Psychometric Evaluation of Three Translated Measures of Functional Health Literacy among Jordanians

Assessment of functional health literacy (FHL) is not integrated into clinical settings in Jordan possibly because relevant psychometric studies are lacking. The aim of this secondary analysis of data on family caregivers (N = 115) was to evaluate the internal consistency reliability and construct validity of three measures of FHL among Jordanians: the Short Test of Functional Health Literacy in Adults (S-TOFHLA), the Rapid Estimate of Adult Literacy in Medicine-Revised (REALM-R), and the Single Item Literacy Screener (SILS). Cronbach’s alpha was excellent for the S-TOFHLA (.92), but suboptimal for the REALM-R (.67). In bivariate analysis, FHL measured by the S-TOFHLA and the REALM-R, but not the SILS, was positively associated with educational attainment (p < .05) and negatively related to self-reported anxiety (p < .05). Among Jordanians, psychometric rigor was fully demonstrated for the S-TOFHLA and partially for the REALM-R, but not for the SILS.

• Publication year

  2022

• Venue

  Western Journal of Nursing Research

• Publication date

  2022-07-07

• Fields of study

  Medicine

• Identifiers
  DOI 10.1177/01939459221110413PMID 35801265
• External record

  Open on Semantic Scholar

• Source metadata

  Semantic Scholar, PubMed

• No claims are published for this paper.

• No concepts are published for this paper.

• Functional health literacy and caregiving burden among family caregivers for patients with end-stage renal disease.

  2020influential reference
• Functional Health

  2020influential reference
• Health literacy among Saudi population: a cross-sectional study

  2019cited by this paper
• Access to health information, health literacy and health-related quality of life among women living with breast cancer: Depression and anxiety as mediators.

  2019cited by this paper
• Limitations of the S-TOFHLA in measuring poor numeracy: a cross-sectional study

  2018cited by this paper
• A Comparison of Health Literacy Measurement Tools for a Sample of College Students

  2018cited by this paper
• The relationship between health literacy and quality of life: a systematic review and meta-analysis

  2018cited by this paper
• The role of health literacy in explaining the association between educational attainment and the use of out-of-hours primary care services in chronically ill people: a survey study

  2018cited by this paper
• Association of health literacy with health information‐seeking preference in older people: A correlational, descriptive study

  2018cited by this paper
• Cross-cultural validation of health literacy measurement tools in Italian oncology patients

  2017cited by this paper
• Testing of the Hospital Anxiety and Depression Scale in Patients With Chronic Obstructive Pulmonary Disease

  2017cited by this paper
• Validation of three Arabic health literacy assessment tools in Lebanon

  2016cited by this paper
• Measurement and the measurement of change : a primer for the health professions

  2016influential reference
• Patients’ Adherence to Healthy Behavior in Coronary Heart Disease: Risk Factor Management Among Jordanian Patients

  2015cited by this paper
• State of the science of health literacy measures: Validity implications for minority populations.

  2015influential reference
• Awareness of modifiable acute myocardial infarction risk factors has little impact on risk perception for heart attack among vulnerable patients.

  2015cited by this paper
• Evaluation of instruments to assess health literacy in Arabic language among Iraqis.

  2015cited by this paper
• Symptoms of acute myocardial infarction: A correlational study of the discrepancy between patients' expectations and experiences.

  2015cited by this paper
• On the Validity of the Shortened Rapid Estimate of Adult Literacy in Medicine (REALM) Scale as a Measure of Health Literacy

  2013cited by this paper
• Nurse Overestimation of Patients' Health Literacy

  2013cited by this paper
• Characteristics of people with low health literacy on coronary heart disease GP registers in South London: a cross-sectional study

  2013cited by this paper
• Functional health literacy in Switzerland--validation of a German, Italian, and French health literacy test.

  2013cited by this paper
• Critical appraisal of health literacy indices revealed variable underlying constructs, narrow content and psychometric weaknesses.

  2011influential reference
• Health in the 'hidden population' of people with low literacy. A systematic review of the literature

  2010cited by this paper
• Perspective: The Role of Numeracy in Health Care

  2008cited by this paper
• The Single Item Literacy Screener: Evaluation of a brief instrument to identify limited reading ability

  2006cited by this paper
• A shortened instrument for literacy screening

  2003influential reference
• The validity of the Hospital Anxiety and Depression Scale. An updated literature review.

  2002cited by this paper
• Development of a brief test to measure functional health literacy.

  1999cited by this paper
• Health promotion glossary (1998)

  1998cited by this paper
• Difficulties in Functional Health Literacy Screening in Spanish-Speaking Adults.

  1995cited by this paper
• The Hospital Anxiety and Depression Scale

  1983cited by this paper

• No citing papers are available for this paper.