Huang, Y.-J., Chen, C.-T., Sørensen, K., Hsieh, C.-L., & Hou, W.-H. (2020). Development of a battery of phase-adaptive health literacy tests for stroke survivors. Patient Education and Counseling, 103(11), 2342–2346. https://doi.org/10.1016/j.pec.2020.04.023
The HL-3S was developed to assess patients’ essential health literacy competencies in the acute, subacute, and chronic phases after stroke. Clinicians can select one of the tests in the HL-3S corresponding to the patient’s stroke recovery timeline and thereby provide adaptive health education programs.
We developed the HL-3S based on the Integrated Model of Health Literacy, which incorporated three health subdomains (health care [HC], disability prevention [DP], and health promotion [HP]) and four information-processing competencies (accessing, understanding, appraising, and applying) related to health decision-making and health-related tasks.
Each item was reviewed by 24–36 stroke survivors and their families to ensure comprehension of item phrasing. The initial item banks were administered to a convenience sample of stroke survivors to examine the fit of the Rasch model.
A panel of clinical experts and Rasch experts selected items from each of the three Rasch-based item banks for the HL-3S, based on the content representativeness and item difficulties. Additionally, the unidimensionality, local independence, and Rasch reliability of the HL-3S were examined using Rasch analysis.
The Rasch reliability coefficient of the three tests in the HL-3S was in the range 0.86–0.87, indicating that the HL-3S yields estimates of health literacy in stroke survivors with satisfactory reliability. Thus, the HL-3S can be used to precisely assess the health literacy of stroke survivors.
Jun
25,
2025
12:00 pm
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1:00 pm
Tufts Medical Center
or Online