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( Duong Tuyen Van ) - Taipei Medical University School of Public Health
( Chang Peter WuShou ) - Taipei Medical University School of Public Health
( Yang Shih Hsien ) - Ministry of Health and Welfare National Taipei Hospital Department of Orthopedics
( Chen Ming-Chu ) - Ministry of Health and Welfare National Taipei Hospital Department of Traditional Complementary Medicine
( Chao Wei-Ting ) - Ministry of Health and Welfare National Taipei Hospital Department of Psychiatrics
( Chen Tara ) - Western University School of Health Studies
( Chiao Priscilla ) - Santa Clara University Public Health Program College of Arts and Sciences
( Huang Hsiao-Ling ) - Yuanpei University of Medical Technology Department of Health care management
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Abstract
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Purpose: To validate a conceptual short-form health literacy 12 items questionnaire (HL-SF12) in patient populations.
Methods: A cross-sectional study was conducted via a convenient sample of 403 patients from three departments of a community general hospital in the northern Taiwan. Patients’ health literacy was assessed with a validated HL-SF12, derived from the full scale, the European Health Literacy Survey Questionnaire (HLS-EU-Q), as well as a single-item from Chew’s Set of Brief Health Literacy Question. A reference population in Northern Taiwan (n=928) via the HLS-EU-Q in 2013?2014 was used as a reference to compare the health literacy between that of the general public and the patients. Data was analyzed by confirmatory factor analysis (CFA), internal consistency analysis, correlation analysis, and linear regression models.
Results: Patients’ health literacy assessed with the HL-SF12 was shown with high internal consistency (Cronbach α=.87), and moderately correlated with the single-item from Chew's Set of Brief Health Literacy Question, with satisfactory item-scale convergent validity (item-scale correlation ≥ .40), without floor/ceiling effect, and with satisfactory goodness of fit indices of the three-factor construct model for most of the patients. Their health literacy was significantly positively associated with female gender, higher income, and more often watching health-related TV programs. On the other hands, patients were reported with significantly higher healthcare health literacy than the general public, but not in general health literacy, disease prevention health literacy, or health promotion health literacy.
Conclusion: The comprehensive HL-SF12 was a valid and easy to use tool for assessing patients’ health literacy in the hospitals to facilitate healthcare providers in enhancing patients’ health literacy and healthcare qualities.
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KeyWords
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health literacy, hospitals, patients, surveys
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원문 및 링크아웃 정보
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등재저널 정보
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