health literacy questionnaire
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2021 ◽  
Vol 18 (1) ◽  
Author(s):  
Xuemei Ma ◽  
Yufan Yang ◽  
Qian Wei ◽  
Hong Jiang ◽  
Huijing Shi

Abstract Objectives This study aimed to develop and validate the reproductive health literacy questionnaire for Chinese unmarried youth aged 15–24. Methods We conducted a validity and reliability study of the questionnaire through a cross-sectional survey and test–retest analysis in four districts in Shanghai between April and June 2017. A total of 1587 participants completed a self-administered questionnaire anonymously on-site and the trained investigators conducted quality check afterwards. Sixty participants among them completed the test–retest assessment with 2 weeks interval. The reliability was determined by internal consistency, spilt-half reliability and test–retest reliability. The construct validity was assessed by confirmatory factor analysis. Results The 58-question reproductive health literacy questionnaire for Chinese unmarried youth demonstrated high internal consistency (Cronbach’s α = 0.919), spilt-half reliability (Guttman splitting coefficient = 0.846) and test–retest reliability (correlation coefficient = 0.720). The confirmatory factor analysis showed that the construct of the questionnaire fitted well with the hypothetical model. The reproductive health literacy scores in unmarried girls aged 15–24 were higher than boys (P < 0.05) and college students who lived in rural areas when they were middle and high school obtained lower score than those living in cities and suburbs (P < 0.01). Conclusion The reproductive health literacy questionnaire for Chinese unmarried youth demonstrated good reliability and validity, which could potentially be used as an effective evaluation instrument to assess reproductive health literacy among Chinese young people.


2021 ◽  
Vol 13 ◽  
pp. 1610-1617
Author(s):  
Nardelle Cristina de Souza Leão ◽  
Mônica Ribeiro Canhestro ◽  
Luciana Mara Rosa Milagres ◽  
Pâmela Malheiro Oliveira ◽  
Katarinne Lima Moraes ◽  
...  

Objetivo: analisar a associação entre as condições de letramento em saúde e adesão a medicação de doentes renais crônicos em tratamento pré-dialítico. Método: estudo transversal com pacientes em tratamento pré-dialitico da doença renal crônica. O letramento foi avaliado com o Health Literacy Questionnaire e a adesão a medicação foi avaliada pela escala de Morisky. Resultados: participaram 153 pacientes sendo que 84 (55,3%) apresentou não adesão à medicação. Em relação ao Health Literacy Questionnaire, em sete constructos não houve diferença estatística significativa. Em outros dois constructos em que houve diferença estatisticamente significativa, os pacientes aderidos à  medicação apresentaram melhor letramento. Conclusão: na população estudada pacientes que possuem adesão à medicação tendem a melhor letramento em saúde.  


2021 ◽  
Vol 50 (Supplement_1) ◽  
Author(s):  
Barnabas Bessing ◽  
Cynthia A. Honan ◽  
Ingrid van der Mei ◽  
Bruce. B Taylor ◽  
Suzi B. Claflin

Abstract Background We have built a six-week free online course to improve multiple sclerosis (MS)-related knowledge, health literacy (HL), and resilience among members of the MS community and interested laypeople, entitled Understanding MS. To evaluate the effectiveness of the course, we require an appropriate tool to measure HL in this cohort. Objective To evaluate the psychometric properties of the multidimensional Health Literacy Questionnaire (HLQ) in a cohort of Understanding MS online course enrolees. Methods Participants who enrolled in the first two open enrolments of the Understanding MS online course completed the HLQ (n = 1182) in an online survey prior to beginning course materials. We used Rasch analysis to assess the measurement properties of the HLQ. Results The nine subscales of the HLQ each had a good fit with the Rasch model; they were unidimensional, had good internal consistency and reliability and no item bias or local dependency measurement gaps were identified for participants with low or high scores in each of the nine subscales, creating a ceiling effect, meaning that the HLQ cannot reliably measure change in HL over time for these participants. The HLQ is a reliable measurement tool to assess change in HL for people with low to moderate HL levels who have room to improve, which is our target group. Conclusion The HLQ is useful for assessing HL in this and similar cohorts, but the assessment of HL change should consider the limitations described above. Key messages The HLQ has excellent measurement properties and is appropriate for assessing HL


Author(s):  
C. Güttler ◽  
N. Kohls

Zusammenfassung Hintergrund Um mit den zunehmenden Belastungen und Herausforderungen umgehen zu können, wird Gesundheitskompetenz (GK) im Alltag und Arbeitskontext immer wichtiger. Ziel der Arbeit Das Ziel dieser Arbeit ist es, eine Analyse der selbsteingeschätzten GK der Mitarbeitenden eines Unternehmens der verarbeitenden Metallindustrie durchzuführen und auf deren Grundlage Handlungsempfehlungen zur Stärkung der GK herauszustellen. Material und Methoden In dieser Arbeit wurde die GK der Mitarbeitenden mit der Kurzform des European Health Literacy Questionnaire (HLS-EU-Q16) sowie Angaben zum soziodemographischen Hintergrund, Gesundheitsverhalten, Gesundheitszustand und Wohlbefinden erhoben und analysiert. Mit Hilfe einer Online- und Paper-pencil-Befragung sollte in dieser quantitativen Erhebung eine repräsentative Stichprobe aus der Gesamtbelegschaft generiert werden. Ergebnisse Die meisten Mitarbeitenden der 458 teilgenommenen Personen verfügten über eine ausreichende GK (39,7 %). Mehr als die Hälfte der Mitarbeitenden (60,3 %) wies jedoch eine problematische oder inadäquate GK auf. Es konnten Zusammenhänge zwischen der GK und dem Wohlbefinden, Gesundheitszustand und verschiedenen gesundheitsförderlichen Verhaltensweisen festgestellt werden. Diskussion Die Ergebnisse verdeutlichen, dass ein Handlungsbedarf zur Stärkung der GK von Beschäftigten besteht. Durch die genannten Handlungsempfehlungen kann diese erzielt werden. Um deren Wirksamkeit zu überprüfen, sollte eine Folgeerhebung als Vergleich dienen. Weiterhin benötigt es einer dauerhaften Sensibilisierung aller Führungskräfte und Mitarbeitenden für die Förderung der GK.


