Finbraten, Soberg Hanne; Nowak, Peter; Griebler, Robert; Biro, Eva; Vrdelja, Mitja; Charafeddine, Rana; Griese, Lennert; Boggild, Hendrik; Schaeffer, Doris; Link, Thomas; Kucera, Zdenek; Mancini, Julien; Pelikan, Jürgen M. (2022): The HLS19-COM-P, a New Instrument for Measuring Communicative Health Literacy in Interaction with Physicians: Development and Validation in Nine European Countries. Int. J. Environ. Res. Public Health, 19 (18). p. 11592.

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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 HLS19-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 (HLS19-COM-P-Q11) and its short version of six items (HLS19-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 HLS19-COM-P instrument was well accepted in nine countries, in different data collection modes, and could be used to measure COM-HL.

Item Type: Article
Subjects: OEBIG > Kompetenzzentrum Gesundheitsförderung und Gesundheitssystem
Date Deposited: 16 Sep 2022 11:50
Last Modified: 16 Sep 2022 11:50