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European Health Literacy Survey Questionnaire

Characteristics

Domains assessed: Comprehension
Specific context: Health Literacy
Modes of administration in validation study : Computer-based
Assessment: Self-reported

Psychometrics

Number of items: 16
Sample size in validation study: 612
Language of validated version: Spanish

Main article reference

Ortiz, G., Francisco-Pérez, J., López-Guerra, V., Vuele-Duma, D. M., Ayora-Apolo, D. C., & Rojas, A. (2026). Psychometric validation of the Spanish HLS-EU-Q16 in Ecuador: evidence for health literacy assessment and public health education. Frontiers in public health, 14, 1717946. https://doi.org/10.3389/fpubh.2026.1717946

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Corresponding author

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Gabriel Ortiz
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Description

16-item self-administered questionnaire measuring the perceived difficulty in assessing, understanding, evaluating, and applying health information

Year Measure first Published: 2026

About This Measure

Categorical scoring: Yes
Scoring categories: 5-point Likert Scale:1: Very Difficult2:  Difficult3: Neither Easy Nor Difficult4: Easy5: Very Easy

About the Validation of this Measure

Content validity: Translated version reviewed by 3 Ecuadorian experts (psychologist with experience in psychometrics and 2 nurses); pre-tested with 30 individuals representative of the sample
Reliability (Cronbach Alpha): 0.92
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