摘要

BACKGROUND:: Health literacy enables effective communication, participation, and cooperation with clinicians of patients with breast cancer in healthcare processes. The European Health Literacy Survey Questionnaire (HLS-EU-Q) comprehensively assesses multiple conceptual domains of health literacy in a diverse range of health contexts. However, the HLS-EU-Q has not been validated in women with breast cancer. OBJECTIVES:: We examined the psychometric properties, particularly the factorial validity, of the HLS-EU-Q in women with breast cancer. METHODS:: We performed a first-order confirmatory factor analysis (CFA) to verify the 12-subdomain model of the 47-item HLS-EU-Q. A second-order CFA was conducted to investigate whether the 12 subdomains reflected the 3 domains of healthcare, disease prevention, and health promotion correspondingly. RESULTS:: A total of 475 women with breast cancer participated in this study. The first-order CFA fitted with the HLS-EU-Q containing 47 items. However, item 29, with a low factor loading (−0.05), was deleted. The modified first-order CFA adequately fitted the data of the HLS-EU-Q with 46 items. The second-order CFA model acceptably fitted with the data, but the 3 domains with high correlations (0.92–1.00) were merged into a single domain, health literacy. CONCLUSIONS:: Our results supported the factorial validity of the 12-subdomain HLS-EU-Q with 46 items in women with breast cancer. It is recommended that the 12 subdomain scores be summed up to represent overall health literacy. IMPLICATIONS FOR PRACTICE:: The HLS-EU-Q with 46 items is recommended for use in capturing the diverse health literacy competencies of women with breast cancer in different health contexts.
原文英語
頁(從 - 到)E40-E48
期刊Cancer Nursing
41
發行號2
DOIs
出版狀態已發佈 - 三月 1 2018

指紋

Health Literacy
Health Surveys
Statistical Factor Analysis
Breast Neoplasms
Delivery of Health Care
Health
Health Promotion
Psychometrics
Surveys and Questionnaires
Communication

ASJC Scopus subject areas

  • Oncology(nursing)
  • Oncology

引用此文

Validation of the European Health Literacy Survey Questionnaire in Women With Breast Cancer. / Huang, Yi Jing; Lin, Gong Hong; Lu, Wen Shian; Tam, Ka Wai; Chen, Chiehfeng Cliff ; Hou, Wen Hsuan; Hsieh, Ching Lin.

於: Cancer Nursing, 卷 41, 編號 2, 01.03.2018, p. E40-E48.

研究成果: 雜誌貢獻文章

Huang, Yi Jing ; Lin, Gong Hong ; Lu, Wen Shian ; Tam, Ka Wai ; Chen, Chiehfeng Cliff ; Hou, Wen Hsuan ; Hsieh, Ching Lin. / Validation of the European Health Literacy Survey Questionnaire in Women With Breast Cancer. 於: Cancer Nursing. 2018 ; 卷 41, 編號 2. 頁 E40-E48.
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abstract = "BACKGROUND:: Health literacy enables effective communication, participation, and cooperation with clinicians of patients with breast cancer in healthcare processes. The European Health Literacy Survey Questionnaire (HLS-EU-Q) comprehensively assesses multiple conceptual domains of health literacy in a diverse range of health contexts. However, the HLS-EU-Q has not been validated in women with breast cancer. OBJECTIVES:: We examined the psychometric properties, particularly the factorial validity, of the HLS-EU-Q in women with breast cancer. METHODS:: We performed a first-order confirmatory factor analysis (CFA) to verify the 12-subdomain model of the 47-item HLS-EU-Q. A second-order CFA was conducted to investigate whether the 12 subdomains reflected the 3 domains of healthcare, disease prevention, and health promotion correspondingly. RESULTS:: A total of 475 women with breast cancer participated in this study. The first-order CFA fitted with the HLS-EU-Q containing 47 items. However, item 29, with a low factor loading (−0.05), was deleted. The modified first-order CFA adequately fitted the data of the HLS-EU-Q with 46 items. The second-order CFA model acceptably fitted with the data, but the 3 domains with high correlations (0.92–1.00) were merged into a single domain, health literacy. CONCLUSIONS:: Our results supported the factorial validity of the 12-subdomain HLS-EU-Q with 46 items in women with breast cancer. It is recommended that the 12 subdomain scores be summed up to represent overall health literacy. IMPLICATIONS FOR PRACTICE:: The HLS-EU-Q with 46 items is recommended for use in capturing the diverse health literacy competencies of women with breast cancer in different health contexts.",
keywords = "Breast neoplasms, Health literacy, Outcome and process assessment, Psychometrics, Validation studies as topic",
author = "Huang, {Yi Jing} and Lin, {Gong Hong} and Lu, {Wen Shian} and Tam, {Ka Wai} and Chen, {Chiehfeng Cliff} and Hou, {Wen Hsuan} and Hsieh, {Ching Lin}",
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T1 - Validation of the European Health Literacy Survey Questionnaire in Women With Breast Cancer

