Evidence map›Paper›PMID 40020103›Full record

ArticleMedicine2025

Development and validation of the Physician's Health Literacy Competence Scale: A step towards effective doctor-patient communication.

Chia-Chen Chang, Pei-Ling Tseng, Chun-Cheng Liu, Jin-Lain Ming, Su-Hao Fan, Chen-Yin Tung

Abstract readValidation Study
In one paragraph

Article in Medicine, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 3 papers.

0numbers the graph read from it
0cells of the map it votes in
3citing papers in PubMed
–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

3 citing papers in PubMed.

  1. Trial
  2. Article
  3. 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

6 authors.

Chia-Chen ChangDepartment of Health Promotion and Health Education, College of Education, National Taiwan Normal University, Taipei, Taiwan.ORCID 0000-0003-2050-5447
Pei-Ling TsengDepartment of Health Promotion and Health Education, College of Education, National Taiwan Normal University, Taipei, Taiwan.
Chun-Cheng LiuDepartment of Health Promotion and Health Education, College of Education, National Taiwan Normal University, Taipei, Taiwan.
Jin-Lain MingDepartment of Nursing, Taipei Veterans General Hospital, Taipei City, Taiwan.
Su-Hao FanDepartment of General Medicine, Cardinal Tien Hospital, New Taipei City, Taiwan.
Chen-Yin TungDepartment of Health Promotion and Health Education, College of Education, National Taiwan Normal University, Taipei, Taiwan.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

This study aimed to develop a physician's Health Literacy Competence Scale that emphasizes the importance of enhancing patient health literacy for effective patient-centered care. A literature review of health literacy and existing measurement tools was conducted to develop the scale's structure and items. The scale was refined through a cross-sectional design in 2 stages: item testing and examination of reliability and validity. Exploratory factor analysis was conducted on the pilot test results of 127 medical students. Items with cross and low factor loadings were deleted, resulting in the retention of 25 items. Subsequently, 203 medical students were recruited as samples for confirmatory factor analysis. Items with excessively large modification indices were excluded from analysis. Finally, 20 items were retained, comprising 4 factors: building doctor-patient trust, providing a supportive environment, shared decision-making, and verifying medication adherence. Analysis of content, internal consistency, and construct validity confirmed the strong reliability and validity of the Physician's Health Literacy Competence Scale. This effective tool serves curriculum development and assessment in medical education while also offering valuable insights into potential reforms in related courses.

Indexed as

Clinical CompetenceCommunicationEducational MeasurementHealth LiteracyPhysician-Patient RelationsCross-Sectional StudiesCurriculumDecision Making, SharedEducation, MedicalFactor Analysis, StatisticalFemaleHumansInternship and ResidencyMalePatient-Centered CarePatient Education as Topic

Identifiers

PMID40020103
PMCPMC11875591

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Registered trials

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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.