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首页> 外文期刊>Journal of health communication >Measuring health literacy: a pilot study of a new skills-based instrument.
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Measuring health literacy: a pilot study of a new skills-based instrument.

机译：测量健康素养：一项新的基于技能的工具的试点研究。

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摘要

Although a number of instruments have been used to measure health literacy, a key limitation of the leading instruments is that they only measure reading ability or print literacy and, to a limited extent, numeracy. Consequently, the present study aimed to develop a new instrument to measure an individual's health literacy using a more comprehensive and skills-based approach. First, we identified a set of skills to demonstrate and tasks to perform. Next, we selected real-world health-related stimuli to enable measurement of these skills, and then we developed survey items. After a series of cognitive interviews, the survey items were revised, developed into a 38-item instrument, and pilot tested using a Web-based panel. Based on the psychometric properties, we removed items that did not perform as well, resulting in a 25-item instrument named the Health Literacy Skills Instrument. Based on confirmatory factor analysis, the items were grouped into five subscales representing prose, document, quantitative, oral, and Internet-based information seeking skills. Construct validity was supported by correlations with the short form of the Test of Functional Health Literacy in Adults and self-reported skills. The overall instrument demonstrated good internal consistency, with a Cronbach's alpha of 0.86. Additional analyses are planned, with the goal of creating a short form of the instrument.
机译：尽管已使用多种手段来衡量健康素养，但主要手段的主要局限性在于它们只能衡量阅读能力或印刷素养，并在一定程度上衡量计算能力。因此，本研究旨在开发一种使用更全面和基于技能的方法来衡量个人健康素养的新工具。首先，我们确定了一套演示和执行任务的技能。接下来，我们选择了现实世界中与健康相关的刺激来测量这些技能，然后制定了调查项目。经过一系列的认知访谈之后，对调查项目进行了修订，发展为38个项目的工具，并使用基于Web的面板进行了试点测试。根据心理测量特性，我们删除了性能不佳的项目，从而产生了一个名为“健康素养技能工具”的25个项目的工具。根据验证性因素分析，将项目分为五个子量表，分别代表散文，文档，定量，口头和基于Internet的信息搜索技能。与成人功能健康素养测试的简短形式和自我报告的技能的相关性支持了结构效度。整个仪器显示出良好的内部一致性，克朗巴赫的alpha为0.86。计划进行其他分析，目的是创建一种简短的仪器。

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