AU - Huang, Yi Jing

AU - Lin, Gong Hong

AU - Lu, Wen Shian

AU - Tam, Ka Wai

AU - Chen, Chiehfeng Cliff

AU - Hou, Wen Hsuan

AU - Hsieh, Ching Lin

PY - 2018/3/1

Y1 - 2018/3/1

N2 - BACKGROUND:: Health literacy enables effective communication, participation, and cooperation with clinicians of patients with breast cancer in healthcare processes. The European Health Literacy Survey Questionnaire (HLS-EU-Q) comprehensively assesses multiple conceptual domains of health literacy in a diverse range of health contexts. However, the HLS-EU-Q has not been validated in women with breast cancer. OBJECTIVES:: We examined the psychometric properties, particularly the factorial validity, of the HLS-EU-Q in women with breast cancer. METHODS:: We performed a first-order confirmatory factor analysis (CFA) to verify the 12-subdomain model of the 47-item HLS-EU-Q. A second-order CFA was conducted to investigate whether the 12 subdomains reflected the 3 domains of healthcare, disease prevention, and health promotion correspondingly. RESULTS:: A total of 475 women with breast cancer participated in this study. The first-order CFA fitted with the HLS-EU-Q containing 47 items. However, item 29, with a low factor loading (−0.05), was deleted. The modified first-order CFA adequately fitted the data of the HLS-EU-Q with 46 items. The second-order CFA model acceptably fitted with the data, but the 3 domains with high correlations (0.92–1.00) were merged into a single domain, health literacy. CONCLUSIONS:: Our results supported the factorial validity of the 12-subdomain HLS-EU-Q with 46 items in women with breast cancer. It is recommended that the 12 subdomain scores be summed up to represent overall health literacy. IMPLICATIONS FOR PRACTICE:: The HLS-EU-Q with 46 items is recommended for use in capturing the diverse health literacy competencies of women with breast cancer in different health contexts.

AB - BACKGROUND:: Health literacy enables effective communication, participation, and cooperation with clinicians of patients with breast cancer in healthcare processes. The European Health Literacy Survey Questionnaire (HLS-EU-Q) comprehensively assesses multiple conceptual domains of health literacy in a diverse range of health contexts. However, the HLS-EU-Q has not been validated in women with breast cancer. OBJECTIVES:: We examined the psychometric properties, particularly the factorial validity, of the HLS-EU-Q in women with breast cancer. METHODS:: We performed a first-order confirmatory factor analysis (CFA) to verify the 12-subdomain model of the 47-item HLS-EU-Q. A second-order CFA was conducted to investigate whether the 12 subdomains reflected the 3 domains of healthcare, disease prevention, and health promotion correspondingly. RESULTS:: A total of 475 women with breast cancer participated in this study. The first-order CFA fitted with the HLS-EU-Q containing 47 items. However, item 29, with a low factor loading (−0.05), was deleted. The modified first-order CFA adequately fitted the data of the HLS-EU-Q with 46 items. The second-order CFA model acceptably fitted with the data, but the 3 domains with high correlations (0.92–1.00) were merged into a single domain, health literacy. CONCLUSIONS:: Our results supported the factorial validity of the 12-subdomain HLS-EU-Q with 46 items in women with breast cancer. It is recommended that the 12 subdomain scores be summed up to represent overall health literacy. IMPLICATIONS FOR PRACTICE:: The HLS-EU-Q with 46 items is recommended for use in capturing the diverse health literacy competencies of women with breast cancer in different health contexts.

KW - Breast neoplasms

KW - Health literacy

KW - Outcome and process assessment

KW - Psychometrics

KW - Validation studies as topic

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