10.2196/27860 ◽  
2021 ◽  
Vol 23 (6) ◽  
pp. e27860
Author(s):  
Paul William Hodges ◽  
Leanne Hall ◽  
Jenny Setchell ◽  
Simon French ◽  
Jessica Kasza ◽  
...  

Background The internet is used for information related to health conditions, including low back pain (LBP), but most LBP websites provide inaccurate information. Few studies have investigated the effectiveness of internet resources in changing health literacy or treatment choices. Objective This study aims to evaluate the effectiveness of the MyBackPain website compared with unguided internet use on health literacy, choice of treatments, and clinical outcomes in people with LBP. Methods This was a pragmatic, web-based, participant- and assessor-blinded randomized trial of individuals with LBP stratified by duration. Participants were randomly allocated to have access to the evidence-based MyBackPain website, which was designed with input from consumers and expert consensus or unguided internet use. The coprimary outcomes were two dimensions of the Health Literacy Questionnaire (dimension 2: “having sufficient information to manage my health;” dimension 3: “actively managing my health;” converted to scores 1-100) at 3 months. Secondary outcomes included additional Health Literacy Questionnaire dimensions, quality of treatment choices, and clinical outcomes. Results A total of 453 participants were recruited, and 321 (70.9%) completed the primary outcomes. Access to MyBackPain was not superior to unguided internet use on primary outcomes (dimension 2: mean difference −0.87 units, 95% CI −3.56 to 1.82; dimension 3: mean difference −0.41 units, 95% CI −2.78 to 1.96). Between-group differences in other secondary outcomes had inconsistent directions and were unlikely to be clinically important, although a small improvement of unclear importance in the quality of stated treatment choices at 1 month was found (mean difference 0.93 units, 95% CI 0.03 to 1.84). Conclusions MyBackPain was not superior to unguided internet use for health literacy, but data suggest some short-term improvement in treatment choices. Future research should investigate if greater interactivity and engagement with the website may enhance its impact. Trial Registration Australian New Zealand Clinical Trials Registry (ANZCTR) ACTRN12617001292369; https://www.anzctr.org.au/Trial/Registration/TrialReview.aspx?id=372926 International Registered Report Identifier (IRRID) RR2-10.1136/bmjopen-2018-027516


2021 ◽  
Vol 67 (4) ◽  
pp. 500-504
Author(s):  
Alessandro Ferrari Jacinto ◽  
Keith Hill ◽  
Christinae Toye ◽  
Marília Ferreira ◽  
Aline Bertoni ◽  
...  

2021 ◽  
Author(s):  
Paul William Hodges ◽  
Leanne Hall ◽  
Jenny Setchell ◽  
Simon French ◽  
Jessica Kasza ◽  
...  

BACKGROUND The internet is used for information related to health conditions, including low back pain (LBP), but most LBP websites provide inaccurate information. Few studies have investigated the effectiveness of internet resources in changing health literacy or treatment choices. OBJECTIVE This study aims to evaluate the effectiveness of the MyBackPain website compared with unguided internet use on health literacy, choice of treatments, and clinical outcomes in people with LBP. METHODS This was a pragmatic, web-based, participant- and assessor-blinded randomized trial of individuals with LBP stratified by duration. Participants were randomly allocated to have access to the evidence-based MyBackPain website, which was designed with input from consumers and expert consensus or unguided internet use. The coprimary outcomes were two dimensions of the Health Literacy Questionnaire (dimension 2: “having sufficient information to manage my health;” dimension 3: “actively managing my health;” converted to scores 1-100) at 3 months. Secondary outcomes included additional Health Literacy Questionnaire dimensions, quality of treatment choices, and clinical outcomes. RESULTS A total of 453 participants were recruited, and 321 (70.9%) completed the primary outcomes. Access to MyBackPain was not superior to unguided internet use on primary outcomes (dimension 2: mean difference −0.87 units, 95% CI −3.56 to 1.82; dimension 3: mean difference −0.41 units, 95% CI −2.78 to 1.96). Between-group differences in other secondary outcomes had inconsistent directions and were unlikely to be clinically important, although a small improvement of unclear importance in the quality of stated treatment choices at 1 month was found (mean difference 0.93 units, 95% CI 0.03 to 1.84). CONCLUSIONS MyBackPain was not superior to unguided internet use for health literacy, but data suggest some short-term improvement in treatment choices. Future research should investigate if greater interactivity and engagement with the website may enhance its impact. CLINICALTRIAL Australian New Zealand Clinical Trials Registry (ANZCTR) ACTRN12617001292369; https://www.anzctr.org.au/Trial/Registration/TrialReview.aspx?id=372926 INTERNATIONAL REGISTERED REPORT RR2-10.1136/bmjopen-2018-027516


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