IDEAS home Printed from https://ideas.repec.org/a/gam/jijerp/v17y2020i19p6951-d417844.html
   My bibliography  Save this article

Conceptualization, Development and Psychometric Evaluations of a New Medication-Related Health Literacy Instrument: The Chinese Medication Literacy Measurement

Author

Listed:
  • Hsiang-Wen Lin

    (School of Pharmacy and Graduate Institute, College of Pharmacy, China Medical University, Taichung City 404333, Taiwan
    Department of Pharmacy, China Medical University Hospital, Taichung City 404332, Taiwan
    Department of Pharmacy System, Outcomes and Policy, College of Pharmacy, University of Illinois at Chicago, Chicago, IL 60612, USA
    Both authors contributed equally to this work and shared first authorship.)

  • Elizabeth H. Chang

    (Department of Clinical Pharmacy, School of Pharmacy, College of Pharmacy, Taipei Medical University, Taipei City 110301, Taiwan
    Research Center for Pharmacoeconomics, College of Pharmacy, Taipei Medical University, Taipei City 110301, Taiwan
    Department of Pharmacy, Wan Fang Hospital, Taipei Medical University, Taipei City 116081, Taiwan
    Both authors contributed equally to this work and shared first authorship.)

  • Yu Ko

    (Department of Clinical Pharmacy, School of Pharmacy, College of Pharmacy, Taipei Medical University, Taipei City 110301, Taiwan
    Research Center for Pharmacoeconomics, College of Pharmacy, Taipei Medical University, Taipei City 110301, Taiwan)

  • Chun-Yu Wang

    (Department of Pharmacy, Shin Kong Wu Ho-Su Memorial Hospital, Taipei City 111045, Taiwan
    Taiwan International Pharmacy Advancement Association, Taipei City 100006, Taiwan)

  • Yu-Shan Wang

    (School of Pharmacy and Graduate Institute, College of Pharmacy, China Medical University, Taichung City 404333, Taiwan)

  • Okti Ratna Mafruhah

    (School of Pharmacy and Graduate Institute, College of Pharmacy, China Medical University, Taichung City 404333, Taiwan)

  • Shang-Hua Wu

    (Department of Pharmacy, Songde Branch, Taipei City Hospital, Taipei City 110209, Taiwan)

  • Yu-Chieh Chen

    (School of Pharmacy and Graduate Institute, College of Pharmacy, China Medical University, Taichung City 404333, Taiwan
    Department of Pharmacy, China Medical University Hospital, Taichung City 404332, Taiwan)

  • Yen-Ming Huang

    (Graduate Institute of Clinical Pharmacy, College of Medicine, National Taiwan University, Taipei City 100025, Taiwan
    Department of Allied and Population Health, College of Pharmacy and Allied Health Professions, South Dakota State University, Brookings, SD 57007, USA
    Both authors contributed equally as the corresponding authors.)

Abstract

There is a need for valid and reliable instruments to focus on medication aspects of health literacy and help healthcare professionals address patients’ barriers to medication use. This cross-sectional study describes the conceptualization, development, and psychometric properties of the first Chinese Medication Literacy Measurement (ChMLM) to assess the level of health literacy on medication use. The 17-item ChMLM (ChMLM-17) and its short form, 13-item ChMLM (ChMLM-13), consist of four sections (vocabulary, over-the-counter labels, prescription labels, and advertisements) to cover six domains of medication-related health literacy. Multistage stratified quota sampling was attempted to recruit a representative sample in Taiwan. Receiver operating characteristic curves were used to identify the cut-off point for differentiating high and low medication literacy. Psychometric analyses were performed ( n = 1410) to assess the reliability and validity separately on all samples and sociodemographic subgroups. The 17- and 13-item versions both had high construct validity among all patients and patients with low medication literacy. The developed ChMLM-17 and ChMLM-13 is expected to help healthcare providers and researchers to accurately measure medication-related health literacy and improve medication use in the real-world practice.

Suggested Citation

  • Hsiang-Wen Lin & Elizabeth H. Chang & Yu Ko & Chun-Yu Wang & Yu-Shan Wang & Okti Ratna Mafruhah & Shang-Hua Wu & Yu-Chieh Chen & Yen-Ming Huang, 2020. "Conceptualization, Development and Psychometric Evaluations of a New Medication-Related Health Literacy Instrument: The Chinese Medication Literacy Measurement," IJERPH, MDPI, vol. 17(19), pages 1-17, September.
    • Handle: RePEc:gam:jijerp:v:17:y:2020:i:19:p:6951-:d:417844
    as

    Download full text from publisher

    File URL: https://www.mdpi.com/1660-4601/17/19/6951/pdf
    Download Restriction: no
    File URL: https://www.mdpi.com/1660-4601/17/19/6951/
    Download Restriction: no
    ---><---

