Sydney Health Literacy Lab, Sydney School of Public Health, Faculty of Medicine and Health, The University of Sydney, Sydney, Australia.
Pain Management Research Institute, Royal North Short Hospital, St Leonards, Australia.
Patient Educ Couns. 2020 Jun;103(6):1245-1251. doi: 10.1016/j.pec.2020.01.012. Epub 2020 Jan 20.
Existing instruments for assessing health literacy skills in parents have limited scope to inform the design and evaluation of health literacy interventions. In this study we aimed to develop and validate a new performance-based measure of health literacy for Australian parents, the Parenting Plus Skills Index (PPSI). The instrument aimed to assess functional, communicative and critical health literacy skills.
The PPSI was developed in three phases: 1) Modified Delphi Expert Panel to provide feedback on 34 initial items; 2) Evaluation of psychometric properties of each item using a multidimensional item response theory model in a sample of Australian adults of parenting age (20-44 years) (N = 500); 3) Assessment of subset of items in an independent sample (N = 500).
Following the three phases, 13 items were included in the final instrument. Participants scored on average 8.9/13 (69 %). The instrument demonstrated acceptable reliability (r = 0.70) and was significantly correlated with other performance-based health literacy instruments.
The PPSI is a validated 13-item performance-based instrument that assesses health literacy skills for parents in an Australian setting.
The PPSI fills an important gap in available health literacy instruments that may be useful for facilitating development and evaluation of health literacy interventions.
现有的家长健康素养技能评估工具在为健康素养干预的设计和评估提供信息方面存在局限性。本研究旨在开发和验证一种新的基于表现的澳大利亚家长健康素养测量工具，即育儿加技能指数（PPSI）。该工具旨在评估功能性、交际性和批判性健康素养技能。
PPSI 分三个阶段开发：1）修改德尔菲专家小组对 34 个初始项目的反馈；2）在有育儿年龄（20-44 岁）的澳大利亚成年人样本（N=500）中使用多维项目反应理论模型评估每个项目的心理测量特性；3）在独立样本（N=500）中评估项目子集。
经过三个阶段，最终工具包括 13 个项目。参与者的平均得分为 8.9/13（69%）。该工具具有可接受的可靠性（r=0.70），并与其他基于表现的健康素养工具显著相关。
PPSI 是一种经过验证的 13 项基于表现的工具，可评估澳大利亚家长的健康素养技能。
PPSI 填补了现有健康素养工具的重要空白，可能有助于促进健康素养干预的制定和评估。
