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HLS-Q12 Short Version of the European Health Literacy Survey Questionnaire

Characteristics

Domains assessed: Information seeking: Interactive media navigation, Information seeking: Document, Conceptual Knowledge, Appraisal
Specific context: Health Literacy, General
Validation sample population age: Older Adults: 65+ years, Adults: 18 to 64 years, Adolescents: 10 to 17 years
Modes of administration in validation study: Phone-based, Paper and pencil

Psychometrics

Number of items: 12
Sample size in validation study: 900
Language of validated version: Norwegian

Main article reference

Finbraten, H.S., Wilde-Larsson, B., Nordstrom, G., Pettersen, K.S., Trollvik, A., Guttersrud, O. (2018). Establishing the HLS-Q12 Short Version of the European Health Literacy Survey Questionnaire: Latent Trait Analyses Applying Rasch Modelling and Confirmatory Factor Analysis, BMC Health Services Research, 18:506.

Link to article

Corresponding author

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Hanne Finbraten
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Department of Health and Nursing Sciences, Faculty of Social and Health Sciences, Inland Norway University of Applied Sciences, PO Box 400, Elverum, Norway
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Description

The authors of this measure reduced the 47 item European Health Literacy Survey Questionnaire to a parsimonious 12 item scale that meets the assumptions and requirements of objectives measurement while offering a clinically feasible HL screening tool.

Year Measure first Published: 2018

About This Measure

About the Validation of this Measure

Country where validated: Norway
Content validity: The suggested short version in the present study, the HLS-Q12, was developed from analyses of the HLS-EU-Q47 in two Norwegian samples; people with type 2 diabetes and the general population. The suggested version, HLS-Q12, was developed by stepwise exclusion of poorly fitting items, items displaying DIF and items collecting redundant information, together with a qualitative evaluation of the item content in light of the conceptual framework. For dependent items, the item with the most essential information was retained, while the other item was discarded.
Reliability notes: Reliability indexes were slightly higher for the HLS-Q12 than other short versions of the HLS-EU-Q47. HLS-Q12 had the best fit with the Rasch model, showed best fit at the item level no occurrences of misfitting items.
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