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Health Literacy Environment Scale Adapted for Chinese Culture

Characteristics

Domains assessed: Organizational Health Literacy
Specific context: Organizational Health Literacy
Validation sample population age: Adolescents: 10 to 17 years, Adults: 18 to 64 years, Older Adults: 65+ years
Modes of administration in validation study : Paper and pencil

Psychometrics

Number of items: 30
Sample size in validation study: 697
Language of validated version: Mandarin

Main article reference

Link to article

Corresponding author

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Yingge Tong
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Description

Tool to evaluate the Health Literacy Environment (HLE) of hospitals from the patient perspective.

Year Measure first Published: 2023

About This Measure

Reliability: Test-retest correlation: Intra-class correlation coefficient (ICC) = 0.844

About the Validation of this Measure

Country where validated: China
Content validity: 16 experts majoring in a variety of fields () rated the relevance of each item on a four-point Likert scale, with 1 indicating "not relevant" and 4 indicating "very relevant." Measured Item-content Validity Index (I-CVI) and Scale-content Validity Index (S-CVI). I-CVI of each item ranged from 0.91 to 1.00. S-CVI of total scale calculated as 0.90.
Criterion validity: Criterion validity not evaluated as there is no "gold standard" scale of HLE evaluated from patient's perspectives to compare this measure to.
Reliability (Cronbach Alpha): 0.96
Reliability notes: Cronbach's Alpha of the measure's three dimensions (interpersonal, clinical, and structural) were 0.892, 0.915, and 0.923, respectively.
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