Measuring health literacy in populations: illuminating the design and development process of the European Health Literacy Survey Questionnaire (HLS-EU-Q)

Hdl Handle:
http://hdl.handle.net/10147/304788
Title:
Measuring health literacy in populations: illuminating the design and development process of the European Health Literacy Survey Questionnaire (HLS-EU-Q)
Authors:
Sørensen, Kristine; Van den Broucke, Stephan; Pelikan, Jürgen M; Fullam, James; Doyle, Gerardine; Slonska, Zofia; Kondilis, Barbara; Stoffels, Vivian; Osborne, Richard H; Brand, Helmut; on behalf of the HLS-EU Consortium
Citation:
BMC Public Health. 2013 Oct 10;13(1):948
Issue Date:
10-Oct-2013
URI:
http://dx.doi.org/10.1186/1471-2458-13-948; http://hdl.handle.net/10147/304788
Abstract:
Abstract Background Several measurement tools have been developed to measure health literacy. The tools vary in their approach and design, but few have focused on comprehensive health literacy in populations. This paper describes the design and development of the European Health Literacy Survey Questionnaire (HLS-EU-Q), an innovative, comprehensive tool to measure health literacy in populations. Methods Based on a conceptual model and definition, the process involved item development, pre-testing, field-testing, external consultation, plain language check, and translation from English to Bulgarian, Dutch, German, Greek, Polish, and Spanish. Results The development process resulted in the HLS-EU-Q, which entailed two sections, a core health literacy section and a section on determinants and outcomes associated to health literacy. The health literacy section included 47 items addressing self-reported difficulties in accessing, understanding, appraising and applying information in tasks concerning decisions making in healthcare, disease prevention, and health promotion. The second section included items related to, health behaviour, health status, health service use, community participation, socio-demographic and socio-economic factors. Conclusions By illuminating the detailed steps in the design and development process of the HLS-EU-Q, it is the aim to provide a deeper understanding of its purpose, its capability and its limitations for others using the tool. By stimulating a wide application it is the vision that HLS-EU-Q will be validated in more countries to enhance the understanding of health literacy in different populations.
Item Type:
Journal Article
Keywords:
PUBLIC HEALTH; LITERACY; HEALTH EDUCATION

Full metadata record

DC FieldValue Language
dc.contributor.authorSørensen, Kristine-
dc.contributor.authorVan den Broucke, Stephan-
dc.contributor.authorPelikan, Jürgen M-
dc.contributor.authorFullam, James-
dc.contributor.authorDoyle, Gerardine-
dc.contributor.authorSlonska, Zofia-
dc.contributor.authorKondilis, Barbara-
dc.contributor.authorStoffels, Vivian-
dc.contributor.authorOsborne, Richard H-
dc.contributor.authorBrand, Helmut-
dc.contributor.authoron behalf of the HLS-EU Consortium-
dc.date.accessioned2013-10-30T14:36:31Z-
dc.date.available2013-10-30T14:36:31Z-
dc.date.issued2013-10-10-
dc.identifier.citationBMC Public Health. 2013 Oct 10;13(1):948-
dc.identifier.urihttp://dx.doi.org/10.1186/1471-2458-13-948-
dc.identifier.urihttp://hdl.handle.net/10147/304788-
dc.description.abstractAbstract Background Several measurement tools have been developed to measure health literacy. The tools vary in their approach and design, but few have focused on comprehensive health literacy in populations. This paper describes the design and development of the European Health Literacy Survey Questionnaire (HLS-EU-Q), an innovative, comprehensive tool to measure health literacy in populations. Methods Based on a conceptual model and definition, the process involved item development, pre-testing, field-testing, external consultation, plain language check, and translation from English to Bulgarian, Dutch, German, Greek, Polish, and Spanish. Results The development process resulted in the HLS-EU-Q, which entailed two sections, a core health literacy section and a section on determinants and outcomes associated to health literacy. The health literacy section included 47 items addressing self-reported difficulties in accessing, understanding, appraising and applying information in tasks concerning decisions making in healthcare, disease prevention, and health promotion. The second section included items related to, health behaviour, health status, health service use, community participation, socio-demographic and socio-economic factors. Conclusions By illuminating the detailed steps in the design and development process of the HLS-EU-Q, it is the aim to provide a deeper understanding of its purpose, its capability and its limitations for others using the tool. By stimulating a wide application it is the vision that HLS-EU-Q will be validated in more countries to enhance the understanding of health literacy in different populations.-
dc.subjectPUBLIC HEALTH-
dc.subjectLITERACY-
dc.subjectHEALTH EDUCATION-
dc.titleMeasuring health literacy in populations: illuminating the design and development process of the European Health Literacy Survey Questionnaire (HLS-EU-Q)-
dc.typeJournal Article-
dc.language.rfc3066en-
dc.rights.holderKristine Sørensen et al.; licensee BioMed Central Ltd.-
dc.description.statusPeer Reviewed-
dc.date.updated2013-10-28T16:01:17Z-
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