ArticleArchives of public health = Archives belges de sante publique2018
Do adolescents understand the items of the European Health Literacy Survey Questionnaire (HLS-EU-Q47) - German version? Findings from cognitive interviews of the project "Measurement of Health Literacy Among Adolescents" (MOHLAA) in Germany.
Article in Archives of public health = Archives belges de sante publique, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 27 papers.
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Who cites it
27 citing papers in PubMed.
- Associations of an Easy-to-Understand Patient Letter on the Health Literacy of Patients after Discharge from Hospital: Results of a Randomized Controlled Intervention Study.Gesundheitswesen (Bundesverband der Arzte des Offentlichen Gesundheitsdienstes (Germany)) · 2023Trial
- Development and validation of a rapid health literacy assessment tool for Chinese primary and secondary school students.Health promotion international · 2026Article
- Validation of the Swedish version of HLS19-Q12: a measurement for general health literacy.Health promotion international · 2025Article
- Exploring the Association Between Adolescents' Health Literacy and Health Behavior by Using the Short Health Literacy (HLSHealthcare (Basel, Switzerland) · 2024Article
- Adolescents' understanding of the Nepalese version of HLS-CHILD-Q15: qualitative pre-testing in ninth-graders.BMC public health · 2024Article
- The mediating role of self-efficacy in the relationship between health literacy, health status and psychological well-being among German trainees and students in nursing.Frontiers in public health · 2024Article
- Depression and health literacy among adolescents and adults in Germany: findings from two representative samples.Frontiers in psychology · 2024Article
- Development of health literacy assessment tool for 9-10 Years old children in Thailand.Public health in practice (Oxford, England) · 2023Article
- Evaluating student's ability to assess treatment claims: validating a German version of the Claim Evaluation Tools.BMC public health · 2023Article
- Examining the relationship between health literacy and individual and sociodemographic factors in secondary school students.Zeitschrift fur Gesundheitswissenschaften = Journal of public health · 2023Article
- Developing the HLSBMC health services research · 2022Article
- [Health information behaviour and health literacy on COVID-19 vaccination of the general population in Germany-findings from the CoSiD study].Bundesgesundheitsblatt, Gesundheitsforschung, Gesundheitsschutz · 2022Article
- Measuring Health Literacy in Basic Education in Finland: The Development of a Curriculum- and Performance-Based Measurement Instrument.International journal of environmental research and public health · 2022Article
- [Health Literacy of People with and without Disabilities and Chronic Diseases in Germany: Results of the Study "German Health Update" 2014/2015-EHIS].Gesundheitswesen (Bundesverband der Arzte des Offentlichen Gesundheitsdienstes (Germany)) · 2022Article
- Measuring Comprehensive, General Health Literacy in the General Adult Population: The Development and Validation of the HLSInternational journal of environmental research and public health · 2022Article
- [DNVF Memorandum Health Literacy (Part 2) - Operationalisation and Measuring of Health Literacy from a Health Services Research Perspective].Gesundheitswesen (Bundesverband der Arzte des Offentlichen Gesundheitsdienstes (Germany)) · 2022Article
- Correction: Loer et al. Subjective Generic Health Literacy and Its Associated Factors among Adolescents: Results of a Population-Based Online Survey in Germany.International journal of environmental research and public health · 2022Article
- The Link Between Health Literacy and Three Conditions of Metabolic Syndrome: Obesity, Diabetes and Hypertension.Diabetes, metabolic syndrome and obesity : targets and therapy · 2022Article
- Exploring the factors related to adolescent health literacy, health-promoting lifestyle profile, and health status.BMC public health · 2021Article
- Socio-Economic Determinants of Health Literacy in High School Students: A Cross-Sectional Study.International journal of environmental research and public health · 2021Article
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6 authors.
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Abstract
backgroundIn Germany, there are no measurement tools to assess the general health literacy of adolescents. The aim of the study "Measurement of Health Literacy Among Adolescents" (MOHLAA) is to develop such a tool for use among adolescents aged 14-17. The German version of the European Health Literacy Survey Questionnaire (HLS-EU-Q47-GER) served as a blueprint for the development of the tool. The present study examined the extent to which the HLS-EU-Q47-GER can be applied to the measurement of general health literacy in adolescents.
methodsThe applicability of the HLS-EU-Q47-GER for adolescents was tested qualitatively using cognitive interviewing (CI). Purposive sampling was used to achieve an equal distribution of participants regarding age groups, educational backgrounds and gender. CI was standardized on the basis of an interview guide. Verbal probing and the retrospective think-aloud technique were applied. The interviews were audio-recorded, transcribed and analyzed using the criteria of theory-based analysis, which were derived from the model of cognitive processes. The analysis focused on identifying terms and questions that were difficult to understand and on scrutinizing the extent to which the content of the items is appropriate for assessing adolescents' health literacy.
resultsAdolescent respondents were unfamiliar with some terms of the HLS-EU-Q47-GER or provided heterogeneous interpretations of the terms. They had limited or no experience regarding some health-related tasks in health care and disease prevention that are addressed by HLS-EU-Q-items. A few items seemed to be too "difficult" to answer due to a high abstraction level or because they lacked any reference to the everyday lives of youth. Despite comprehension problems with some of the HLS-EU items, the respondents assessed the covered health-related tasks as "very easy" or "fairly easy". CI stressed the importance of interpersonal agents, especially parents, in helping adolescents understand and judge the reliability of health information.
conclusionsThe results of CI indicated that the applicability of the HLS-EU-Q47-GER to the measurement of general health literacy among adolescents aged 14-17 is limited. In order to prevent biased data, some items of the questionnaire should be adjusted to adolescents' state of development and experiences with health care and disease prevention.
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