ArticleBMC medical research methodology2019
Validation of the short assessment of health literacy (SAHL-D) and short-form development: Rasch analysis.
Article in BMC medical research methodology, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 9 papers, 1 of them a synthesis that pooled it.
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Who cites it
9 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
- Development and validation of a rapid health literacy assessment tool for Chinese primary and secondary school students.Health promotion international · 2026Article
- Making space to listen: engaging people with a chronic condition and various health literacy levels as citizen researchers.Research involvement and engagement · 2026Article
- Co-creation of a health literate-sensitive training and conversation aid to support shared decision-making in maternity care.PEC innovation · 2024Article
- Factors associated with disease knowledge and attitude among ambulatory patients with type 2 diabetes - a multicenter study.BMC endocrine disorders · 2024Article
- Evaluating student's ability to assess treatment claims: validating a German version of the Claim Evaluation Tools.BMC public health · 2023Article
- Pregnancy in Teenage Romanian Mothers.Cureus · 2022Article
- Women's Participation in Decision-Making in Maternity Care: A Qualitative Exploration of Clients' Health Literacy Skills and Needs for Support.International journal of environmental research and public health · 2021Article
- The Role of Health Literacy in Explaining the Relation between Educational Level and Decision Making about Colorectal Cancer Screening.International journal of environmental research and public health · 2019Article
Corrections and comments
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Authors and funding
6 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundAccurate measurement of health literacy is essential to improve accessibility and effectiveness of health care and prevention. One measure frequently applied in international research is the Short Assessment of Health Literacy (SAHL). While the Dutch SAHL (SAHL-D) has proven to be valid and reliable, its administration is time consuming and burdensome for participants. Our aim was to further validate, strengthen and shorten the SAHL-D using Rasch analysis.
methodsAvailable cross-sectional SAHL-D data was used from adult samples (N = 1231) to assess unidimensionality, local independence, item fit, person fit, item hierarchy, scale targeting, precision (person reliability and person separation), and presence of differential item functioning (DIF) depending on age, gender, education and study sample.
resultsThirteen items for a short form were selected based on item fit and DIF, and scale properties were compared between the two forms. The long form had several items with DIF for age, gender, educational level and study sample. Both forms showed lower measurement precision at higher health literacy levels.
conclusionsThe findings support the validity and reliability of the SAHL-D for the long form and the short form, which can be used for a rapid assessment of health literacy in research and clinical practice.
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