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首页> 外文期刊>Journal of health communication >Applicability of internationally available health literacy measures in the Netherlands.
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Applicability of internationally available health literacy measures in the Netherlands.

机译：荷兰国际上可获得的健康素养措施的适用性。

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Health literacy measures for use in clinical-epidemiological research have all been developed outside Europe. In the absence of validated Dutch measures, we evaluated the cross-cultural applicability of the Rapid Estimate of Adult Literacy in Medicine (REALM), the Newest Vital Sign (NVS), the Set of Brief Screening Questions (SBSQ), and the measure of Functional Communicative and Critical Health Literacy (FCCHL). Each measure was translated into Dutch following standardized procedures. We assessed feasibility, internal consistency, and construct validity among patients with coronary artery disease (n = 201) and patients with diabetes type 2 (n = 88). Patients expressed most problems in responding to the NVS-D. They were not familiar with the type of food label and had difficulties calculating in portions instead of grams. The FCCHL-D items seemed too theoretical for many patients. Cronbach's alpha was acceptable for all measures. Correlation patterns between the measures were moderately coherent with a priori hypotheses. All translated measures were able to distinguish between high- and low-educated groups of patients, with the NVS-D performing best. Despite reasonable psychometric properties as demonstrated so far, these measures need to be further developed in order to increase applicability for assessing health literacy in clinical-epidemiological research in the Netherlands.
机译：在欧洲以外已经开发了用于临床流行病学研究的健康素养措施。在没有经过验证的荷兰措施的情况下，我们评估了《成人医学素养快速评估》（REALM），最新生命体征（NVS），《简短筛查问题集》（SBSQ）和功能性沟通和关键健康素养（FCCHL）。遵循标准化程序将每个度量翻译为荷兰语。我们评估了冠心病患者（n = 201）和2型糖尿病患者（n = 88）的可行性，内部一致性和结构效度。患者对NVS-D的反应存在大多数问题。他们不熟悉食品标签的类型，并且难以计算克数而不是克数。对于许多患者而言，FCCHL-D项目似乎过于理论化。克伦巴赫（Cronbach）的alpha值对于所有度量均可接受。度量之间的相关模式与先验假设适度一致。所有翻译后的指标均能够区分高学历和低学历的患者组，其中NVS-D表现最佳。尽管到目前为止已证明其具有合理的心理计量学性质，但仍需要进一步制定这些措施，以提高荷兰在临床流行病学研究中评估健康素养的适用性。

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