Division of Education and Sociology, Department of Behavioural Sciences and Learning, Linköping University, Linköping, Sweden.
Division of Society and Health, Department of Health, Medicine and Caring Sciences, Linköping University, Linköping, Sweden.
J Occup Rehabil. 2024 Sep;34(3):693-706. doi: 10.1007/s10926-023-10159-7. Epub 2023 Dec 30.
For clients to understand social insurance decisions and processes, information from authorities needs to be comprehensible, and clients need sufficient individual abilities. These dimensions are captured by the concept social insurance literacy, which has been operationalized into a measure, the Social Insurance Literacy Questionnaire (SILQ). The aim of this study was to describe the development of the SILQ and evaluate its psychometric properties using Rasch measurement theory.
The development of the SILQ included a Delphi study and cognitive interviews. A preliminary version, divided on four scales corresponding to the domains of the concept (obtaining information, understanding information, acting on information, and system comprehensibility) was psychometrically evaluated according to Rasch measurement theory, in a survey to a stratified random sample of people on sick leave (n = 1151) sent out in the fall of 2020.
Overall, the items in the final version of the SILQ demonstrated good fit to the Rasch model, and the response scale worked as intended. Unidimensionality was supported for all scales, but minor problems with local dependency was detected for three items. The person separation was 0.80 for the Obtain scale, 0.82 for the Understand scale, 0.68 for the Act scale, and 0.81 for the System scale. Corresponding ordinal alpha values were 0.91, 0.91, 0.86, and 0.91, respectively.
This study is a first step toward exploring literacy in the social insurance field. The SILQ covers individual abilities and systems' comprehensibility, and the results show that it has acceptable psychometric properties.
为了让客户理解社会保险决策和流程，当局需要提供易懂的信息，客户也需要具备足够的个人能力。这些维度被纳入社会保险素养的概念中，该概念已经被操作化为一个测量工具，即社会保险素养问卷（SILQ）。本研究旨在描述 SILQ 的开发过程，并使用 Rasch 测量理论评估其心理测量特性。
SILQ 的开发包括德尔菲研究和认知访谈。初步版本分为四个量表，分别对应概念的四个领域（获取信息、理解信息、利用信息和系统可理解性），根据 Rasch 测量理论，在 2020 年秋季对请病假的分层随机样本（n=1151）进行了问卷调查，对其进行了心理测量评估。
总体而言，SILQ 最终版本中的项目与 Rasch 模型拟合良好，响应量表按预期工作。所有量表都支持单维性，但检测到三个项目存在局部依赖性问题。获取量表的个体分离度为 0.80，理解量表为 0.82，行动量表为 0.68，系统量表为 0.81。相应的有序 alpha 值分别为 0.91、0.91、0.86 和 0.91。
本研究是探索社会保险领域素养的第一步。SILQ 涵盖了个人能力和系统的可理解性，结果表明其具有可接受的心理测量特性。
