Development and validation of the health literacy assessment tool for older people in Taiwan

Potential impacts of cultural differences

Min Huey Chung, Liang Kung Chen, Li Ning Peng, Mei Ju Chi

Research output: Contribution to journalArticle

1 Citation (Scopus)

Abstract

Purpose: To screen health literacy among urban elderly in Taiwan, who cannot be evaluated easily using the current measurement tools because of the "face", which meant someone felt embarrassed if he did not know how to do something. Materials and methods: A literature review was performed to define a framework for developing the health literacy screening tool. Two hundred elderly were recruited to test the validity and reliability for pilot study. One thousand and eighty two elderly who came from quota sampling in Taipei City by administrative areas and gender were interviewed face-to-face to gather health literacy performance by the developed health literacy screening tool and the short-form Mandarin Health Literacy Scale (s-MHLS). Results: 10-items of health literacy screening tool by self-perception were developed. The mean score of screening tool among analysis sample was 42.3 (0-50) and s-MHLS was 9.5 (0-11). Pearson correlation coefficient was 0.441 (p<0.0001) between these two measurements. Multiple regressions showed that, female, younger, higher education, living with family, has no primary caregiver, has few medical companionship, and higher score of health knowledge had better health literacy performance in both measurements. Conclusions: This screening tool should be applied to screen health literacy of elderly came from baby boomer who usually have lower education levels than the general population in Chinese regions.

Original languageEnglish
Pages (from-to)289-295
Number of pages7
JournalArchives of Gerontology and Geriatrics
Volume61
Issue number2
DOIs
Publication statusPublished - Sep 1 2015

Fingerprint

Health Literacy
Taiwan
cultural difference
literacy
health
Education
Self Concept
Reproducibility of Results
Caregivers
know how
baby
self-image
performance
caregiver
education

Keywords

  • Health literacy
  • Screening tool
  • Taiwan
  • Urban elderly

ASJC Scopus subject areas

  • Ageing
  • Geriatrics and Gerontology
  • Health(social science)
  • Gerontology

Cite this

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abstract = "Purpose: To screen health literacy among urban elderly in Taiwan, who cannot be evaluated easily using the current measurement tools because of the {"}face{"}, which meant someone felt embarrassed if he did not know how to do something. Materials and methods: A literature review was performed to define a framework for developing the health literacy screening tool. Two hundred elderly were recruited to test the validity and reliability for pilot study. One thousand and eighty two elderly who came from quota sampling in Taipei City by administrative areas and gender were interviewed face-to-face to gather health literacy performance by the developed health literacy screening tool and the short-form Mandarin Health Literacy Scale (s-MHLS). Results: 10-items of health literacy screening tool by self-perception were developed. The mean score of screening tool among analysis sample was 42.3 (0-50) and s-MHLS was 9.5 (0-11). Pearson correlation coefficient was 0.441 (p<0.0001) between these two measurements. Multiple regressions showed that, female, younger, higher education, living with family, has no primary caregiver, has few medical companionship, and higher score of health knowledge had better health literacy performance in both measurements. Conclusions: This screening tool should be applied to screen health literacy of elderly came from baby boomer who usually have lower education levels than the general population in Chinese regions.",
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