The HLS 19 -COM-P, a New Instrument for Measuring Communicative Health Literacy in Interaction with Physicians: Development and Validation in Nine European Countries.

Autor: Finbråten HS; Department of Health and Nursing Sciences, Faculty of Social and Health Sciences, Inland Norway University of Applied Sciences, P.O. Box 400, 2418 Elverum, Norway., Nowak P; Competence Centre for Health Promotion and Health System, Austrian National Public Health Institute, A-1010 Vienna, Austria., Griebler R; Competence Centre for Health Promotion and Health System, Austrian National Public Health Institute, A-1010 Vienna, Austria., Bíró É; Department of Public Health and Epidemiology, Faculty of Medicine, University of Debrecen, H-4028 Debrecen, Hungary., Vrdelja M; Communication Unit, National Institute of Public Health, Trubarjeva 2, 1000 Ljubljana, Slovenia., Charafeddine R; Department of Public Health and Epidemiology, Sciensano, 1050 Brussels, Belgium., Griese L; Interdisciplinary Centre for Health Literacy Research [ICHL], School of Public Health, Bielefeld University, 33615 Bielefeld, Germany., Bøggild H; Public Health and Epidemiology, Department of Health Science and Technology, Aalborg University, 9220 Aalborg, Denmark., Schaeffer D; Interdisciplinary Centre for Health Literacy Research [ICHL], School of Public Health, Bielefeld University, 33615 Bielefeld, Germany., Link T; Department of Quality Measurement and Patient Survey, Austrian National Public Health Institute, A-1010 Vienna, Austria., Kucera Z; Czech Health Literacy Institute, Sokolská 490/31, 120 00 Prague, Czech Republic., Mancini J; Aix Marseille University, APHM INSERM, IRD, ISSPAM, SESSTIM, Cancer, Biomedicine & Society Group, Ligue 2019 Accredited Team, F-13009 Marseille, France., Pelikan JM; WHO-CC Health Promotion in Hospitals and Health Care, Austrian National Public Health Institute, A-1010 Vienna, Austria.
Jazyk: angličtina
Zdroj: International journal of environmental research and public health [Int J Environ Res Public Health] 2022 Sep 14; Vol. 19 (18). Date of Electronic Publication: 2022 Sep 14.
DOI: 10.3390/ijerph191811592
Abstrakt: Background: Sufficient communicative health literacy (COM-HL) is important for patients actively participating in dialogue with physicians, expressing their needs and desires for treatment, and asking clarifying questions. There is a lack of instruments combining communication and HL proficiency. Hence, the aim was to establish an instrument with sufficient psychometric properties for measuring COM-HL.
Methods: The HLS 19 -COM-P instrument was developed based on a conceptual framework integrating HL with central communicative tasks. Data were collected using different data collection modes in nine countries from December 2019 to January 2021 ( n = 18,674). Psychometric properties were assessed using Rasch analysis and confirmatory factor analysis. Cronbach's alpha and Person separation index were considered for reliability.
Results: The 11-item version (HLS 19 -COM-P-Q11) and its short version of six items (HLS 19 -COM-P-Q6) fit sufficiently the unidimensional partial credit Rasch model, obtained acceptable goodness-of-fit indices and high reliability. Two items tend to under-discriminate. Few items displayed differential item functioning (DIF) across person factors, and there was no consistent pattern in DIF across countries. All items had ordered response categories.
Conclusions: The HLS 19 -COM-P instrument was well accepted in nine countries, in different data collection modes, and could be used to measure COM-HL.
Competing Interests: The authors declare no conflict of interest.
Databáze: MEDLINE
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