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The HLS 19 -COM-P, a New Instrument for Measuring Communicative Health Literacy in Interaction with Physicians: Development and Validation in Nine European Countries

Author

Listed:
  • Hanne Søberg Finbråten

    (Department of Health and Nursing Sciences, Faculty of Social and Health Sciences, Inland Norway University of Applied Sciences, P.O. Box 400, 2418 Elverum, Norway)

  • Peter Nowak

    (Competence Centre for Health Promotion and Health System, Austrian National Public Health Institute, A-1010 Vienna, Austria)

  • Robert Griebler

    (Competence Centre for Health Promotion and Health System, Austrian National Public Health Institute, A-1010 Vienna, Austria)

  • Éva Bíró

    (Department of Public Health and Epidemiology, Faculty of Medicine, University of Debrecen, H-4028 Debrecen, Hungary)

  • Mitja Vrdelja

    (Communication Unit, National Institute of Public Health, Trubarjeva 2, 1000 Ljubljana, Slovenia)

  • Rana Charafeddine

    (Department of Public Health and Epidemiology, Sciensano, 1050 Brussels, Belgium)

  • Lennert Griese

    (Interdisciplinary Centre for Health Literacy Research [ICHL], School of Public Health, Bielefeld University, 33615 Bielefeld, Germany)

  • Henrik Bøggild

    (Public Health and Epidemiology, Department of Health Science and Technology, Aalborg University, 9220 Aalborg, Denmark)

  • Doris Schaeffer

    (Interdisciplinary Centre for Health Literacy Research [ICHL], School of Public Health, Bielefeld University, 33615 Bielefeld, Germany)

  • Thomas Link

    (Department of Quality Measurement and Patient Survey, Austrian National Public Health Institute, A-1010 Vienna, Austria)

  • Zdenek Kucera

    (Czech Health Literacy Institute, Sokolská 490/31, 120 00 Prague, Czech Republic)

  • Julien Mancini

    (Aix Marseille University, APHM INSERM, IRD, ISSPAM, SESSTIM, Cancer, Biomedicine & Society Group, Ligue 2019 Accredited Team, F-13009 Marseille, France)

  • Jürgen M. Pelikan

    (WHO-CC Health Promotion in Hospitals and Health Care, Austrian National Public Health Institute, A-1010 Vienna, Austria)

Abstract

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.

Suggested Citation

  • Hanne Søberg Finbråten & Peter Nowak & Robert Griebler & Éva Bíró & Mitja Vrdelja & Rana Charafeddine & Lennert Griese & Henrik Bøggild & Doris Schaeffer & Thomas Link & Zdenek Kucera & Julien Mancini, 2022. "The HLS 19 -COM-P, a New Instrument for Measuring Communicative Health Literacy in Interaction with Physicians: Development and Validation in Nine European Countries," IJERPH, MDPI, vol. 19(18), pages 1-23, September.
    • Handle: RePEc:gam:jijerp:v:19:y:2022:i:18:p:11592-:d:915080
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    References listed on IDEAS

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    1. Lennert Griese & Hanne S. Finbråten & Rita Francisco & Saskia M. De Gani & Robert Griebler & Øystein Guttersrud & Rebecca Jaks & Christopher Le & Thomas Link & Andreia Silva da Costa & Miguel Telo de , 2022. "HLS 19 -NAV—Validation of a New Instrument Measuring Navigational Health Literacy in Eight European Countries," IJERPH, MDPI, vol. 19(21), pages 1-20, October.

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