ArticleBMC health services research2017
Measurement properties of the Health Literacy Questionnaire (HLQ) among older adults who present to the emergency department after a fall: a Rasch analysis.
Article in BMC health services research, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 30 papers, 1 of them a synthesis that pooled it.
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Who cites it
30 citing papers in PubMed, 1 synthesis or guideline pooled it, 57 citations in OpenAlex.
- Measuring health literacy: A systematic review and bibliometric analysis of instruments from 1993 to 2021.PloS one · 2022Pooled it
- Developing a validity testing plan for a patient-reported outcome measure in a new context using the argument-based approach to validity.Quality of life research : an international journal of quality of life aspects of treatment, care and rehabilitation · 2026Article
- Barriers to reporting fear of falling and participation in fall prevention strategies among older adults in Pakistan: a qualitative study.BMC geriatrics · 2025Article
- [Measuring health literacy: methods and tools for assessing general health literacy in adults].Bundesgesundheitsblatt, Gesundheitsforschung, Gesundheitsschutz · 2025Review
- Psychometric properties of the health literacy questionnaire tested in Vietnamese adults with chronic diseases.BMC public health · 2025Article
- Development and validation of a fall health literacy scale for Chinese hospitals from the perspective of older adults.Frontiers in public health · 2025Observational
- Application of the PAPERS Grading Criteria Within a Rapid Evidence Review to Determine the Psychometric and Pragmatic Properties of Patient Empowerment Tools.Journal of patient experience · 2024Article
- The mediating role of health literacy between the presence of chronic disease and psychological distress among older persons in Xi'an city of China.BMC public health · 2023Article
- Correlation between Health and eHealth Literacy and a Healthy Lifestyle: A Cross-Sectional Study of Spanish Primary Healthcare Patients.Healthcare (Basel, Switzerland) · 2023Article
- Psychometric evaluation of the depression, anxiety, and stress scale-21 (DASS-21) among Chinese primary and middle school teachers.BMC psychology · 2023Article
- Health Literacy and Serious or Persistent Mental Illness: A Mixed Methods Study.Health literacy research and practice · 2023Article
- Health Literacy and Its Sociodemographic Predictors: A Cross-Sectional Study of a Population in Madrid (Spain).International journal of environmental research and public health · 2022Article
- Digital Health Literacy as a Predictor of Awareness, Engagement, and Use of a National Web-Based Personal Health Record: Population-Based Survey Study.Journal of medical Internet research · 2022Article
- Measurement Properties of the Health Literacy Questionnaire in the Understanding Multiple Sclerosis Massive Open Online Course Cohort: A Rasch Analysis.Health literacy research and practice · 2022Article
- The Dispersion of Health Information-Seeking Behavior and Health Literacy in a State in the Southern United States: Cross-sectional Study.JMIR formative research · 2022Article
- Awareness of diagnosis, treatment and risk of late effects in Chinese survivors of childhood cancer in Hong Kong.Health expectations : an international journal of public participation in health care and health policy · 2021Article
- Validity arguments for patient-reported outcomes: justifying the intended interpretation and use of data.Journal of patient-reported outcomes · 2021Article
- A validation study of the Norwegian version of the Health Literacy Questionnaire: A robust nine-dimension factor model.Scandinavian journal of public health · 2021Article
- Functional Health Literacy in Patients with Cardiovascular Diseases: Cross-Sectional Study in Ethiopia.International journal of general medicine · 2021Article
- Interrelationships Between Patients' Data Tracking Practices, Data Sharing Practices, and Health Literacy: Onsite Survey Study.Journal of medical Internet research · 2020Article
Corrections and comments
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Authors and funding
11 authors at 5 institutions in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundHealth literacy is an important concept associated with participation in preventive health initiatives, such as falls prevention programs. A comprehensive health literacy measurement tool, appropriate for this population, is required. The aim of this study was to evaluate the measurement properties of the Health Literacy Questionnaire (HLQ) in a cohort of older adults who presented to a hospital emergency department (ED) after a fall.
methodsOlder adults who presented to an ED after a fall had their health literacy assessed using the HLQ (n = 433). Data were collected as part of a multi-centre randomised controlled trial of a falls prevention program. Measurement properties of the HLQ were assessed using Rasch analysis.
resultsAll nine scales of the HLQ were unidimensional, with good internal consistency reliability. No item bias was found for most items (43 of 44). A degree of overall misfit to the Rasch model was evident for six of the nine HLQ scales. The majority of misfit indicated content overlap between some items and does not compromise measurement. A measurement gap was identified for this cohort at mid to high HLQ score.
conclusionsThe HLQ demonstrated good measurement properties in a cohort of older adults who presented to an ED after a fall. The summation of the HLQ items within each scale, providing unbiased information on nine separate areas of health literacy, is supported. Clinicians, researchers and policy makers may have confidence using the HLQ scale scores to gain information about health literacy in older people presenting to the ED after a fall.
trial registrationThis study was registered with the Australian New Zealand Clinical Trials Registry, number ACTRN12614000336684 (27 March 2014).
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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.