Skip to main content

Short Assessment of All Aspects of Health Literacy Scale (Hindi)

Characteristics

Domains assessed: Organizational Health Literacy
Specific context: General
Validation sample population age: Adults: 18 to 64 years, Older Adults: 65+ years
Modes of administration in validation study : Face-to-face
Assessment: Self-reported
Cost: Free

Psychometrics

Sample size in validation study: 250
Administration Time (minutes): 5 minutes
Language of validated version: Hindi

Main article reference

Sharma, D. (2026). Cross-cultural Adaptation and Psychometric Validation of 3 Health Literacy Instruments (SAHL-E, AAHLS, and HLS-EU-Q47) in Hindi Among Rural Adults in North India. Journal of Preventive Medicine & Public Health, 59, 194-203. https://doi.org/10.3961/jpmph.25.893

Link to article

Corresponding author

Contact the corresponding author for this tool

Description

The study validates three tools for Hindi-speaking adults: SAHL-E (18 items) objectively assesses functional health literacy through word recognition and comprehension; AAHLS (14 items) evaluates self-reported functional, communicative, and critical literacy; HLS-EU-Q47 (47 items) comprehensively measures accessing, understanding, appraising, and applying health information.

Year Measure first Published: 2026

Additional Articles:

About This Measure

Categorical scoring: No
Reliability: Test-retest correlation: .91
Modern Approach for Tool Development: Yes

About the Validation of this Measure

Country where validated: India
Content validity: Translation followed forward-backward procedures. Blinded back-translations were assessed by a multidisciplinary expert panel for semantic, idiomatic, experiential, and conceptual equivalence. Pretesting was then conducted with 20 adults via cognitive interviews to evaluate clarity and cultural acceptability.
Criterion validity: Convergent validity was supported by moderate-to-strong positive correlations among total scores: SAHL-E with AAHLS (r=0.48), SAHL-E with HLS-EU-Q47 (r=0.42), and AAHLS with HLS-EU-Q47 (r=0.61); all p<0.001.
Reliability (Cronbach Alpha): 0.87
Additional Notes: This page covers the AAHLS in specific.
lightbulb

We would love your feedback on this measure. Please send your comments or questions to the Tool Shed.

Send Feedback
Jump back to top