) Healthcare provider perspective; and (3) Participants with no health problems to manage. Results show strong concordance between EI providers’ narrative responses and item intents. Study results contribute validity evidence for the use of HLQ data to inform interventions that build health literacy capacity of EI providers to then empower and build the health literacy of EI parents.

scholarly journals Validation of the English and Spanish Mammography Beliefs and Attitudes Questionnaire

2011 ◽  
Vol 16 (2) ◽  
Author(s):  
Gloria Lopez-McKee ◽  
Julia Bader
Keyword(s):  
Health Literacy ◽  
Research Program ◽  
Mammography Screening ◽  
White Women ◽  
Hispanic Women ◽  
Psychometric Testing ◽  
The United States ◽  
Screening Participation ◽  
Low Health Literacy ◽  
Beliefs And Attitudes

Breast cancer is the leading cause of cancer deaths among Hispanic women in the United States. Unfortunately Hispanic women exhibit poor mammography screening participation, are diagnosed at later stages of the disease, and have lower survival rates than non-Hispanic white women. Several cultural and psycho-social factors have been found to influence mammography screening participation among Hispanic women. We will begin by presenting the theoretical framework that grounded this research program to develop an instrument to assess factors contributing to poor mammography participation among Hispanic women. We will also summarize the early stages in the development of the English and Spanish Mammography Beliefs and Attitudes Questionnaire (MBAQ and SMBAQ) for use with low-health-literacy Mexican-American women. Next we will describe the initial psychometric testing of the MBAQ/SMBAQ, after which we will present the psychometric testing of the SMBAQ with low-health-literacy women. This will be followed by a discussion of the modification of the MBAQ and SMBAQ subscales. We’ll conclude with a discussion of the instruments and share our assessment regarding the limitations of this research program, where the program stands to date, and the implications for practice and future research.

scholarly journals The Health Literacy Questionnaire: Initial Validity Testing in a Norwegian Sample

2020 ◽  
Vol 4 (4) ◽  
pp. e190-e199
Author(s):  
Kristin Hjorthaug Urstad ◽  
Randi Andenaes ◽  
Astrid K. Wahl ◽  
Lisbeth G. Kvarme ◽  
Sølvi Helseth ◽  
...  
Keyword(s):  
Health Literacy ◽  
Validity Testing ◽  
Health Literacy Questionnaire

scholarly journals Predictors of English Health Literacy among U.S. Hispanic Immigrants: The importance of language, bilingualism and sociolinguistic environment

2016 ◽  
Vol 24 (1) ◽  
pp. 43-64 ◽  
Author(s):  
Holly E. Jacobson ◽  
Lauren Hund ◽  
Francisco Soto Mas
Keyword(s):  
Health Literacy ◽  
Language Proficiency ◽  
The United States ◽  
Educational Background ◽  
Controlled Study ◽  
Hispanic Immigrants ◽  
Literacy Assessment ◽  
Low Health Literacy ◽  
Border Communities ◽  
And Function

In the United States, data confirm that Spanish-speaking immigrants are particularly affected by the negative health outcomes associated with low health literacy. Although the literature points to variables such as age, educational background and language, only a few studies have investigated the factors that may influence health literacy in this group. Similarly, the role that bilingualism and/or multilingualism play in health literacy assessment continues to be an issue in need of further research. The purpose of this study was to examine the predictors of English health literacy among adult Hispanic immigrants whose self-reported primary language is Spanish, but who live and function in a bilingual community. It also explored issues related to the language of the instrument. An analysis of data collected through a randomized controlled study was conducted. Results identified English proficiency as the strongest predictor of health literacy (p < 0.001). The results further point to the importance of primary and secondary language in the assessment of heath literacy level. This study raises many questions in need of further investigation to clarify how language proficiency and sociolinguistic environment affect health literacy in language minority adults; proposes language approaches that may be more appropriate for measuring health literacy in these populations; and recommends further place-based research to determine whether the connection between language proficiency and health is generalizable to border communities.

scholarly journals Impact of Health Literacy on Time Spent Seeking Hand Care

Hand ◽  
2017 ◽  
Vol 13 (5) ◽  
pp. 538-546 ◽  
Author(s):  
Aaron Alokozai ◽  
David N. Bernstein ◽  
Nicole Sheikholeslami ◽  
Lauren Uhler ◽  
David Ring ◽  
...  
Keyword(s):  
Health Literacy ◽  
Medical Center ◽  
Academic Medical Center ◽  
Hand Surgery ◽  
Limited Health Literacy ◽  
Low Health Literacy ◽  
Academic Medical ◽  
Efficient Access ◽  
Study Results ◽  
Limited Health

Background: Patients with limited health literacy may have less knowledge and fewer resources for efficient access and navigation of the health care system. We tested the null hypothesis that there is no correlation between health literacy and total time spent seeking hand surgery care. Methods: New patients visiting a hand surgery clinic at a suburban academic medical center were asked to complete a questionnaire to determine demographics, total time spent seeking hand surgery care, and outcomes. A total of 112 patients were included in this study. Results: We found health literacy levels did not correlate with total time seeking hand surgery care or from booking an appointment to being evaluated in clinic. Conclusions: In this suburban academic medical center, patients with low health literacy do not spend more time seeking hand surgery care and do have longer delays between seeking and receiving care. The finding that—at least in this setting—health literacy does not impact patient time seeking hand care suggests that resources to improve health disparities can be focused elsewhere in the care continuum.

