ArticleRisk management and healthcare policy2023
The Use of Multidimensional Nomial Logistic Model and Structural Equation Model in the Validation of the 14-Item Health-Literacy Scale in Chinese Patients Living with Type 2 Diabetes.
Article in Risk management and healthcare policy, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 5 papers.
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5 citing papers in PubMed.
- Psychometric Validation of the Chinese Version of the Diabetes Health Literacy Scale Among Adults with Type 2 Diabetes Mellitus: Application of Factor Analysis and Item Response Theory.Diabetes, metabolic syndrome and obesity : targets and therapy · 2026Article
- The Reduced Multi-Dimensional Health Literacy Scale: A First Bilingual Validation Using RASCH Analysis.International journal of environmental research and public health · 2025Article
- Impact of functional, communicative, critical and distributed health literacy on self-management behaviors in chronic disease patients across socioeconomic groups.BMC public health · 2025Article
- Mechanism of health literacy impact on self-management behaviors in patients with chronic disease: a self-efficacy mediated model moderated by disease duration.Frontiers in public health · 2025Article
- The impact of health literacy on treatment adherence in COPD patients: chain mediation roles of self-efficacy and perceived disease threat.Frontiers in public health · 2025Article
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7 authors.
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Abstract
Objective: To evaluate the psychometric properties of the 14-item health literacy scale (HL-14) in patients living with type 2 diabetes mellitus (T2DM) in clinical setting. Methods: Cross-sectional study using item response theory and structural equation modeling (SEM) for testing the item difficulty and three dimensional-HL configurations was adopted in this study. Chinese patients living with T2DM admitted to endocrinology department of Huadong hospital were evaluated by the HL-14 including communication, functional and critical health literacy from August to December 2021. Results: The multidimensional random coefficients multinomial logistic model indicated the difficulty settings of the scale are appropriate for the study populations, and differential item functioning was not observed for sex in the study. SEM demonstrated that the three-dimensional configuration of the scale is good in the study population ( Conclusion: The HL-14 scale is a reliable and valid measurement, which can perform equitably across sex in evaluating the health literacy in Chinese patients living with T2DM. Moreover, the scale may help fill the gaps of multidimensional health literacy assessment and rapid screening of health literacy ability for clinical practice.
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