Yi-Jing Huang1, Gong-Hong Lin, Wen-Shian Lu, Ka-Wai Tam, Chiehfeng Chen, Wen-Hsuan Hou, Ching-Lin Hsieh. 1. Author Affiliations: School of Occupational Therapy, College of Medicine, National Taiwan University, Taipei City (Ms Huang, Mr Lin, and Dr Hsieh); School of Occupational Therapy, Chung Shan Medical University; and Occupational Therapy Room, Chung Shan Medical University Hospital, Taichung City (Dr Lu); Division of General Surgery, Department of Surgery, Taipei Medical University-Shuang Ho Hospital, New Taipei City; and Department of Surgery, School of Medicine, Taipei Medical University (Dr Tam); Division of Plastic Surgery, Department of Surgery, Taipei Medical University-Wan Fang Hospital; and Department of Public Health, School of Medicine, College of Medicine, Taipei Medical University (Dr Chen); and Master Program in Long-Term Care and School of Gerontology and Health Management, College of Nursing, Taipei Medical University; and Department of Physical Medicine and Rehabilitation, Taipei Medical University Hospital (Dr Hou); and Department of Physical Medicine and Rehabilitation, National Taiwan University Hospital, Taipei City (Dr Hsieh).
Abstract
BACKGROUND: Health literacy enables effective communication, participation, and cooperation with clinicians of patients with breast cancer in healthcare processes. The European Health Literacy Survey Questionnaire (HLS-EU-Q) comprehensively assesses multiple conceptual domains of health literacy in a diverse range of health contexts. However, the HLS-EU-Q has not been validated in women with breast cancer. OBJECTIVES: We examined the psychometric properties, particularly the factorial validity, of the HLS-EU-Q in women with breast cancer. METHODS: We performed a first-order confirmatory factor analysis (CFA) to verify the 12-subdomain model of the 47-item HLS-EU-Q. A second-order CFA was conducted to investigate whether the 12 subdomains reflected the 3 domains of healthcare, disease prevention, and health promotion correspondingly. RESULTS: A total of 475 women with breast cancer participated in this study. The first-order CFA fitted with the HLS-EU-Q containing 47 items. However, item 29, with a low factor loading (-0.05), was deleted. The modified first-order CFA adequately fitted the data of the HLS-EU-Q with 46 items. The second-order CFA model acceptably fitted with the data, but the 3 domains with high correlations (0.92-1.00) were merged into a single domain, health literacy. CONCLUSIONS: Our results supported the factorial validity of the 12-subdomain HLS-EU-Q with 46 items in women with breast cancer. It is recommended that the 12 subdomain scores be summed up to represent overall health literacy. IMPLICATIONS FOR PRACTICE: The HLS-EU-Q with 46 items is recommended for use in capturing the diverse health literacy competencies of women with breast cancer in different health contexts.
BACKGROUND: Health literacy enables effective communication, participation, and cooperation with clinicians of patients with breast cancer in healthcare processes. The European Health Literacy Survey Questionnaire (HLS-EU-Q) comprehensively assesses multiple conceptual domains of health literacy in a diverse range of health contexts. However, the HLS-EU-Q has not been validated in women with breast cancer. OBJECTIVES: We examined the psychometric properties, particularly the factorial validity, of the HLS-EU-Q in women with breast cancer. METHODS: We performed a first-order confirmatory factor analysis (CFA) to verify the 12-subdomain model of the 47-item HLS-EU-Q. A second-order CFA was conducted to investigate whether the 12 subdomains reflected the 3 domains of healthcare, disease prevention, and health promotion correspondingly. RESULTS: A total of 475 women with breast cancer participated in this study. The first-order CFA fitted with the HLS-EU-Q containing 47 items. However, item 29, with a low factor loading (-0.05), was deleted. The modified first-order CFA adequately fitted the data of the HLS-EU-Q with 46 items. The second-order CFA model acceptably fitted with the data, but the 3 domains with high correlations (0.92-1.00) were merged into a single domain, health literacy. CONCLUSIONS: Our results supported the factorial validity of the 12-subdomain HLS-EU-Q with 46 items in women with breast cancer. It is recommended that the 12 subdomain scores be summed up to represent overall health literacy. IMPLICATIONS FOR PRACTICE: The HLS-EU-Q with 46 items is recommended for use in capturing the diverse health literacy competencies of women with breast cancer in different health contexts.
Authors: Michelle E Chang; Samantha J Baker; Isabel C Dos Santos Marques; Amandiy N Liwo; Sebastian K Chung; Joshua S Richman; Sara J Knight; Mona N Fouad; C Ann Gakumo; Terry C Davis; Daniel I Chu Journal: Health Lit Res Pract Date: 2020-02-11
Authors: Janet Yuen-Ha Wong; Abraham Ka-Chung Wai; Man Ping Wang; Jung Jae Lee; Matthew Li; Jojo Yan-Yan Kwok; Carlos King-Ho Wong; Anna Wai-Man Choi Journal: Int J Environ Res Public Health Date: 2021-02-05 Impact factor: 3.390