Reliability and validity of the Cancer Health Literacy Test – Chinese versions: CHLT‐30‐Chinese and CHLT‐6‐Chinese

Author(s):  
Wing‐Lok Chan ◽  
Jack Pun ◽  
Dong Dong ◽  
Laura Siminoff ◽  
Levent Dumenci
2012 ◽  
Author(s):  
Yu Ko ◽  
Joyce Yu-Chia Lee ◽  
Matthias Paul Han Sim Toh ◽  
Wern-Ee Tang ◽  
Audrey Siok-Ling Tan

2009 ◽  
Author(s):  
Xu-Hao Zhang ◽  
Julian Thumboo ◽  
Kok-Yong Fong ◽  
Shu-Chuen Li

2020 ◽  
Vol 31 (4) ◽  
pp. 416
Author(s):  
Young Joo Seo ◽  
Eun-Mi Kwak ◽  
Mirae Jo ◽  
A-Ra Ko ◽  
Soon Hwan Kim ◽  
...  

Author(s):  
Sook-Kyoung Park ◽  
Eun-Gyeong Kim

This study aimed to develop and validate the Korean Health Literacy Instrument, which measures Korean late school-aged children’s understanding capacity. The construct’s concepts were drawn from the literature review and interviews with school nurses and teachers. A survey was then conducted in 552 fifth and sixth graders in nine elementary schools, from 1 to 9 May 2014. The KR-20 coefficient for reliability, difficulty index, discrimination index, item-total correlation, and known group technique for validity were performed. An exploratory factor analysis was performed to test the construct validity of the instrument and its unidimensionality. The results reveal that a two-factor structure was appropriate for the Korean school-age health literacy tool (root mean square error of approximation = 0.06, Comparative Fit Index = 0.96, and Tucker–Lewis Index = 0.95). From the remaining 16 items, the internal consistency reliability coefficient of this instrument was 0.85, and the criterion-related validity was 0.62 (p < 0.001). The Korean health literacy instrument for late school-aged children was suitable for screening individuals who have limited health literacy. Based on the findings of this study, future studies must continue to conduct empirical investigations on the Korean health literacy instrument for late school-aged children


2020 ◽  
Author(s):  
Francisco Iacobelli ◽  
Ginger Dragon ◽  
Giselle Mazur ◽  
Judith Guitelman

BACKGROUND Internet searching has become an increasingly useful tool for seeking health information. However, it is largely textual in nature and written for high literacy populations. Therefore, low literacy Latinas are at a disadvantage when searching online for health-related answers as well as processing online resources. Internet searching presents a problem, as low literacy populations tend to make mistakes while typing, ending up with misleading search results lists. In addition, even if an appropriate result list is displayed, Low literacy Latinas may be challenged in their ability to process the information contained in any individual article from that list. OBJECTIVE The objective of this observational study is to explore and describe the search behaviors of Latina breast cancer survivors and their caregivers. We explore their behaviors with different modalities of querying (voice/text), as well as other factors that present difficulties when searching for, and processing health information online. METHODS We recruited 7 Latina breast cancer survivors, of which 3 brought their caregivers, totaling 10 women. We administered the Health LiTT health literacy test, a demographic survey, and a breast cancer knowledge assessment to each participant. Next, we trained the participants on searching online with either a keyboard or voice. Then, we asked participants to find information about (a) maintaining good spirits after breast cancer; (b) affordability of breast cancer treatment; (c) general information about breast cancer and treatment options; and (d) any lingering issues they had around survivorship. Participants were allowed to search in English and/or Spanish. We video and audio recorded the computer activity of each participant/patient-caregiver (dyad) and coded it for search behaviors. RESULTS Consistent with prior research, we found web articles to be written for a grade level of 11.33 in English and 7.15 in Spanish. We also found that, although most of our participants preferred searching using speech, they struggled with this modality. Speech based search brought up new problems such as incomplete search queries, as the computer considered pauses as an indication of the end of a query. At other times, the participants made side comments, or the computer was still reading results when a new search was started; those comments were then, taken to be part of the search. We also found that participants formulated a query that was very general with the hope that the results would yield useful information about a more specific topic they had in mind. Also, in several occasions participants took notes based on information from the snippets on the result lists, without clicking on any results to read more. Lastly, participants that spent more time reviewing articles were those that scored higher in the health literacy test. CONCLUSIONS Despite the problems of searching using speech, we found a preference for this search modality, which may indicate a need to compensate for potential misspellings and grammatical errors that could appear in written queries. We also found the use of general questions in the hopes that detailed answers will provide information about more specific concerns. Understanding search behaviors and information evaluation strategies of low literacy Latina breast cancer survivors is fundamental for designing useful search interfaces for them to find relevant and reliable information online.


2014 ◽  
Author(s):  
Levent Dumenci ◽  
Robin Matsuyama ◽  
Daniel L. Riddle ◽  
Laura A. Cartwright ◽  
Robert A. Perera ◽  
...  

2007 ◽  
Vol 67 (1-2) ◽  
pp. 235-239 ◽  
Author(s):  
Orna Baron-Epel ◽  
Luba Balin ◽  
Zehava Daniely ◽  
Samuel Eidelman

2016 ◽  
Vol 25 (2) ◽  
pp. 34-46
Author(s):  
Chieh-Hsing Liu ◽  
Li-Ling Liao ◽  
Chi-Chia J. Cheng ◽  
Tzu-Chau Chang

Background: Currently, health literacy (HL) worldwide is measured primarily among adults from a medical perspective. A children’s HL test from a health promotion perspective is needed. This study develops the Taiwan Children’s Health Literacy Test (TCHL) targeted at Taiwanese sixth-graders. Methods: HL indicators were identified through interviews of sixth-grade teachers, primary caregivers, and sixth-graders. They were used to develop a 25-item online test, which was finalized after pretesting and administered to a stratified random sample of 671 students across 29 sixth-grade classes. Results: The response rate was 87.2% (585 participants). Cronbach’s α was 0.60–0.78 for the HL subtests and 0.79 for the overall HL test. Correlation coefficients among subtests ranged from 0.49 to 0.87. The average proportion correct was 0.80 for overall HL. In item response theory analysis, the difficulty level ranged from −2.77 to −0.40, while the degree of discrimination was 0.44–2.65. Item information peaked when the ability value was approximately −1.8. Furthermore, HL scores had a significant positive correlation with health behaviors. Conclusions: Overall, the test was found to be reliable and valid, with a low level of difficulty for basic HL ability. The present results can be used as a reference by government health education units to investigate national HL in children.


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