Duong Tuyen Van, Chang Peter WuShou, Yang Shih-Hsien, Chen Ming-Chu, Chao Wei-Ting, Chen Tara, Chiao Priscilla, Huang Hsiao-Ling
School of Public Health, Taipei Medical University, Taipei, Taiwan; Department of Environmental Health Sciences, National Health Research Institutes, Miaoli, Taiwan; Institutional Research Center, Yuanpei University of Medical Technology, Hsin-Chu, Taiwan.
School of Public Health, Taipei Medical University, Taipei, Taiwan; Department of Family Medicine, National Taipei Hospital, Ministry of Health and Welfare, Taipei, Taiwan.
Asian Nurs Res (Korean Soc Nurs Sci). 2017 Mar;11(1):30-35. doi: 10.1016/j.anr.2017.02.001. Epub 2017 Feb 11.
To validate a conceptual short-form health literacy 12 items questionnaire (HL-SF12) in patient populations.
A cross-sectional study was conducted via a convenient sample of 403 patients from three departments of a community general hospital in the northern Taiwan. Patients' health literacy was assessed with a validated HL-SF12, derived from the full scale, the European Health Literacy Survey Questionnaire (HLS-EU-Q), as well as a single-item from Chew's Set of Brief Health Literacy Question. A reference population in Northern Taiwan (n=928) via the HLS-EU-Q in 2013-2014 was used as a reference to compare the health literacy between that of the general public and the patients. Data was analyzed by confirmatory factor analysis (CFA), internal consistency analysis, correlation analysis, and linear regression models.
Patients' health literacy assessed with the HL-SF12 was shown with high internal consistency (Cronbach α=.87), and moderately correlated with the single-item from Chew's Set of Brief Health Literacy Question, with satisfactory item-scale convergent validity (item-scale correlation ≥ .40), without floor/ceiling effect, and with satisfactory goodness of fit indices of the three-factor construct model for most of the patients. Their health literacy was significantly positively associated with female gender, higher income, and more often watching health-related TV programs. On the other hands, patients were reported with significantly higher healthcare health literacy than the general public, but not in general health literacy, disease prevention health literacy, or health promotion health literacy.
The comprehensive HL-SF12 was a valid and easy to use tool for assessing patients' health literacy in the hospitals to facilitate healthcare providers in enhancing patients' health literacy and healthcare qualities.
在患者群体中验证一个概念性的简短健康素养12项问卷（HL-SF12）。
通过对台湾北部一家社区综合医院三个科室的403名患者进行便利抽样，开展了一项横断面研究。采用经过验证的HL-SF12评估患者的健康素养，该问卷源自全量表《欧洲健康素养调查问卷》（HLS-EU-Q）以及周的简短健康素养问题集中的一个单项问题。将2013 - 2014年通过HLS-EU-Q获得的台湾北部参考人群（n = 928）作为参照，比较公众与患者的健康素养。数据通过验证性因子分析（CFA）、内部一致性分析、相关性分析和线性回归模型进行分析。
用HL-SF12评估的患者健康素养显示出高内部一致性（克朗巴哈α系数 = 0.87），与周的简短健康素养问题集中的单项问题中度相关，具有令人满意的项目 - 量表收敛效度（项目 - 量表相关性≥0.40），无地板效应/天花板效应，并且对于大多数患者，三因子结构模型的拟合优度指标令人满意。他们的健康素养与女性性别、较高收入以及更常观看健康相关电视节目显著正相关。另一方面，报告显示患者的医疗健康素养显著高于公众，但在一般健康素养、疾病预防健康素养或健康促进健康素养方面并非如此。
综合的HL-SF12是一种有效且易于使用的工具，可用于评估医院中患者的健康素养，以帮助医疗服务提供者提高患者的健康素养和医疗质量。
