ArticleBMJ open2021
Validity and reliability of the Swedish Functional Health Literacy scale and the Swedish Communicative and Critical Health Literacy scale in patients undergoing bariatric surgery in Sweden: a prospective psychometric evaluation study.
Article in BMJ open, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 8 papers.
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Who cites it
8 citing papers in PubMed.
- Factors associated with distress over time in women with breast cancer undergoing radiotherapy: insights from a pilot study assessing a digital information tool.Supportive care in cancer : official journal of the Multinational Association of Supportive Care in Cancer · 2025Trial
- Impact of health literacy and general self-efficacy on surgical outcomes 2 years after bariatric surgery.Clinical obesity · 2025Article
- Validation of the Swedish version of HLS19-Q12: a measurement for general health literacy.Health promotion international · 2025Article
- Association of health literacy and general self-efficacy with emergency department visits for unclear abdominal pain after bariatric surgery.Langenbeck's archives of surgery · 2025Article
- Assessing Health Literacy Among Hospitalized Patients: A Cross-Sectional Study in Silesia, Poland.Healthcare (Basel, Switzerland) · 2025Article
- Health literacy and its association with mental and spiritual well-being among women experiencing homelessness.Health promotion international · 2024Article
- Health literacy and digital health information-seeking behavior - a cross-sectional study among highly educated Swedes.BMC public health · 2022Article
- The General Self-Efficacy Scale in a population planned for bariatric surgery in Sweden: a psychometric evaluation study.BMJ open · 2022Article
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5 authors.
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No grant is acknowledged in the PubMed record.
Abstract
objectivesThe aim was to psychometrically test and evaluate the Swedish functional health literacy scale and the Swedish communicative and critical health literacy scale in patients undergoing bariatric surgery.
designA prospective cross-sectional psychometric study.
settingPatients from three bariatric centres in Sweden were consecutively included in this study.
participantsA total of 704 patients undergoing bariatric surgery filled in the questionnaires preoperatively. Inclusion criteria were scheduled for primary bariatric surgery (Roux-en-Y gastric bypass or sleeve gastrectomy) and greater than 17 years, proficiency in Swedish. PRIMARY AND SECONDARY MEASURES: Psychometric outcomes of the Swedish Functional Health Literacy scale and the Swedish Communicative and Critical Health Literacy scale.
resultsThere was a higher proportion of females (74.4%, n=523) to males (25.6%, n=180). The mean age was 42 years (SD 11.5). Limited functional health literacy and limited communicative and critical health literacy (including both inadequate and problematic health literacy) was reported in 55% (n=390) and 40% (n=285), respectively. Cronbach alpha for the Swedish Functional Health Literacy scale was α=0.86 and for the Swedish Communicative and Critical Health Literacy scale, α=0.87. Construct validity showed weak to negative correlations between the Swedish Functional Health Literacy scale and income, education and SF-36/RAND36 summary scores. Confirmatory factor analysis showed a one-factor solution for the Swedish Functional Health Literacy scale and a two-factor solution for the Swedish Communicative and Critical Health Literacy scale.
conclusionsThe Swedish Functional Health Literacy scale and the Swedish Communicative and Critical Health Literacy scale are valid and reliable to use for patients undergoing bariatric surgery in a Swedish context. Measuring dimensions of health literacy can be used as a guide for the development of health literacy friendly patient information in patients undergoing bariatric surgery.
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