Measuring health literacy among low literate people: an exploratory feasibility study with the HLS-EU questionnaire

BMC Public Health
Hannelore StormsStephan Van den Broucke

Abstract

Health literacy (HL) is defined as necessary competencies to make well-informed decisions. As patients' decision making is a key element of patient-centered health care, insight in patients' HL might help healthcare professionals to organize their care accordingly. This is particularly true for people in a vulnerable situation, potentially with limited HL, who are, for instance, at greater risk of having limited access to care [1, 2]. As HL correlates with education, instruments should allow inclusion of low literate people. To that end, the relatively new instrument, HLS-EU-Q47, was subjected to a comprehensibility test, its shorter version, HLS-EU-Q16, was not. Therefore, the goal of this study was to examine feasibility of HLS-EU-Q16 (in Dutch) for use in a population of people with low literacy. Purposive sampling of adults with low (yearly) income (< €16,965.47) and limited education (maximum high school), with Dutch language proficiency. Exclusion criteria were: psychiatric, neurodegenerative diseases or impairments. To determine suitability (length, comprehension and layout) participants were randomly distributed either HLS-EU-Q16 or a modified version and were interviewed directly afterwards by one researcher. To determ...Continue Reading

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May 31, 2018·Journal of Advanced Nursing·Lynn RewLorraine O Walker
May 12, 2020·Health Literacy Research and Practice·Torsten Michael BollwegUllrich Bauer
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Jun 3, 2021·International Journal of Environmental Research and Public Health·Ágnes Sántha

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