ArticleEvidence-based complementary and alternative medicine : eCAM2021
Development and Validation of the Health Literacy Assessment Instrument for Patients with Chronic Pain.
Article in Evidence-based complementary and alternative medicine : eCAM, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 4 papers, 2 of them syntheses that pooled it.
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Who cites it
4 citing papers in PubMed, 2 syntheses or guidelines pooled it.
- The effect of music therapy for patients with chronic pain: systematic review and meta-analysis.BMC psychology · 2025Pooled it
- Measuring health literacy: A systematic review and bibliometric analysis of instruments from 1993 to 2021.PloS one · 2022Pooled it
- Development and psychometric validation of a novel health literacy scale for family caregivers of preschool children.Health and quality of life outcomes · 2025Article
- A new health literacy scale for staff in preschool childcare institution: development and preliminary validation.BMC public health · 2025Article
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Authors and funding
5 authors.
Funding
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Abstract
A suitable health literacy assessment instrument for patients with chronic pain (HLCP) in China with good instrument's psychometric properties is required. A theoretical framework for the HLCP was developed by adopting the hierarchical model of health literacy proposed by Nutbeam. The reliability and validity of the HLCP were tested in a cross-sectional survey of 237 chronic pain patients from three pain clinics and wards of Grade-3A hospitals in Zhejiang Province, China. The discriminant degree method, correlation analysis method, factor analysis method (exploratory factor analysis), half reliability, and other methods were utilized to screen items for inclusion in the final version of HLCP, and the fitness of the model was subsequently evaluated by confirmatory factor analysis. Cronbach's alpha value and test-retest with two-week intervals were used to test the internal consistency and retest reliability of the HLCP. In the exploratory factor analysis, three domains, functional health literacy (10 items), interactive health literacy (14 items), and critical health literacy (7 items), comprising 31 items in total, were finally loaded; the model was determined to explain 70.9% of the total variance. HLCP's effective assessment of the health literacy level of patients with chronic pain and its acceptable reliability and validity were revealed through the results.
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Registered trials
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