School of Nursing and Health Studies, University Missouri - Kansas City, Kansas City, Missouri, United States.
College of Nursing, University of Nebraska Medical Center, Omaha, Nebraska, United States.
Patient Educ Couns. 2020 Nov;103(11):2347-2352. doi: 10.1016/j.pec.2020.05.019. Epub 2020 Jun 25.
The purpose of this study is to assess the validity and reliability of the English version of the FCCHL tool in urban and rural, socioeconomically vulnerable or unstable, chronic comorbid adults in the United States.
A cross-sectional study measuring both validity and reliability.
A total of 276 participants were recruited. Internal consistency was measured using Cronbach's alpha of α = 0.87. External reliability was measured by test-retest methodology. Construct validity was measured using Confirmatory Factor Analysis that showed good fit. Criterion validity was measured by comparing the mean scores of the FCCHL tool sub-scales. Concurrent validity was measured by comparison of means of the FCCHL tool and education level compared to the NVS and s-TOFHLA.
The results demonstrated that the FCCHL tools is measuring three different concepts. Overall, the FCCHL tool was seen to have good validity and reliability in the identified population.
The FCCHL tool is a 14-item, self-report health literacy tool measuring more than functional health literacy. The tool can be used in practice to improve not only functional health literacy, but also communicative and critical which is highly applicable.
本研究旨在评估 FCCHL 工具英文版在美国城乡、社会经济弱势或不稳定、患有慢性共病的成年人中的有效性和可靠性。
这是一项测量有效性和可靠性的横断面研究。
共招募了 276 名参与者。内部一致性使用 Cronbach's alpha 测量，α=0.87。外部可靠性通过测试-重测方法测量。结构有效性通过验证性因子分析进行测量，结果显示拟合良好。效标效度通过 FCCHL 工具子量表的平均分数进行比较来衡量。同时效性通过比较 FCCHL 工具和教育水平与 NVS 和 s-TOFHLA 的平均值来衡量。
结果表明，FCCHL 工具测量了三个不同的概念。总体而言，该工具在确定的人群中表现出良好的有效性和可靠性。
FCCHL 工具是一种 14 项的自我报告健康素养工具，测量的不仅仅是功能性健康素养。该工具可在实践中使用，不仅可以提高功能性健康素养，还可以提高沟通和批判性思维能力，这是非常适用的。
