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  4. Validation of the European Health Literacy Survey Questionnaire in Women with Breast Cancer
 
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Validation of the European Health Literacy Survey Questionnaire in Women with Breast Cancer

Journal
Cancer Nursing
Journal Volume
41
Journal Issue
2
Pages
E40-E48
Date Issued
2018
Author(s)
YI-JING HUANG  
Lin G.-H.
Lu W.-S.
Tam K.-W.
Chen C.
Hou W.-H.
CHING-LIN HSIEH  
DOI
10.1097/NCC.0000000000000475
URI
https://www.scopus.com/inward/record.uri?eid=2-s2.0-85013392824&doi=10.1097%2fNCC.0000000000000475&partnerID=40&md5=158bda16c7f76af206209ff21cad0c35
https://scholars.lib.ntu.edu.tw/handle/123456789/483805
Abstract
Background: Health literacy enables effective communication, participation, and cooperation with clinicians of patients with breast cancer in healthcare processes. The European Health Literacy Survey Questionnaire (HLS-EU-Q) comprehensively assesses multiple conceptual domains of health literacy in a diverse range of health contexts. However, the HLS-EU-Q has not been validated in women with breast cancer. Objectives: We examined the psychometric properties, particularly the factorial validity, of the HLS-EU-Q in women with breast cancer. Methods: We performed a first-order confirmatory factor analysis (CFA) to verify the 12-subdomain model of the 47-item HLS-EU-Q. A second-order CFA was conducted to investigate whether the 12 subdomains reflected the 3 domains of healthcare, disease prevention, and health promotion correspondingly. Results: A total of 475 women with breast cancer participated in this study. The first-order CFA fitted with the HLS-EU-Q containing 47 items. However, item 29, with a low factor loading (-0.05), was deleted. The modified first-order CFA adequately fitted the data of the HLS-EU-Q with 46 items. The second-order CFA model acceptably fitted with the data, but the 3 domains with high correlations (0.92-1.00) were merged into a single domain, health literacy. Conclusions: Our results supported the factorial validity of the 12-subdomain HLS-EU-Q with 46 items in women with breast cancer. It is recommended that the 12 subdomain scores be summed up to represent overall health literacy. Implications for Practice: The HLS-EU-Q with 46 items is recommended for use in capturing the diverse health literacy competencies of women with breast cancer in different health contexts. ? 2018 Wolters Kluwer Health, Inc.
SDGs

[SDGs]SDG3

Other Subjects
adult; Article; breast cancer; breast surgery; cancer patient; cancer screening; comparative study; confirmatory factor analysis; disease assessment; European Health Literacy Survey Questionnaire; female; health literacy; health promotion; health survey; human; internal consistency; major clinical study; medical information; middle aged; priority journal; prospective study; attitude to health; breast tumor; Europe; factor analysis; health literacy; health survey; pathophysiology; psychology; psychometry; questionnaire; reproducibility; statistics and numerical data; Adult; Breast Neoplasms; Europe; Factor Analysis, Statistical; Female; Health Knowledge, Attitudes, Practice; Health Literacy; Health Promotion; Health Surveys; Humans; Middle Aged; Psychometrics; Reproducibility of Results; Surveys and Questionnaires
Publisher
Lippincott Williams and Wilkins
Type
journal article

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