Measuring Health Literacy in Primary Healthcare: Adaptation and Validation of a French-Language Version of the Brief Health Literacy Screening among Patients with Chronic Conditions Seen in Primary Care

Maud-Christine Chouinard, Mireille Lambert, Mélissa Lavoie, Sylvie D. Lambert, Émilie Hudon, Olivier Dumont-Samson and Catherine Hudon
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Maud-Christine Chouinard: Faculté des Sciences Infirmières, Université de Montréal, 2375, Chemin de la Côte-Ste-Catherine, Montréal, QC H3T 1A8, Canada
Mireille Lambert: Centre Intégré Universitaire de Santé et de Services Sociaux du Saguenay-Lac-Saint-Jean, 305 Saint-Vallier, Saguenay, QC G7H 5H6, Canada
Mélissa Lavoie: Département des Sciences de la Santé, Université du Québec à Chicoutimi, 555, Boulevard de l’Université, Saguenay, QC G7H 2B1, Canada
Sylvie D. Lambert: Ingram School of Nursing, St. Mary’s Research Centre, 680 Sherbrooke West, Suite 1800, Montréal, QC H3A 2M7, Canada
Émilie Hudon: Département des Sciences de la Santé, Université du Québec à Chicoutimi, 555, Boulevard de l’Université, Saguenay, QC G7H 2B1, Canada
Olivier Dumont-Samson: Département de Médecine de Famille et de Médecine d’Urgence, Université de Sherbrooke, 3001, 12e Avenue Nord, Sherbrooke, QC J1H 5N4, Canada
Catherine Hudon: Département de Médecine de Famille et de Médecine d’Urgence, Université de Sherbrooke, 3001, 12e Avenue Nord, Sherbrooke, QC J1H 5N4, Canada

IJERPH, 2022, vol. 19, issue 13, 1-11

Abstract: Background: The Brief Health Literacy Screening (BHLS) is a short self-report instrument developed to identify patients with inadequate health literacy. This study aimed to translate the BHLS into French Canadian (BHLS-FCv) and to evaluate its psychometric properties among patients with chronic conditions in primary care. Methods: The BHLS was translated into French using the Hawkins and Osborne’s method. Content validity was evaluated through cognitive interviews. A validation study of the BHLS-FCv was conducted in two primary care clinics in the province of Quebec (Canada) among adult patients with chronic conditions. Psychometric properties evaluated included: internal consistency (Cronbach’s alpha); test–retest reliability (intraclass correlation coefficient); and concurrent validity (Spearman’s correlations with the Health Literacy Questionnaire (HLQ)). Results: 178 participants completed the questionnaire at baseline and 47 completed the questionnaire two weeks later over the telephone. The average score was 13.3. Cronbach’s alpha for internal consistency was 0.77. The intraclass correlation coefficient for test–retest reliability was 0.69 (95% confidence interval: 0.45–0.83). Concurrent validity with Spearman’s correlation coefficient with three subscales of HLQ ranged from 0.28 to 0.58. Conclusions: The BHLS-FCv demonstrated acceptable psychometric properties and could be used in a population with chronic conditions in primary care.

Keywords: self-report; health literacy; validation study; primary care; chronic conditions (search for similar items in EconPapers)
JEL-codes: I I1 I3 Q Q5 (search for similar items in EconPapers)
Date: 2022
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