Development and validation of a brief screener to measure the Health Literacy Responsiveness of Primary Care Practices (HLPC)

نویسندگان

  • Sibel Vildan Altin
  • Kristina Lorrek
  • Stephanie Stock
چکیده

BACKGROUND The evolving approach of health literate health care organizations (HLHO) receives considerable support from health policy makers. Up to now, there are no performance measures available to assess the application of health literacy strategies by health care professionals in the primary care setting. This paper describes the development and validation of the Health Literate Primary Care Practice screener (HLPC). The screener can be used as a self-assessment tool for primary care organizations (PCO) that aim to elucidate the health literacy responsiveness of their organization. METHODS The HLPC is a 4-item screener developed in a multi-level process following a theory-driven approach including a literature review, consultations with scientists and cognitive tests with patients in PCO. The screener was applied in a national random sample of N = 1125 adults living in Germany. Item and psychometric properties were analyzed by determining item discrimination and reliability as well as performing a confirmatory factor analysis (CFA) to test the instruments unidimensionality. Criterion validity was investigated by performing bivariate correlations between the HLPC score and heath care quality measures. RESULTS The HLPC scale demonstrated good item discrimination and internal consistency (α = 0.86). CFA verified a one-factor structure of the scale and analysis on the criterion validity revealed a significant correlation between the HLPC score and patients satisfaction with the general practitioner, accessibility of the PCO and support in care-coordination received in the PCO. CONCLUSIONS The HLPC is a valid screener to provide insights in the extent of the utilization of health literacy strategies in primary care practices.

برای دانلود متن کامل این مقاله و بیش از 32 میلیون مقاله دیگر ابتدا ثبت نام کنید

ثبت نام

اگر عضو سایت هستید لطفا وارد حساب کاربری خود شوید

منابع مشابه

Development and Content Validation of a Transcultural Instrument to Assess Organizational Readiness for Knowledge Translation in Healthcare Organizations: The OR4KT

Background Implementing effective interventions in healthcare requires organizations to be ready to support change. This study aimed to develop, adapt transculturally, and assess the content and face validity of the Organizational Readiness for Knowledge Translation (OR4KT) tool. The OR4KT was designed to measure the readiness of healthcare organizations to implement evidence-informed change ac...

متن کامل

Validation of Primary Health Care Governance Model of Iran Using the Delphi Method

Validation of Primary Health Care Governance Model of Iran Using the Delphi Method Jaafarsadegh Tabrizi1, Raana Gholamzadeh Nikjoo2* 1MD, Phd, Department of Health policy and Management, Health Services Management Research Center, Faculty of Management and Medical Informatic, Tabriz University of Medical Sciences 2Phd, Department of Health Policy and Management, Iranian center of excellence in...

متن کامل

The Development and Initial Validation of the Perinatal Mental Health Awareness Scale in Student Midwives

Background & aim: Perinatal mental health problems have been demonstrated to impact upon maternal, and fetal/child outcomes. Despite the global evidence and a policy-driven responsibility for identification of these problems, research demonstrates that student midwives/midwives lack knowledge and confidence to assess, identify, and manage them. A similar context is evident for learning disabili...

متن کامل

Health Literacy and Men\'s Attitudes and Practices toward Prostate Cancer Screening

Background:  Health literacy as a vital indicator of health care costs plays an important role in facilitating effective health communication strategies. Screening is one of these strategies, so that intervention and management can be provided ahead of schedule. The aim of this study was to determine the relationship between health literacy and men's practices and their attitude toward   prosta...

متن کامل

Validation of a brief mental health screener for Karen refugees in primary care.

BACKGROUND Karen refugees from Burma are one of the largest refugee groups currently resettling in the USA. Karen people have endured decades of civil war and human rights violations, leaving them more likely to develop serious mental health disorders. There is a noted lack of brief, culturally validated tools present in primary care settings for detecting posttraumatic stress disorder (PTSD) a...

متن کامل

ذخیره در منابع من


  با ذخیره ی این منبع در منابع من، دسترسی به آن را برای استفاده های بعدی آسان تر کنید

برای دانلود متن کامل این مقاله و بیش از 32 میلیون مقاله دیگر ابتدا ثبت نام کنید

ثبت نام

اگر عضو سایت هستید لطفا وارد حساب کاربری خود شوید

عنوان ژورنال:

دوره 16  شماره 

صفحات  -

تاریخ انتشار 2015