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Development and Content Validation of a Comprehensive Health Literacy Survey Instrument for Use in Individuals with Asthma during the COVID-19 Pandemic

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Listed:
  • Claudia Hasenpusch

    (Institute of Social Medicine and Health Systems Research, Medical Faculty, Otto Von Guericke University, 39120 Magdeburg, Germany)

  • Uwe Matterne

    (Institute of Social Medicine and Health Systems Research, Medical Faculty, Otto Von Guericke University, 39120 Magdeburg, Germany)

  • Christina Tischer

    (Institute for Clinical Epidemiology and Biometry, University of Wuerzburg, 97080 Wuerzburg, Germany
    State Institute of Health, Bavarian Health and Food Safety Authority, 91058 Erlangen, Germany)

  • Ilona Hrudey

    (Institute of Social Medicine and Health Systems Research, Medical Faculty, Otto Von Guericke University, 39120 Magdeburg, Germany)

  • Christian Apfelbacher

    (Institute of Social Medicine and Health Systems Research, Medical Faculty, Otto Von Guericke University, 39120 Magdeburg, Germany)

Abstract

Individuals with chronic conditions have been faced with many additional challenges during the COVID-19 pandemic. Individual health literacy (HL) as the ability to access, understand, evaluate, and apply pandemic-related information has thus become ever more important in these populations. The purpose of this study was to develop and content-validate a comprehensive HL survey instrument for people with asthma based on an integrated framework, and on previous surveys and other instruments for use in the general population and vulnerable groups. Beside HL, assumed determinants, mediators, and health outcomes were embraced in the framework. A mixed-method design was used. A comprehensive examination of the available literature yielded an initial pool of 398 single items within 20 categories. Based on content validity indices (CVI) of expert ratings (n = 11) and the content analysis of cognitive interviews with participants (n = 9), the item pool was reduced, and individual items/scales refined or modified. The instrument showed appropriate comprehensibility (98.0%), was judged relevant, and had an acceptable CVI at scale level (S-CVI/Ave = 0.91). The final version comprises 14 categories measured by 38 questions consisting of 116 single items. In terms of content, the instrument appears a valid representation of behavioural and psychosocial constructs pertaining to a broad HL understanding and relevant to individuals with asthma during the COVID-19 pandemic. Regular monitoring of these behavioural and psychosocial constructs during the course of the pandemic can help identify needs as well as changes during the course of the pandemic, which is particularly important in chronic disease populations.

Suggested Citation

  • Claudia Hasenpusch & Uwe Matterne & Christina Tischer & Ilona Hrudey & Christian Apfelbacher, 2022. "Development and Content Validation of a Comprehensive Health Literacy Survey Instrument for Use in Individuals with Asthma during the COVID-19 Pandemic," IJERPH, MDPI, vol. 19(4), pages 1-18, February.
    • Handle: RePEc:gam:jijerp:v:19:y:2022:i:4:p:1923-:d:745101
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    References listed on IDEAS

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    1. Orkan Okan & Torsten Michael Bollweg & Eva-Maria Berens & Klaus Hurrelmann & Ullrich Bauer & Doris Schaeffer, 2020. "Coronavirus-Related Health Literacy: A Cross-Sectional Study in Adults during the COVID-19 Infodemic in Germany," IJERPH, MDPI, vol. 17(15), pages 1-20, July.
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