    References listed on IDEAS

    as
    1. Katsuyuki Nakagami & Toyoaki Yamauchi & Hiroyuki Noguchi & Tohru Maeda & Tomoko Nakagami, 2014. "Development and validation of a new instrument for testing functional health literacy in Japanese adults," Nursing & Health Sciences, John Wiley & Sons, vol. 16(2), pages 201-208, June.
    2. Virtudes Pérez-Jover & José J. Mira & Concepción Carratala-Munuera & Vicente F. Gil-Guillen & Josep Basora & Adriana López-Pineda & Domingo Orozco-Beltrán, 2018. "Inappropriate Use of Medication by Elderly, Polymedicated, or Multipathological Patients with Chronic Diseases," IJERPH, MDPI, vol. 15(2), pages 1-14, February.
    3. Marilyn M. Schapira & Cindy M. Walker & Kevin J. Cappaert & Pamela S. Ganschow & Kathlyn E. Fletcher & Emily L. McGinley & Sam Del Pozo & Carrie Schauer & Sergey Tarima & Elizabeth A. Jacobs, 2012. "The Numeracy Understanding in Medicine Instrument," Medical Decision Making, , vol. 32(6), pages 851-865, November.
    4. Xinying Sun & Juan Chen & Yuhui Shi & Qingqi Zeng & Nanfang Wei & Ruiqian Xie & Chun Chang & Weijing Du, 2013. "Measuring Health Literacy Regarding Infectious Respiratory Diseases: A New Skills-Based Instrument," PLOS ONE, Public Library of Science, vol. 8(5), pages 1-8, May.
    Full references (including those not matched with items on IDEAS)

    Most related items

    These are the items that most often cite the same works as this one and are cited by the same works as this one.
    1. Xiao Chang & Kai Wang & Yuting Wang & Houmian Tu & Guiping Gong & Haifeng Zhang, 2022. "Medication Literacy in Chinese Patients with Stroke and Associated Factors: A Cross-Sectional Study," IJERPH, MDPI, vol. 20(1), pages 1-12, December.
    2. Luís Midão & Pedro Brochado & Marta Almada & Mafalda Duarte & Constança Paúl & Elísio Costa, 2021. "Frailty Status and Polypharmacy Predict All-Cause Mortality in Community Dwelling Older Adults in Europe," IJERPH, MDPI, vol. 18(7), pages 1-13, March.
    3. Saima Ghazal & Edward T. Cokely & Rocio Garcia-Retamero, 2014. "Predicting biases in very highly educated samples: Numeracy and metacognition," Judgment and Decision Making, Society for Judgment and Decision Making, vol. 9(1), pages 15-34, January.
    4. Cindy Yue Tian & Richard Huan Xu & Phoenix Kit-Han Mo & Dong Dong & Eliza Lai-Yi Wong, 2020. "Generic Health Literacy Measurements for Adults: A Scoping Review," IJERPH, MDPI, vol. 17(21), pages 1-18, October.
    5. Ana Isabel Plácido & Maria Teresa Herdeiro & João Lindo Simões & Odete Amaral & Adolfo Figueiras & Fátima Roque, 2020. "Voices of Polymedicated Older Patients: A Focus Group Approach," IJERPH, MDPI, vol. 17(18), pages 1-10, September.
    6. Jeronimo Luengo-Polo & David Conde-Caballero & Borja Rivero-Jiménez & Inmaculada Ballesteros-Yáñez & Carlos A. Castillo-Sarmiento & Lorenzo Mariano-Juárez, 2021. "Rationale and Methods of Evaluation for ACHO, A New Virtual Assistant to Improve Therapeutic Adherence in Rural Elderly Populations: A User-Driven Living Lab," IJERPH, MDPI, vol. 18(15), pages 1-11, July.
    7. repec:cup:judgdm:v:9:y:2014:i:1:p:15-34 is not listed on IDEAS
    8. S. Gatobu & J. F. Arocha & L. Hoffman-Goetz, 2014. "Numeracy and Health Numeracy Among Chinese and Kenyan Immigrants to Canada," SAGE Open, , vol. 4(1), pages 21582440145, February.
    9. Javier González-Bueno & Daniel Sevilla-Sánchez & Emma Puigoriol-Juvanteny & Núria Molist-Brunet & Carles Codina-Jané & Joan Espaulella-Panicot, 2021. "Factors Associated with Medication Non-Adherence among Patients with Multimorbidity and Polypharmacy Admitted to an Intermediate Care Center," IJERPH, MDPI, vol. 18(18), pages 1-14, September.

    Corrections

    All material on this site has been provided by the respective publishers and authors. You can help correct errors and omissions. When requesting a correction, please mention this item's handle: RePEc:gam:jijerp:v:17:y:2020:i:19:p:6951-:d:417844. See general information about how to correct material in RePEc.

    If you have authored this item and are not yet registered with RePEc, we encourage you to do it here. This allows to link your profile to this item. It also allows you to accept potential citations to this item that we are uncertain about.

    If CitEc recognized a bibliographic reference but did not link an item in RePEc to it, you can help with this form .

    If you know of missing items citing this one, you can help us creating those links by adding the relevant references in the same way as above, for each refering item. If you are a registered author of this item, you may also want to check the "citations" tab in your RePEc Author Service profile, as there may be some citations waiting for confirmation.

    For technical questions regarding this item, or to correct its authors, title, abstract, bibliographic or download information, contact: MDPI Indexing Manager (email available below). General contact details of provider: https://www.mdpi.com .

    Please note that corrections may take a couple of weeks to filter through the various RePEc services.

    IDEAS is a RePEc service. RePEc uses bibliographic data supplied by the respective publishers.