Characteristics
Domains assessed:
Application/function, Information seeking: Document, Numeracy, Prose: Comprehension
Specific context:
Health Promotion
Validation sample population age:
Adults: 18 to 64 years
Modes of administration in validation study
:
Computer-based
Assessment:
Objective
Psychometrics
Number of items:
25
Sample size in validation study:
889
Administration Time (minutes):
12 minutes
Language of validated version:
English
Main article reference
McCormack, L., Bann, C., Squiers, L., Berkman, N., Squire, C., Schillinger, D., Ohene-Frempong, J., & Hibbard, J. Measuring health literacy: A pilot study of a new skills-based Instrument, Journal of Health Communication, 15:51-71.
Link to articleDescription
An instrument to measure health literacy using a skills-based approach
Year Measure first Published: 2010
About This Measure
Categorical scoring:
Yes
Scoring categories:
Percentage of items scored correctly, with 3 categories used for overall scoring on the instrument: proficient literacy (score of 82 or more), basic literacy (score of 70-81), and below basic literacy (score of 70 or less)
Modern Approach for Tool Development:
Yes
About the Validation of this Measure
Country where validated:
United States of America
Content validity:
Expert panel included in development process. Uses real world stimuli as part of items. Development included user pre-testing.
Criterion validity:
As hypothesized, the HLSI was moderated correlated with the S-TOFHLA (r=0.36). Correlations between the health literacy domains in the HLSI and the S-TOFHLA were highest for the print-prose, print-document, and print-quantitative skill area and much lower for the Internet and oral literacy domains as expected.
Reliability (Cronbach Alpha):
0.86