Department of Psychology, Health & Technology, University of Twente, Enschede, The Netherlands.
Patient Educ Couns. 2012 Oct;89(1):82-8. doi: 10.1016/j.pec.2012.07.014. Epub 2012 Aug 9.
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.
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.
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.
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.
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.
虽然大多数现有的健康素养（HL）测量方法主要侧重于阅读理解，但 Ishikawa 等人的[19]功能性、交际性和批判性 HL 量表旨在测量更广泛的 HL 范围。本研究的目的是评估该工具荷兰语翻译的有效性。
在乳腺癌患者和风湿病患者样本中进行了两项调查研究（n=79 和 n=209）和一项认知访谈研究（n=18）。
分析表明，这些量表测量了三个不同的因素，交际性和批判性 HL 的聚合效度令人满意。然而，项目的理解和响应选项的适用性存在一些问题。
HL 量表似乎有望衡量广泛的 HL 定义。通过对本文提出的一些项目和响应选项进行修订，该量表将更容易被 HL 技能较低的人理解，从而提高量表的内容效度和分布特性。
应修订和重新验证该量表。应在实践中使用改进后的版本来深入了解患者的 HL 水平。这将有助于为 HL 技能较低的人制定合适的教育计划。
