Evidence map›Paper›PMID 32487577›Full record

ReviewBMJ open2020

Questionnaire validation practice within a theoretical framework: a systematic descriptive literature review of health literacy assessments.

Melanie Hawkins, Gerald R Elsworth, Elizabeth Hoban, Richard H Osborne

Abstract readReview
In one paragraph

Review in BMJ open, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 13 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
13citing papers in PubMed, 1 pooled it
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

13 citing papers in PubMed, 1 synthesis or guideline pooled it.

  1. Pooled it
  2. Article
  3. The argument-based approach to validity: theory, assumptions, evidence, and consequences.Quality of life research : an international journal of quality of life aspects of treatment, care and rehabilitation · 2026
    Article
  4. 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 · 2026
    Article
  5. Assessing health literacy and diversity within the All of Us Research Program.Journal of the American Medical Informatics Association : JAMIA · 2025
    Article
  6. Article
  7. Content Validity of a Scale Designed to Measure the Access of Older Adults to Outpatient Health Services.International journal of environmental research and public health · 2022
    Article
  8. Article
  9. Article
  10. Article
  11. Review
  12. Emotional Intelligence Measures: A Systematic Review.Healthcare (Basel, Switzerland) · 2021
    Review
  13. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

4 authors.

Melanie HawkinsFaculty of Health, Deakin University School of Health and Social Development, Burwood, Victoria, Australia melaniehawkins@swin.edu.au.ORCID 0000-0001-5704-0490
Gerald R ElsworthFaculty of Health, Deakin University School of Health and Social Development, Burwood, Victoria, Australia.
Elizabeth HobanFaculty of Health, Deakin University School of Health and Social Development, Burwood, Victoria, Australia.
Richard H OsborneCentre for Global Health and Equity, Faculty of Health, Arts and Design, Swinburne University of Technology, Hawthorn, Victoria, Australia.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectiveValidity refers to the extent to which evidence and theory support the adequacy and appropriateness of inferences based on score interpretations. The health sector is lacking a theoretically-driven framework for the development, testing and use of health assessments. This study used the

methodsA systematic descriptive literature review investigated methods and results in health literacy assessment development, application and validity testing studies. Electronic searches were conducted in EBSCOhost, Embase, Open Access Theses and Dissertations and ProQuest Dissertations. Data were coded to the

resultsCoding on 46 studies resulted in 195 instances of validity evidence across the five sources. Only nine studies directly or indirectly referenced a validity testing framework. Evidence based on

conclusionsThe health and health equity of individuals and populations are increasingly dependent on decisions based on data collected through health assessments. An evidence-based theoretical framework provides structure and coherence to existing evidence and stipulates where further evidence is required to evaluate the extent to which data are valid for an intended purpose. This review demonstrates the use of the

Indexed as

Health LiteracyHumansPsychological TestsSurveys and Questionnairespublic healthqualitative researchstatistics & research methods

Identifiers

PMID32487577
PMCPMC7265003

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC
Read underepoch 390

Registered trials

None linked

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.