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Development of a Health Literacy Scale for Chinese-Speaking Adults in Taiwan
Abstract:Background, measuring an individual-s Health Literacy is gaining attention, yet no appropriate instrument is available in Taiwan. Measurement tools that were developed and used in western countries may not be appropriate for use in Taiwan due to a different language system. Purpose of this research was to develop a Health Literacy measurement instrument specific for Taiwan adults. Methods, several experts of clinic physicians; healthcare administrators and scholars identified 125 common used health related Chinese phrases from major medical knowledge sources that easy accessible to the public. A five-point Likert scale is used to measure the understanding level of the target population. Such measurement is then used to compare with the correctness of their answers to a health knowledge test for validation. Samples, samples under study were purposefully taken from four groups of people in the northern Pingtung, OPD patients, university students, community residents, and casual visitors to the central park. A set of health knowledge index with 10 questions is used to screen those false responses. A sample size of 686 valid cases out of 776 was then included to construct this scale. An independent t-test was used to examine each individual phrase. The phrases with the highest significance are then identified and retained to compose this scale. Result, a Taiwan Health Literacy Scale (THLS) was finalized with 66 health-related phrases under nine divisions. Cronbach-s alpha of each division is at a satisfactory level of 89% and above. Conclusions, factors significantly differentiate the levels of health literacy are education, female gender, age, family members of stroke victims, experience with patient care, and healthcare professionals in the initial application in this study..
Digital Object Identifier (DOI): doi.org/10.5281/zenodo.1081631Procedia APA BibTeX Chicago EndNote Harvard JSON MLA RIS XML ISO 690 PDF Downloads 2002
 B. D. Weiss, "Health literacy: An important issue for communicating health information to patients." Chinese Medical Journal, vol. 64, pp. 603-608, 2001.
 D. A. DeWalt, N. D. Berkman, S. Sheridan, K. N. Lohr, and M. P. Pignone, "Literacy and health outcomes- A systematic review of the literature." Journal of General Internal Medicine, vol. 9, pp. 1228-39, 2004.
 R. M. Cervero, "Is a common definition of adult literacy possible? Adult Education Quarterly, vol. 36(1), pp. 50-54, 1985.
 S. Imel, and S. Grieve, Adult Literacy Education. Overview. Columbus, Ohio: ERIC Clearinghouse on Adult, Career and Vocational Education. (ERIC Document Reproduction Service No. ED 259 210), 1985.
 K. Levine, The Social Context of Literacy. London: Rutledge & Kegan, 1986.
 H. A. Fingeret, Adult Literacy Education: Current and Future Directions. Columbus, Ohio: ERIC Clearinghouse on Adult, Career and Vocational Education. (ERIC Document Reproduction Service No. ED 345 391),1992.
 A. Campbell, I. Kirsch, and A. Kolstad, Assessing Literacy: The Framework for the National Adult Literacy Survey. Princeton: Educational Testing Service, 1992.
 C. S. J. Hunter, and D. Harman, Adult Illiteracy in the United States: A Report to the Ford Foundation. New York: McGraw-Hill, 1979.
 G. S. Wilkinson, Wide Range Achievement Test. Administration Manual. Wilmington, Del: Wide Range, 1993.
 G. S. Wilkinson, and G. J. Robertson, Wide Range Achievement Test-4th Ed. Lutz, FL: Psychological Assessment Resources, 2006.
 H. S. Lin, S. S. Chen, M. L. Kwo, and C. Hwang, "Health literacy in Taiwan: A pilot study." Taiwan Joint Conference in Health Care (c5-c6), Taipei, 2007. (in Chinese)
 H. J. Chiou Quantitative Research and Statistical Analysis in Social & Behavioral Sciences. Taipei: Wunan, 2005. (in Chinese).
 A. A. Al-Tayyib, S. M. Rogers, J. N. Gribble, M. Villarroe, and C. F. Turner, "Effect of low medical literacy on health survey measurements." American Journal of Public Health, vol. 92, pp.1478-1481, 2002.
 World Health Organization, Health Promotion Glossary. Geneva, Switzerland: Division of Health Promotion, Education and Communications (HPR), Health Education and Health Promotion Unit (HEP), p. 10, 1998.
 National Library of Medicine, Current bibliographies in medicine: Health literacy. Bethesda, Maryland: U.S Department of Health and Human Services, National Institutes of Health, 2000.
 D. Nutbeam, "Health literacy as a public health goal: A challenge for contemporary health education and communication strategies into the 21st century." Health Promotion International, vol. 15, pp. 259-67, 2000.
 US Department of Health and Human Services, Office of Disease Prevention and Health Promotion, Healthy People 2010. http://www.health.gov/healthypeople (Retrieved at July 15, 2010).
 S-Y. D. Lee, A. M. Arozullah, and Y. I. Cho. "Health literacy, social support, and health: a research agenda." Social Science & Medicine, vol. 58, pp. 1309-1321, 2004