Health literacy needs among migrant populations in France: validity testing and potential contribution of the Health Literacy Questionnaire (HLQ)

2021 ◽  
Author(s):  
Xavier Debussche ◽  
Jessica Caroupin-Soupoutevin ◽  
Maryvette Balcou-Debussche ◽  
Michèle Fassier ◽  
Catherine Boegner ◽  
...  
Keyword(s):  
Health Literacy ◽  
Potential Contribution ◽  
Validity Testing ◽  
Migrant Populations ◽  
Health Literacy Questionnaire

scholarly journals Questionnaire validation practice within a theoretical framework: a systematic descriptive literature review of health literacy assessments

BMJ Open ◽  
2020 ◽  
Vol 10 (6) ◽  
pp. e035974
Author(s):  
Melanie Hawkins ◽  
Gerald R Elsworth ◽  
Elizabeth Hoban ◽  
Richard H Osborne
Keyword(s):  
Health Literacy ◽  
Literature Review ◽  
Health Equity ◽  
Theoretical Framework ◽  
Evidence Based ◽  
Validity Evidence ◽  
Validity Testing ◽  
Testing Framework ◽  
Literacy Assessments ◽  
Health Assessments

ObjectiveValidity refers to the extent to which evidence and theory support the adequacy and appropriateness of inferences based on score interpretations. The health sector is lacking a theoretically-driven framework for the development, testing and use of health assessments. This study used the Standards for Educational and Psychological Testing framework of five sources of validity evidence to assess the types of evidence reported for health literacy assessments, and to identify studies that referred to a theoretical validity testing framework.MethodsA systematic descriptive literature review investigated methods and results in health literacy assessment development, application and validity testing studies. Electronic searches were conducted in EBSCOhost, Embase, Open Access Theses and Dissertations and ProQuest Dissertations. Data were coded to the Standards’ five sources of validity evidence, and for reference to a validity testing framework.ResultsCoding on 46 studies resulted in 195 instances of validity evidence across the five sources. Only nine studies directly or indirectly referenced a validity testing framework. Evidence based on relations to other variables is most frequently reported.ConclusionsThe health and health equity of individuals and populations are increasingly dependent on decisions based on data collected through health assessments. An evidence-based theoretical framework provides structure and coherence to existing evidence and stipulates where further evidence is required to evaluate the extent to which data are valid for an intended purpose. This review demonstrates the use of the Standards’ theoretical validity testing framework to evaluate sources of evidence reported for health literacy assessments. Findings indicate that theoretical validity testing frameworks are rarely used to collate and evaluate evidence in validation practice for health literacy assessments. Use of the Standards’ theoretical validity testing framework would improve evaluation of the evidence for inferences derived from health assessment data on which public health and health equity decisions are based.

scholarly journals Does health literacy affect the uptake of annual physical check-ups?: Results from the 2017 US health information national trends survey

2021 ◽  
Vol 79 (1) ◽  
Author(s):  
Hee Yun Lee ◽  
Sooyoung Kim ◽  
Jessica Neese ◽  
Mi Hwa Lee
Keyword(s):  
Health Literacy ◽  
Health Information ◽  
Age Groups ◽  
Behavioral Model ◽  
The United States ◽  
Health Services Use ◽  
Related Item ◽  
Study Results ◽  
National Trends

Abstract Background Little is known about how health literacy is linked to physical check-ups. This study aimed to examine the levels of physical check-ups (self-reported check-ups within the last year) by age group (those aged 18–59 years and those aged = ≥ 60 years) and the role of health literacy regarding physical check-ups in the United States. Methods Data for the study were obtained from the 2017 Health Information National Trends Survey. The original sample included 3,285 respondents, but only 3,146 surveys were used for this study. Andersen’s Behavioral Model of Health Services Use guided this study, and a binomial logistic regression model was conducted using Stata 12.0 software package. Results While 82.0 % of the older group had an annual check-up, 67.3 % of the younger group had one. Both groups had similar ratios for health literacy-related item reporting. Study results show that annual check-up was positively associated with confidence in getting health information, having health insurance, and having a primary doctor for both age groups. However, getting a regular check-up was negatively associated with frustration while searching for information among the younger group. In comparison, it was positively associated with difficulty understanding information for the older group. Conclusions To increase annual physical check-ups, health literacy-related interventions should be developed and address the barriers most associated with health check-ups. One way of addressing this barrier is to improve communication from healthcare professionals to consumers through the use of easy-to-understand explanations appropriate for the consumer.

