The HLS19-COM-P, a New Instrument for Measuring Communicative Health Literacy in Interaction with Physicians: Development and Validation in Nine European Countries - Inserm - Institut national de la santé et de la recherche médicale Accéder directement au contenu
Article Dans Une Revue International Journal of Environmental Research and Public Health Année : 2022

The HLS19-COM-P, a New Instrument for Measuring Communicative Health Literacy in Interaction with Physicians: Development and Validation in Nine European Countries

Éva Bíró
Henrik Bøggild

Résumé

Background: Sufficient communicative health literacy (COM-HL) is important for patients actively participating in dialogue with physicians, expressing their needs and desires for treatment, and asking clarifying questions. There is a lack of instruments combining communication and HL proficiency. Hence, the aim was to establish an instrument with sufficient psychometric properties for measuring COM-HL. Methods: The HLS 19-COM-P instrument was developed based on a conceptual framework integrating HL with central communicative tasks. Data were collected using different data collection modes in nine countries from December 2019 to January 2021 (n = 18,674). Psychometric properties were assessed using Rasch analysis and confirmatory factor analysis. Cronbach's alpha and Person separation index were considered for reliability. Results: The 11-item version (HLS 19-COM-P-Q11) and its short version of six items (HLS 19-COM-P-Q6) fit sufficiently the unidimensional partial credit Rasch model, obtained acceptable goodness-of-fit indices and high reliability. Two items tend to under-discriminate. Few items displayed differential item functioning (DIF) across person factors, and there was no consistent pattern in DIF across countries. All items had ordered response categories. Conclusions: The HLS 19-COM-P instrument was well accepted in nine countries, in different data collection modes, and could be used to measure COM-HL.
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inserm-04056652 , version 1 (03-04-2023)

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Hanne Søberg Finbråten, Peter Nowak, Robert Griebler, Éva Bíró, Mitja Vrdelja, et al.. The HLS19-COM-P, a New Instrument for Measuring Communicative Health Literacy in Interaction with Physicians: Development and Validation in Nine European Countries. International Journal of Environmental Research and Public Health, 2022, 19 (18), pp.11592. ⟨10.3390/ijerph191811592⟩. ⟨inserm-04056652⟩
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