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首页> 外文期刊>Journal of health communication >Development and Validation of the Comprehensive Health Activities Scale: A New Approach to Health Literacy Measurement
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Development and Validation of the Comprehensive Health Activities Scale: A New Approach to Health Literacy Measurement

机译：综合卫生活动量表的制定和验证：健康素养测量的新方法

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Current health literacy measures have been criticized for solely measuring reading and numeracy skills when a broader set of skills is necessary for making informed health decisions, especially when information is often conveyed verbally and through multimedia video. The authors devised 9 health tasks and a corresponding 190-item assessment to more comprehensively measure health literacy skills. A sample of 826 participants between the ages of 55 and 74 years who were recruited from an academic general internal medicine practice and three federally qualified health centers in Chicago, Illinois, completed the assessment. Items were reduced using hierarchical factor analysis and item response theory resulting in the 45-item Comprehensive Health Activities Scale. All 45 items loaded on 1 general latent trait, and the resulting scale demonstrated high reliability and strong construct validity using measures of health literacy and global cognitive functioning. The predictive validity of the Comprehensive Health Activities Scale using self-reported general, physical, and mental health status was comparable to or better than widely used measures of health literacy, depending on the outcome. Despite comprehensively measuring health literacy skills, items in the Comprehensive Health Activities Scale supported 1 primary construct. With similar psychometric properties, current measures may be adequate, depending on the purpose of the assessment.
机译：当做出更广泛的技能来做出明智的健康决定时，尤其是经常通过口头和通过多媒体视频传达信息时，当前的健康素养措施被批评为仅测量阅读和计算能力。作者设计了9项健康任务和相应的190项评估，以更全面地衡量健康素养技能。样本是从826名年龄在55到74岁之间的参与者中抽取的，这些参与者是从一所普通的内科医学实践和伊利诺伊州芝加哥市的三个具有联邦资格的医疗中心招募的，他们完成了评估。使用层次因子分析和项目响应理论对项目进行了缩减，得出了45个项目的“全面健康活动量表”。所有45个项目均加载了1个一般潜在特征，并且使用健康素养和整体认知功能的量度，得出的量表显示出高可靠性和强结构效度。根据结果​​，使用自我报告的一般，身体和心理健康状况的《综合健康活动量表》的预测有效性与广泛使用的健康素养衡量标准相当或更好。尽管全面衡量了健康素养技能，但“综合健康活动量表”中的项目仍支持1个主要结构。具有类似的心理测量特性，根据评估的目的，当前的措施可能就足够了。

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