ArticleAfrican journal of primary health care & family medicine2019
Development of a Sesotho health literacy test in a South African context.
Article in African journal of primary health care & family medicine, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 4 papers.
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Who cites it
4 citing papers in PubMed.
- Development of the Swahili Cancer Health Literacy Test for use in the African context.African journal of primary health care & family medicine · 2026Article
- An exploratory cross-cultural study of community-based health literacy interventions to promote the mental well-being of disadvantaged and disabled young Africans: a multi-method approach.Frontiers in psychiatry · 2024Article
- Health literacy of Sesotho-speaking patients diagnosed with chronic conditions in South Africa.African journal of primary health care & family medicine · 2022Article
- Building a Health Literacy Indicator from Angola Demographic and Health Survey in 2015/2016.International journal of environmental research and public health · 2022Article
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Authors and funding
3 authors.
Funding
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Abstract
backgroundResearch shows that poor health literacy (HL) can be a threat to health and health care. Health literacy is under-researched and poorly understood in developing countries, including South Africa, because of the absence of language and context-specific HL tests.
aimThe researchers aimed to develop an appropriate HL test for use among South African public health service users with Sesotho as their first language.
settingThe test was developed in the Free State Province of South Africa, for use among Sesotho speakers.
methodsMixed methods were employed to develop the Sesotho Health Literacy Test (SHLT). The process of developing the test was carried out in distinctive methodological steps.
resultsThe stepwise process set out by identifying abstracts (n = 206) referring to HL tests. Sourcing of HL tests followed a tapered process resulting in the use of 17 HL tests. Elements within a conceptual framework guided HL test item selection (n = 47). Two Delphi sessions assisted in reaching consensus regarding final HL test items (n = 40). The readability testing of the SHLT tested 4.19 on the Coleman-Liau Index score. A context-suitable and comprehensive SHLT ensued from this work.
conclusionThe SHLT assessment instrument development creates a platform for HL testing among Sesotho first language speakers in South Africa. The context-sensitive methodology is entrenched in a theoretical framework, distributing HL test items between identified competencies and related skill dimensions and domains. The methodology can be applied to the development of HL tests for other languages and population groups in developing countries.
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