Validation of the Dutch functional, communicative and critical health literacy scales

R. van der Vaart, Constance H.C. Drossaert, Erik Taal, Peter M. ten Klooster, Rianne T.E. Hilderink-Koertshuis, Joost M. Klaase, Mart A F J van de Laar

Research output: Contribution to journalArticleAcademicpeer-review

34 Citations (Scopus)

Abstract

Objective: While most existing health literacy (HL) measures focus primarily on reading comprehension, the functional, communicative and critical HL scales from Ishikawa et al. [19] aim to measure a broader HL spectrum. The objective of this study was to evaluate the validity of the Dutch translation of this instrument. Methods: Two survey studies (n = 79 and n = 209) and one cognitive interview study (n = 18) were performed among samples of breast cancer patients and patients with rheumatic diseases. Results: Analyses showed the scales measured three distinct factors and convergent validity was satisfactory for communicative and critical HL. Nevertheless, the comprehension of the items and the suitability of the response options raised some problems. Conclusion: The HL scales seem promising to measure a broad definition of HL. By revising some of the items and response options as proposed in this article, the scale will become more understandable for people with low HL skills, which might increase the content validity and the distributional properties of the scale. Practice implications: The scale should be revised and revalidated. An improved version should be used in practice to gain insight into HL levels of patients. This will help to develop suitable education programs for people with low HL skills.
Original languageUndefined
Pages (from-to)82-88
JournalPatient education and counseling
Volume89
Issue number1
DOIs
Publication statusPublished - 2012

Keywords

  • METIS-290585
  • IR-83790

Cite this

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title = "Validation of the Dutch functional, communicative and critical health literacy scales",
abstract = "Objective: While most existing health literacy (HL) measures focus primarily on reading comprehension, the functional, communicative and critical HL scales from Ishikawa et al. [19] aim to measure a broader HL spectrum. The objective of this study was to evaluate the validity of the Dutch translation of this instrument. Methods: Two survey studies (n = 79 and n = 209) and one cognitive interview study (n = 18) were performed among samples of breast cancer patients and patients with rheumatic diseases. Results: Analyses showed the scales measured three distinct factors and convergent validity was satisfactory for communicative and critical HL. Nevertheless, the comprehension of the items and the suitability of the response options raised some problems. Conclusion: The HL scales seem promising to measure a broad definition of HL. By revising some of the items and response options as proposed in this article, the scale will become more understandable for people with low HL skills, which might increase the content validity and the distributional properties of the scale. Practice implications: The scale should be revised and revalidated. An improved version should be used in practice to gain insight into HL levels of patients. This will help to develop suitable education programs for people with low HL skills.",
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author = "{van der Vaart}, R. and Drossaert, {Constance H.C.} and Erik Taal and {ten Klooster}, {Peter M.} and Hilderink-Koertshuis, {Rianne T.E.} and Klaase, {Joost M.} and {van de Laar}, {Mart A F J}",
year = "2012",
doi = "10.1016/j.pec.2012.07.014",
language = "Undefined",
volume = "89",
pages = "82--88",
journal = "Patient education and counseling",
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publisher = "Elsevier",
number = "1",

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Validation of the Dutch functional, communicative and critical health literacy scales. / van der Vaart, R.; Drossaert, Constance H.C.; Taal, Erik; ten Klooster, Peter M.; Hilderink-Koertshuis, Rianne T.E.; Klaase, Joost M.; van de Laar, Mart A F J.

In: Patient education and counseling, Vol. 89, No. 1, 2012, p. 82-88.

Research output: Contribution to journalArticleAcademicpeer-review

TY - JOUR

T1 - Validation of the Dutch functional, communicative and critical health literacy scales

AU - van der Vaart, R.

AU - Drossaert, Constance H.C.

AU - Taal, Erik

AU - ten Klooster, Peter M.

AU - Hilderink-Koertshuis, Rianne T.E.

AU - Klaase, Joost M.

AU - van de Laar, Mart A F J

PY - 2012

Y1 - 2012

N2 - Objective: While most existing health literacy (HL) measures focus primarily on reading comprehension, the functional, communicative and critical HL scales from Ishikawa et al. [19] aim to measure a broader HL spectrum. The objective of this study was to evaluate the validity of the Dutch translation of this instrument. Methods: Two survey studies (n = 79 and n = 209) and one cognitive interview study (n = 18) were performed among samples of breast cancer patients and patients with rheumatic diseases. Results: Analyses showed the scales measured three distinct factors and convergent validity was satisfactory for communicative and critical HL. Nevertheless, the comprehension of the items and the suitability of the response options raised some problems. Conclusion: The HL scales seem promising to measure a broad definition of HL. By revising some of the items and response options as proposed in this article, the scale will become more understandable for people with low HL skills, which might increase the content validity and the distributional properties of the scale. Practice implications: The scale should be revised and revalidated. An improved version should be used in practice to gain insight into HL levels of patients. This will help to develop suitable education programs for people with low HL skills.

AB - Objective: While most existing health literacy (HL) measures focus primarily on reading comprehension, the functional, communicative and critical HL scales from Ishikawa et al. [19] aim to measure a broader HL spectrum. The objective of this study was to evaluate the validity of the Dutch translation of this instrument. Methods: Two survey studies (n = 79 and n = 209) and one cognitive interview study (n = 18) were performed among samples of breast cancer patients and patients with rheumatic diseases. Results: Analyses showed the scales measured three distinct factors and convergent validity was satisfactory for communicative and critical HL. Nevertheless, the comprehension of the items and the suitability of the response options raised some problems. Conclusion: The HL scales seem promising to measure a broad definition of HL. By revising some of the items and response options as proposed in this article, the scale will become more understandable for people with low HL skills, which might increase the content validity and the distributional properties of the scale. Practice implications: The scale should be revised and revalidated. An improved version should be used in practice to gain insight into HL levels of patients. This will help to develop suitable education programs for people with low HL skills.

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