Health Literacy: A Necessary Element for Achieving Health Equity

2015 ◽  
Vol 5 (7) ◽  
Author(s):  
Robert A. Logan ◽  
◽  
Winston F. Wong ◽  
Michael Villaire ◽  
Gem Daus ◽  
...  
Keyword(s):  
Health Literacy ◽  
Health Equity

Health Literacy and Long-Term Care Needs among Thai Elderly in Rural Communities

2020 ◽  
Vol 103 (12) ◽  
pp. 1315-1324
Keyword(s):  
Depressive Symptom ◽  
Health Literacy ◽  
Rural Communities ◽  
Long Term Care ◽  
Health Knowledge ◽  
Elderly Persons ◽  
Care Needs ◽  
Term Care ◽  
Study Results

Background: Factors related to long-term care needs have been studied widely, but there is limited research about the influence of health literacy on long-term care needs among the elderly in rural communities where the social context and care environment are uniquely different. Objective: To examine factors influencing long-term care needs among Thai elderly in rural communities. Materials and Methods: The present study used the cross-sectional design. The study sample included 477 elderly persons, who were members of the communities in Nakhon Ratchasima Province. Multi-stage random sampling was used to select participants. They were interviewed using the demographic and health information questionnaire, the Thai Geriatric Depression Scale (TGDS), the health literacy scale of Thai adults and long-term care needs questionnaire. The selected factors examined as independent variables included some demographic factors, depressive symptom, and health literacy. Results: The present study results revealed significant positive relationships existing between long-term care needs with age and depressive symptom, while negative relationships between income and health literacy were reported. A hierarchical multiple regression analysis indicated that four of nine determinants of long-term care needs: age, depressive symptom, health knowledge and understanding, and ability managing their health condition significantly predicted long-term care needs at a level of 18% (R² adjusted=0.18, p<0.001). Conclusion: The present study results showed associations between personal and health literacy factors with long-term care needs. These findings prove that it is vitally important for healthcare professionals to consider the rural elderly’s mental health status and health literacy when providing care and planning treatment. Keywords: Health literacy, Long-term care needs, Rural community

scholarly journals Development and validity testing of the Adolescent Health Literacy Questionnaire (AHLQ): Protocol for a mixed methods study within the Irish school setting

BMJ Open ◽  
2020 ◽  
Vol 10 (11) ◽  
pp. e039920
Author(s):  
Ailbhe Spillane ◽  
Sarahjane Belton ◽  
Clare McDermott ◽  
Johann Issartel ◽  
Richard H Osborne ◽  
...  
Keyword(s):  
Mixed Methods ◽  
Health Literacy ◽  
Young People ◽  
Adolescent Health ◽  
Pearson Correlation ◽  
Adult Population ◽  
School Setting ◽  
Mixed Methods Study ◽  
Advisory Panel ◽  
Validity Testing

IntroductionHealth literacy research has focused predominantly on the adult population, and much less is understood about this concept from an adolescent perspective. The tools currently available to measure adolescent health literacy have been adapted from adult versions. This limits their applicability to young people because of the developmental characteristics that impact on adolescents’ behaviour, including impulse control and judgement skills. This protocol describes the intended development and validity testing of a questionnaire to measure health literacy in adolescents.Methods and analysisThis protocol describes this mixed methods study that has three phases: the first phase will involve grounded research with adolescents using qualitative group interviews, co-design and concept mapping workshops to understand what health and healthy behaviours mean to adolescents and to explore their health literacy needs and the potential domains for the questionnaire. The draft health literacy domains identified will be presented to the youth advisory panel, and the questionnaire will be altered based on their feedback. Cognitive pretesting of the questionnaire items will also be conducted. Phase 2 will involve piloting the questionnaire to a two-stage random sample of young people in five urban and rural schools in Ireland. Test–retest reliability will be conducted using Pearson correlation coefficient. Confirmatory factor analysis will also be conducted to analyse the psychometric properties of the questionnaire. Phase 3 will involve the questionnaire being rolled out to a nationally representative sample of adolescents (n=6052) in Ireland to assess their levels of health literacy.Ethics and disseminationEthical approval to conduct this study has been granted from the University College Dublin Human Research Ethics Committee – Sciences (LS-20–08). Informed assent from adolescents and informed consent from parents/guardians will be sought. The findings of this research will be disseminated at national and international conferences, as well as through publication in peer-reviewed journals.

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