Jović-Vraneš Aleksandra, Bjegović-Mikanović Vesna, Marinković Jelena, Vuković Dejana
Institute of Social Medicine
Institute of Social Medicine.
Health Promot Int. 2014 Dec;29(4):601-7. doi: 10.1093/heapro/dat011. Epub 2013 Feb 27.
Improving health literacy skills is important for patient comprehension of health-related topics and their ability to attend to their medical problems. Promoting health literacy is a pivotal policy for maintaining and promoting health. The objective of the present study was to translate the Test of Functional Health Literacy in Adults (TOFHLA; long and short versions) into Serbian and evaluate the translated and cross-culturally adapted questionnaires in Serbian primary care patients. The translated TOFHLA questionnaires were administered to 120 patients. Additionally, a self-completed questionnaire was used. Both descriptive and inferential statistics were measured. The mean score for the TOFHLA was 73.49 (median, 78; SD = 17.94; range, 0-100) and the mean score for the Short Test of Functional Health Literacy in Adults (STOFHLA) was 29.28 (median, 32; SD = 6.16; range, 0-36). Sex, age, education, self-perceived health and presence of any chronic disease were associated with health literacy scores. The internal consistency (Cronbach's alpha) was 0.73 for the TOFHLA numeracy subset, 0.95 for reading comprehension, 0.94 for the TOFHLA and 0.90 for the STOFHLA. The Pearson correlation between the TOFHLA and STOFHLA was 0.89. The area under the curve of these two tests was 0.79 (95% CI, 0.602-0.817). The Serbian translated versions of the TOHFLA questionnaires offer valid measures of functional health literacy. There were no differences between the reliability and validity of the short and long TOFHLA forms.
提高健康素养技能对于患者理解健康相关主题以及处理自身医疗问题的能力至关重要。促进健康素养是维护和促进健康的一项关键政策。本研究的目的是将成人功能性健康素养测试（TOFHLA；长版和短版）翻译成塞尔维亚语，并在塞尔维亚初级保健患者中评估翻译后的跨文化适应性问卷。将翻译后的TOFHLA问卷发放给120名患者。此外，还使用了一份自我填写的问卷。同时进行了描述性和推断性统计。TOFHLA的平均得分为73.49（中位数为78；标准差=17.94；范围为0 - 100），成人功能性健康素养简短测试（STOFHLA）的平均得分为29.28（中位数为32；标准差=6.16；范围为0 - 36）。性别、年龄、教育程度、自我感知的健康状况以及是否患有任何慢性病与健康素养得分相关。TOFHLA算术子集的内部一致性（Cronbach's alpha）为0.73，阅读理解为0.95，TOFHLA为0.94，STOFHLA为0.90。TOFHLA与STOFHLA之间的Pearson相关性为0.89。这两项测试的曲线下面积为0.79（95%CI，0.602 - 0.817）。TOHFLA问卷的塞尔维亚语翻译版本提供了有效的功能性健康素养测量方法。TOFHLA长版和短版在信度和效度上没有差异。
