a School of Nursing, Li Ka Shing Faculty of Medicine , The University of Hong Kong , Hong Kong SAR , China.
J Health Commun. 2013;18 Suppl 1(Suppl 1):205-22. doi: 10.1080/10810730.2013.829138.
This study aims to develop and test the psychometric properties of the Chinese Health Literacy Scale for Chronic Care (CHLCC). This is a methodological study with a sample of 262 patients 65 years of age and older who had chronic illnesses. Pearson's correlation, independent sample t tests, and analyses of variance were used. The CHLCC showed a significant positive correlation with Chinese literacy levels (r = 0.80; p < .001) but was negatively correlated with age (r =-0.31; p <.001). Respondents who were male (t =4.34; p <.001) and who had reached Grade 12 or higher in school (F = 51.80; p <.001) had higher CHLCC scores than did their counterparts. Individuals with high levels of health literacy had fewer hospitalizations than did their counterparts (β =-0.31; incidence rate ratio = 0.73; p <.05). The CHLCC also displayed good internal reliability (Cronbach'sα =0.91) and good test-retest reliability (intraclass correlation coefficient = 0.77; p <.01). The CHLCC is a valid and reliable measure for assessing health literacy among Chinese patients with chronic illness. The scale could be used by practitioners before implementing health promotion and education.
本研究旨在开发和测试中文慢性病护理健康素养量表（CHLCC）的心理测量特性。这是一项方法学研究，样本为 262 名 65 岁及以上患有慢性病的患者。采用 Pearson 相关系数、独立样本 t 检验和方差分析。CHLCC 与中文识字水平呈显著正相关（r = 0.80；p <.001），但与年龄呈负相关（r =-0.31；p <.001）。男性（t =4.34；p <.001）和完成 12 年级或以上学业的受访者（F = 51.80；p <.001）的 CHLCC 得分高于对照组。健康素养水平较高的个体住院次数少于对照组（β =-0.31；发病率比 = 0.73；p <.05）。CHLCC 还具有良好的内部一致性（Cronbach'sα =0.91）和良好的重测信度（组内相关系数 = 0.77；p <.01）。CHLCC 是评估中文慢性病患者健康素养的有效且可靠的工具。该量表可在实施健康促进和教育之前供从业者使用。
