The HLS 19 -COM-P, a New Instrument for Measuring Communicative Health Literacy in Interaction with Physicians: Development and Validation in Nine European Countries

Hanne Søberg Finbråten (), Peter Nowak, Robert Griebler, Éva Bíró, Mitja Vrdelja, Rana Charafeddine, Lennert Griese, Henrik Bøggild, Doris Schaeffer, Thomas Link, Zdenek Kucera, Julien Mancini and Jürgen M. Pelikan
Additional contact information
Hanne Søberg Finbråten: Department of Health and Nursing Sciences, Faculty of Social and Health Sciences, Inland Norway University of Applied Sciences, P.O. Box 400, 2418 Elverum, Norway
Peter Nowak: Competence Centre for Health Promotion and Health System, Austrian National Public Health Institute, A-1010 Vienna, Austria
Robert Griebler: Competence Centre for Health Promotion and Health System, Austrian National Public Health Institute, A-1010 Vienna, Austria
Éva Bíró: Department of Public Health and Epidemiology, Faculty of Medicine, University of Debrecen, H-4028 Debrecen, Hungary
Mitja Vrdelja: Communication Unit, National Institute of Public Health, Trubarjeva 2, 1000 Ljubljana, Slovenia
Rana Charafeddine: Department of Public Health and Epidemiology, Sciensano, 1050 Brussels, Belgium
Lennert Griese: Interdisciplinary Centre for Health Literacy Research [ICHL], School of Public Health, Bielefeld University, 33615 Bielefeld, Germany
Henrik Bøggild: Public Health and Epidemiology, Department of Health Science and Technology, Aalborg University, 9220 Aalborg, Denmark
Doris Schaeffer: Interdisciplinary Centre for Health Literacy Research [ICHL], School of Public Health, Bielefeld University, 33615 Bielefeld, Germany
Thomas Link: Department of Quality Measurement and Patient Survey, Austrian National Public Health Institute, A-1010 Vienna, Austria
Zdenek Kucera: Czech Health Literacy Institute, Sokolská 490/31, 120 00 Prague, Czech Republic
Julien Mancini: Aix Marseille University, APHM INSERM, IRD, ISSPAM, SESSTIM, Cancer, Biomedicine & Society Group, Ligue 2019 Accredited Team, F-13009 Marseille, France
Jürgen M. Pelikan: WHO-CC Health Promotion in Hospitals and Health Care, Austrian National Public Health Institute, A-1010 Vienna, Austria

IJERPH, 2022, vol. 19, issue 18, 1-23

Abstract: Background: Sufficient communicative health literacy (COM-HL) is important for patients actively participating in dialogue with physicians, expressing their needs and desires for treatment, and asking clarifying questions. There is a lack of instruments combining communication and HL proficiency. Hence, the aim was to establish an instrument with sufficient psychometric properties for measuring COM-HL. Methods: The HLS 19 -COM-P instrument was developed based on a conceptual framework integrating HL with central communicative tasks. Data were collected using different data collection modes in nine countries from December 2019 to January 2021 ( n = 18,674). Psychometric properties were assessed using Rasch analysis and confirmatory factor analysis. Cronbach’s alpha and Person separation index were considered for reliability. Results: The 11-item version (HLS 19 -COM-P-Q11) and its short version of six items (HLS 19 -COM-P-Q6) fit sufficiently the unidimensional partial credit Rasch model, obtained acceptable goodness-of-fit indices and high reliability. Two items tend to under-discriminate. Few items displayed differential item functioning (DIF) across person factors, and there was no consistent pattern in DIF across countries. All items had ordered response categories. Conclusions: The HLS 19 -COM-P instrument was well accepted in nine countries, in different data collection modes, and could be used to measure COM-HL.

Keywords: Calgary-Cambridge Guide framework (C-CG); communicative health literacy; confirmatory factor analysis; data collection modes; HLS 19; measurement; physician–patient communication; Rasch analysis (search for similar items in EconPapers)
JEL-codes: I I1 I3 Q Q5 (search for similar items in EconPapers)
Date: 2022
References: View references in EconPapers View complete reference list from CitEc
Citations: View citations in EconPapers (1)

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