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Development of an Instrument Measuring Navigation Health Literacy

Characteristics

Domains assessed: Prose: Comprehension
Specific context: General
Validation sample population age: Adults: 18 to 64 years
Modes of administration in validation study: Face-to-face

Psychometrics

Number of items: 12
Sample size in validation study: 33
Language of validated version: German

Main article reference

Griese, L., Berens, E.-M., Nowak, P., Pelikan, J. M., & Schaeffer, D. (2020). Challenges in Navigating the Health Care System: Development of an Instrument Measuring Navigation Health Literacy. International Journal of Environmental Research and Public Health, 17(16), 5731. doi:10.3390/ijerph17165731

Link to article

Corresponding author

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Lennert Griese
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Bielefeld University, Bielefeld, Germany
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Description

A tool developed from a combination of both the tool to evaluate navigation health literacy ( HL-NAV) in conjunction with the new international health Literacy Population Survey (HLS19). This new tool is suited for cross-country comparisons and monitoring, as well as for intervention development.

Year Measure first Published: 2020

About This Measure

About the Validation of this Measure

Country where validated: Germany
Content validity: A scoping literature review using Arksey and O’Malley’s approach was performed to obtain an overview of existing definitions, concepts, and instruments in the field of navigation with a special focus on health literacy. In a second step, a working definition of HL-NAV was developed that addressed the underlying understanding and principles of health literacy as well as the findings from the reviewed literature. Afterwards, concept mapping of the main HL-NAV tasks was carried out. Finally, items matching these tasks have been developed. The wording and response scale of the European Health Literacy Survey Questionnaire (HLS-EU-Q) was applied for item development. Items were discussed in four different focus groups—a procedure which is frequently used in initial item development. The aim was to gain feedback on the clarity and interpreted content of each item. The final instrument to be used for Germany was pre-tested in thirty-three personal face-to-face interviews. The results of the two pre-test modules were collected and evaluated together with the research team.
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