Designing Health Literacy Measurement Tools: A Critical Review of Common Paths and Probable Mistakes

Rakhshanderou, Sakineh; Safari-Moradabadi, Ali; Bahrambeygi, Fatemeh; Ghaffari, Mohtasham

doi:10.22038/jhl.2023.70838.1390

	Designing Health Literacy Measurement Tools: A Critical Review of Common Paths and Probable Mistakes
Journal of Health Literacy
مقاله 8، دوره 8، شماره 3 - شماره پیاپی 31، آذر 2023، صفحه 90-102 اصل مقاله (1.03 M)
نوع مقاله: Review Article.
شناسه دیجیتال (DOI): 10.22038/jhl.2023.70838.1390
نویسندگان
Sakineh Rakhshanderou¹؛ Ali Safari-Moradabadi²؛ Fatemeh Bahrambeygi³؛ Mohtasham Ghaffari^* ⁴
¹Assistant Professor in Health Education & Health Promotion, School of Public Health and Safety, Shahid Beheshti University of Medical Sciences, Tehran, Iran.
²Assistant Professor of Health Education and Promotion Department of Health Promotion and Education, School of Health, Alborz University of Medical Sciences, Alborz, Iran.
³PhD Student in Health Education & Health Promotion, School of Public Health and Safety, Shahid Beheshti University of Medical Sciences, Tehran, Iran.
⁴* Professor in Health Education & Health Promotion, School of Public Health and Safety, Shahid Beheshti University of Medical Sciences, Tehran, Iran.
چکیده
Background and Objective: Measuring concepts such as health literacy, either generally or specifically, in different populations requires the use of existing standard instruments or the development of new ones by the researcher. The study was conducted to critical review of common methodologies for instrument development in the health literacy. Materials and Methods: This review article examines health literacy measurement tools with two objectives: 1) methodological review of tool design 2) review of the items used in each tool by posing this question (validity review) "Do the items measure what is intended in relation to the concept of health literacy and its dimensions?”. In order to access the health literacy tools, first was referred to the site "Health Literacy Tool Shed".10% of the available tools (20 item) were randomly included in the study for a deep and detailed review. Results: Finding showed, researchers employed three different approaches to the development of measurement instruments; 1) Review of literature or used the already existing instruments, 2) The qualitative approach to explain a concept and embrace it from different dimensions as well as construct the items and 3) Mix-method approach (a mixture the previous two approaches). Two mistakes include 1) interpretation error (error of qualitative content analysis, creation of categories and sub-categories from codes and meaning units) and 2) program error (error of exploiting subcategories and categories in designing and generating items and different parts of tools) reported. Conclusions: Paying attention and considering what was indicated regarding different approaches and paths as well as processes and methods can preserve researches to a large extent from the main problem that is the collection of inaccurate data due to instruments with low validity and reliability.
کلیدواژه‌ها
Health Literacy؛ Tool؛ Methodology؛ Critical Review؛ Measurement

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Designing Health Literacy Measurement Tools: A Critical Review of Common Paths and Probable Mistakes