ArticleHealth expectations : an international journal of public participation in health care and health policy2015
Translation and validation of a multidimensional instrument to assess health literacy.
Article in Health expectations : an international journal of public participation in health care and health policy, 2015. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 15 papers, 1 of them a synthesis that pooled it.
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Who cites it
15 citing papers in PubMed, 1 synthesis or guideline pooled it.
- Measuring health literacy: A systematic review and bibliometric analysis of instruments from 1993 to 2021.PloS one · 2022Pooled it
- Effects of telephone-based health coaching on patient-reported outcomes and health behavior change: A randomized controlled trial.PloS one · 2020Trial
- German translation, cultural adaptation, and validation of the Health Literacy Questionnaire (HLQ).PloS one · 2017Trial
- The Reduced Multi-Dimensional Health Literacy Scale: A First Bilingual Validation Using RASCH Analysis.International journal of environmental research and public health · 2025Article
- Assessing Health Literacy Among Hospitalized Patients: A Cross-Sectional Study in Silesia, Poland.Healthcare (Basel, Switzerland) · 2025Article
- Translation and Validation of the Health Literacy Score-14 Questionnaire for Vietnamese Patients with Diabetes.JMA journal · 2024Article
- Health literacy assessment and analysis of influencing factors in pregnant women with gestational diabetes mellitus in Southwest China.Frontiers in public health · 2024Article
- The somatic care of patients with comorbid mental disorders: protocol of a mixed-methods study aiming to identify barriers to and enablers of utilization of somatic healthcare (SoKo).BMC health services research · 2023Article
- Cross-Cultural Adaptation and Validation of the Functional, Communicative and Critical Health Literacy Instrument (FCCHL-SR) for Diabetic Patients in Serbia.Healthcare (Basel, Switzerland) · 2022Article
- Assessing COVID-19 Health Literacy (CoHL) and its relationships with sociodemographic features, locus of control and compliance with social distancing rules during the first lockdown in France.Health education research · 2022Article
- Do Health Professionals Sufficiently Address Patients' Disposition Toward Changing Their Nutritional and Physical Activity Habits? Findings from a Pilot Study among People with Type 2 Diabetes in Northern Italy.Healthcare (Basel, Switzerland) · 2020Article
- Adaption and validation of Nijmegen continuity questionnaire to recognize the influencing factors of continuity of care for hypertensive patients in China.BMC health services research · 2019Article
- Validation of the French version of the Functional, Communicative and Critical Health Literacy scale (FCCHL).Journal of patient-reported outcomes · 2017Article
- Iranian Health Literacy Questionnaire (IHLQ): An Instrument for Measuring Health Literacy in Iran.Iranian Red Crescent medical journal · 2015Article
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Authors and funding
4 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundThe patients' task to find, evaluate and transfer health information to one's individual condition and life requires competences that are summarized by the term 'health literacy'. Poor health literacy is associated with poorer health outcomes, like a higher rate of rehospitalization, lower receipt of screenings and a higher frequency of doctor visits.
objectiveThree levels of health literacy are distinguished: functional, communicative and critical health literacy. Aim of this study was to translate and adapt the 'Functional Communicative Critical Health Literacy' (FCCHL) questionnaire to German, and assess its psychometric properties. METHODS/
designThe FCCHL was sent to 9075 participants enrolled in a RCT on health coaching. 4040 participants responded. Besides descriptive and reliability analysis, confirmatory factor analysis was performed to test the questionnaire's postulated scale structure in a calibration (N = 3000) and a validation sample (N = 1040) for cross-validation.
resultsThe instrument was well accepted (missing values ≤2.1% per item) and showed acceptable or good internal consistency for the entire scale (α = 0.77) and the subscales (α = 0.75-0.80). The proposed three-factor model did not fit the German data sufficiently. As the scales 'communicative health literacy' and 'critical health literacy' showed high intercorrelation (0.98), they were combined to a new scale called 'processing health literacy'. The fit indices for the amended two-factor model were satisfying in both subgroups.
conclusionsReliability and acceptance of the German FCCHL are satisfying. An amended two-factor structure showed better validity than the original factor structure. Further research regarding the FCCHL and the underlying construct is needed.
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