Development and Validation of the Chinese Health Literacy Scale for Chronic Care

This study aims to develop and test the psychometric properties of the Chinese Health Literacy Scale for Chronic Care (CHLCC). This is a methodological study with a sample of 262 patients 65 years of age and older who had chronic illnesses. Pearson's correlation, independent sample t tests, and analyses of variance were used. The CHLCC showed a significant positive correlation with Chinese literacy levels (r = 0.80; p < .001) but was negatively correlated with age (r = −0.31; p < .001). Respondents who were male (t = 4.34; p < .001) and who had reached Grade 12 or higher in school (F = 51.80; p < .001) had higher CHLCC scores than did their counterparts. Individuals with high levels of health literacy had fewer hospitalizations than did their counterparts (β = −0.31; incidence rate ratio = 0.73; p < .05). The CHLCC also displayed good internal reliability (Cronbach's α = 0.91) and good test-retest reliability (intraclass correlation coefficient = 0.77; p < .01). The CHLCC is a valid and reliable measure for assessing health literacy among Chinese patients with chronic illness. The scale could be used by practitioners before implementing health promotion and education.