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HLS(19)-NAV—Validation of a New Instrument Measuring Navigational Health Literacy in Eight European Countries
To manoeuvre a complex and fragmented health care system, people need sufficient navigational health literacy (NAV-HL). The objective of this study was to validate the HLS(19)-NAV measurement scale applied in the European Health Literacy Population Survey 2019–2021 (HLS(19)). From December 2019 to J...
Autores principales: | , , , , , , , , , , , , , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
MDPI
2022
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Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9654211/ https://www.ncbi.nlm.nih.gov/pubmed/36360755 http://dx.doi.org/10.3390/ijerph192113863 |
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author | Griese, Lennert Finbråten, Hanne S. Francisco, Rita De Gani, Saskia M. Griebler, Robert Guttersrud, Øystein Jaks, Rebecca Le, Christopher Link, Thomas Silva da Costa, Andreia Telo de Arriaga, Miguel Touzani, Rajae Vrdelja, Mitja Pelikan, Jürgen M. Schaeffer, Doris |
author_facet | Griese, Lennert Finbråten, Hanne S. Francisco, Rita De Gani, Saskia M. Griebler, Robert Guttersrud, Øystein Jaks, Rebecca Le, Christopher Link, Thomas Silva da Costa, Andreia Telo de Arriaga, Miguel Touzani, Rajae Vrdelja, Mitja Pelikan, Jürgen M. Schaeffer, Doris |
author_sort | Griese, Lennert |
collection | PubMed |
description | To manoeuvre a complex and fragmented health care system, people need sufficient navigational health literacy (NAV-HL). The objective of this study was to validate the HLS(19)-NAV measurement scale applied in the European Health Literacy Population Survey 2019–2021 (HLS(19)). From December 2019 to January 2021, data on NAV-HL was collected in eight European countries. The HLS(19)-NAV was translated into seven languages and successfully applied in and validated for eight countries, where language and survey method differed. The psychometric properties of the scale were assessed using confirmatory factor analysis (CFA) and Rasch modelling. The tested CFA models sufficiently well described the observed correlation structures. In most countries, the NAV-HL data displayed acceptable fit to the unidimensional Rasch partial credit model (PCM). For some countries, some items showed poor data–model fit when tested against the PCM, and some items displayed differential item functioning for selected person factors. The HLS(19)-NAV demonstrated high internal consistency. To ensure content validity, the HLS(19)-NAV was developed based on a conceptual framework. As an estimate of discriminant validity, the Pearson correlations between the NAV-HL and general health literacy (GEN-HL) scales were computed. Concurrent predictive validity was estimated by testing whether the HLS(19)-NAV, like general HL measures, follows a social gradient and whether it forms a predictor of general health status as a health-related outcome of general HL. In some countries, adjustments at the item level may be beneficial. |
format | Online Article Text |
id | pubmed-9654211 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2022 |
publisher | MDPI |
record_format | MEDLINE/PubMed |
spelling | pubmed-96542112022-11-15 HLS(19)-NAV—Validation of a New Instrument Measuring Navigational Health Literacy in Eight European Countries Griese, Lennert Finbråten, Hanne S. Francisco, Rita De Gani, Saskia M. Griebler, Robert Guttersrud, Øystein Jaks, Rebecca Le, Christopher Link, Thomas Silva da Costa, Andreia Telo de Arriaga, Miguel Touzani, Rajae Vrdelja, Mitja Pelikan, Jürgen M. Schaeffer, Doris Int J Environ Res Public Health Article To manoeuvre a complex and fragmented health care system, people need sufficient navigational health literacy (NAV-HL). The objective of this study was to validate the HLS(19)-NAV measurement scale applied in the European Health Literacy Population Survey 2019–2021 (HLS(19)). From December 2019 to January 2021, data on NAV-HL was collected in eight European countries. The HLS(19)-NAV was translated into seven languages and successfully applied in and validated for eight countries, where language and survey method differed. The psychometric properties of the scale were assessed using confirmatory factor analysis (CFA) and Rasch modelling. The tested CFA models sufficiently well described the observed correlation structures. In most countries, the NAV-HL data displayed acceptable fit to the unidimensional Rasch partial credit model (PCM). For some countries, some items showed poor data–model fit when tested against the PCM, and some items displayed differential item functioning for selected person factors. The HLS(19)-NAV demonstrated high internal consistency. To ensure content validity, the HLS(19)-NAV was developed based on a conceptual framework. As an estimate of discriminant validity, the Pearson correlations between the NAV-HL and general health literacy (GEN-HL) scales were computed. Concurrent predictive validity was estimated by testing whether the HLS(19)-NAV, like general HL measures, follows a social gradient and whether it forms a predictor of general health status as a health-related outcome of general HL. In some countries, adjustments at the item level may be beneficial. MDPI 2022-10-25 /pmc/articles/PMC9654211/ /pubmed/36360755 http://dx.doi.org/10.3390/ijerph192113863 Text en © 2022 by the authors. https://creativecommons.org/licenses/by/4.0/Licensee MDPI, Basel, Switzerland. This article is an open access article distributed under the terms and conditions of the Creative Commons Attribution (CC BY) license (https://creativecommons.org/licenses/by/4.0/). |
spellingShingle | Article Griese, Lennert Finbråten, Hanne S. Francisco, Rita De Gani, Saskia M. Griebler, Robert Guttersrud, Øystein Jaks, Rebecca Le, Christopher Link, Thomas Silva da Costa, Andreia Telo de Arriaga, Miguel Touzani, Rajae Vrdelja, Mitja Pelikan, Jürgen M. Schaeffer, Doris HLS(19)-NAV—Validation of a New Instrument Measuring Navigational Health Literacy in Eight European Countries |
title | HLS(19)-NAV—Validation of a New Instrument Measuring Navigational Health Literacy in Eight European Countries |
title_full | HLS(19)-NAV—Validation of a New Instrument Measuring Navigational Health Literacy in Eight European Countries |
title_fullStr | HLS(19)-NAV—Validation of a New Instrument Measuring Navigational Health Literacy in Eight European Countries |
title_full_unstemmed | HLS(19)-NAV—Validation of a New Instrument Measuring Navigational Health Literacy in Eight European Countries |
title_short | HLS(19)-NAV—Validation of a New Instrument Measuring Navigational Health Literacy in Eight European Countries |
title_sort | hls(19)-nav—validation of a new instrument measuring navigational health literacy in eight european countries |
topic | Article |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9654211/ https://www.ncbi.nlm.nih.gov/pubmed/36360755 http://dx.doi.org/10.3390/ijerph192113863 |
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