ArticleInternational journal of environmental research and public health2025
The Reduced Multi-Dimensional Health Literacy Scale: A First Bilingual Validation Using RASCH Analysis.
Article in International journal of environmental research and public health, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.
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.
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.
Who cites it
0 citing papers in PubMed.
No citing paper in PubMed yet.
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
3 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
This study aimed to evaluate the reliability and validity of the reduced health literacy scale (HLS) of Ishikawa, as used in translated German and Italian versions.
methodsThe reduced HL scale was applied to a convenience sample of 100 persons with type 2 diabetes (DM2) in a province of Northern Italy. Rasch analysis was used to evaluate the psychometric measures of the nine items, regarding communicative and critical HL.
resultsPerson and item reliability was 0.87 for the German and 0.72 for the Italian version. Correlation values ranged from 0.55 to 0.76 (German version) and from 0.48 to 0.70 (Italian version). MNSQ values INFIT and OUTFIT expressed generally positive results. Possible redundancy was observed for one item in the German and Italian version, respectively, and in one for both versions. The values obtained in the analysis indicate a good fit, and no item had to be changed. In the German version, about 14% of persons demonstrate a high HL level (10% for the Italian version), while 39% expressed a low level of HL (56% for the Italian version).
conclusionsNo particularly critical items of the reduced HL scale emerged in both versions applying Rasch analysis. The use of the reduced scale (only nine items) has the advantage of being integrated into longer questionnaires and into more structured assessment instruments. Furthermore, it could also be used as a rapid screening tool, allowing health professionals to address patients and their HL needs in a more targeted way. However, more psychometric testing with a larger sample is required.
Indexed as
Identifiers
What OpenQuestion holds
Registered trials
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.