The HLS19-COM-P, a New Instrument for Measuring Communicative Health Literacy in Interaction with Physicians: Development and Validation in Nine European Countries

Hanne Søberg Finbråten*, Peter Nowak, Robert Griebler, Éva Bíró, Mitja Vrdelja, Rana Charafeddine, Lennert Griese, Henrik Bøggild, Doris Schaeffer, Thomas Link, Zdenek Kucera, Julien Mancini, Jürgen M. Pelikan

*Corresponding author for this work

Research output: Contribution to journalJournal articleResearchpeer-review

3 Citations (Scopus)
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Abstract

Background: Sufficient communicative health literacy (COM-HL) is important for patients actively participating in dialogue with physicians, expressing their needs and desires for treatment, and asking clarifying questions. There is a lack of instruments combining communication and HL proficiency. Hence, the aim was to establish an instrument with sufficient psychometric properties for measuring COM-HL. Methods: The HLS19-COM-P instrument was developed based on a conceptual framework integrating HL with central communicative tasks. Data were collected using different data collection modes in nine countries from December 2019 to January 2021 (n = 18,674). Psychometric properties were assessed using Rasch analysis and confirmatory factor analysis. Cronbach’s alpha and Person separation index were considered for reliability. Results: The 11-item version (HLS19-COM-P-Q11) and its short version of six items (HLS19-COM-P-Q6) fit sufficiently the unidimensional partial credit Rasch model, obtained acceptable goodness-of-fit indices and high reliability. Two items tend to under-discriminate. Few items displayed differential item functioning (DIF) across person factors, and there was no consistent pattern in DIF across countries. All items had ordered response categories. Conclusions: The HLS19-COM-P instrument was well accepted in nine countries, in different data collection modes, and could be used to measure COM-HL.
Original languageEnglish
Article number11592
JournalInternational Journal of Environmental Research and Public Health
Volume19
Issue number18
ISSN1661-7827
DOIs
Publication statusPublished - 14 Sept 2022

Keywords

  • Calgary-Cambridge Guide framework (C-CG)
  • Communication
  • HLS19
  • Health Literacy
  • Humans
  • Physicians
  • Psychometrics
  • Rasch analysis
  • Reproducibility of Results
  • Surveys and Questionnaires
  • communicative health literacy
  • confirmatory factor analysis
  • data collection modes
  • measurement
  • physician–patient communication

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