Characteristics
Domains assessed:
Information seeking: Document
Specific context:
General
Validation sample population age:
Adults: 18 to 64 years
Modes of administration in validation study
:
Paper and pencil
Assessment:
Objective
Psychometrics
Number of items:
21
Sample size in validation study:
223
Language of validated version:
English
Main article reference
Zhang, X.H., Thumboo, J., Fong, K.Y., & Li, S.C. (2009). Development and validation of a functional health literacy test. Patient, 2(3):169-78.
Link to articleCorresponding author
Xu-Hao Zhang
Description
Cloze-style reading comprehension of health related content
Year Measure first Published: 2009
About This Measure
Measure style:
TOFHLA Family
Categorical scoring:
Yes
Scoring categories:
Sum score categorized as proficient literacy (score >82), basic literacy (70–81), and below basic literacy (score <70)
Reliability: Test-retest correlation:
Test-retest reliability of the Functional Health Literacy Test among rheumatic patients was shown to be high (ICC = 0.95).
About the Validation of this Measure
Country where validated:
Malaysia
Content validity:
Maze procedure, expert judgment, and interviews with 55 respondents were used to develop the 21-item FHLT, which was modified from public health education material entitled Guidelines on Taking Medicines, published by the Singapore Health Promotion Board.
Criterion validity:
Convergent: REALM r=0.65 public and REALM r=0.68 rheumatic; Divergent: Edu r=0.33 public and Edu r=0.28 rheumatic
