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Measuring health literacy in populations: illuminating the design and development process of the European Health Literacy Survey Questionnaire (HLS-EU-Q)

Sørensen, Kristine, Van den Broucke, Stephan, Pelikan, Jürgen M., Fullam, James, Doyle, Gerardine, Slonska, Zofia, Kondilis, Barbara, Stoffels, Vivian, Osborne, Richard H. and Brand, Helmut 2013, Measuring health literacy in populations: illuminating the design and development process of the European Health Literacy Survey Questionnaire (HLS-EU-Q), BMC public health, vol. 13, pp. 1-10, doi: 10.1186/1471-2458-13-948.

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Title Measuring health literacy in populations: illuminating the design and development process of the European Health Literacy Survey Questionnaire (HLS-EU-Q)
Author(s) Sørensen, Kristine
Van den Broucke, Stephan
Pelikan, Jürgen M.
Fullam, James
Doyle, Gerardine
Slonska, Zofia
Kondilis, Barbara
Stoffels, Vivian
Osborne, Richard H.ORCID iD for Osborne, Richard H. orcid.org/0000-0002-9081-2699
Brand, Helmut
Journal name BMC public health
Volume number 13
Article ID 948
Start page 1
End page 10
Total pages 10
Publisher BioMed Central
Place of publication London, Eng.
Publication date 2013-10-10
ISSN 1471-2458
Keyword(s) Adult
Ethnic Groups
Europe
Female
Health Literacy
Health Status Indicators
Health Surveys
Humans
Language
Male
Middle Aged
Reproducibility of Results
Surveys and Questionnaires
HLS-EU Consortium
Science & Technology
Life Sciences & Biomedicine
Public, Environmental & Occupational Health
Survey
Measurement
Tool
Population
Summary BACKGROUND: Several measurement tools have been developed to measure health literacy. The tools vary in their approach and design, but few have focused on comprehensive health literacy in populations. This paper describes the design and development of the European Health Literacy Survey Questionnaire (HLS-EU-Q), an innovative, comprehensive tool to measure health literacy in populations.
METHODS: Based on a conceptual model and definition, the process involved item development, pre-testing, field-testing, external consultation, plain language check, and translation from English to Bulgarian, Dutch, German, Greek, Polish, and Spanish.
RESULTS: The development process resulted in the HLS-EU-Q, which entailed two sections, a core health literacy section and a section on determinants and outcomes associated to health literacy. The health literacy section included 47 items addressing self-reported difficulties in accessing, understanding, appraising and applying information in tasks concerning decisions making in healthcare, disease prevention, and health promotion. The second section included items related to, health behaviour, health status, health service use, community participation, socio-demographic and socio-economic factors.
CONCLUSIONS: By illuminating the detailed steps in the design and development process of the HLS-EU-Q, it is the aim to provide a deeper understanding of its purpose, its capability and its limitations for others using the tool. By stimulating a wide application it is the vision that HLS-EU-Q will be validated in more countries to enhance the understanding of health literacy in different populations.
Language eng
DOI 10.1186/1471-2458-13-948
Field of Research 119999 Medical and Health Sciences not elsewhere classified
1117 Public Health And Health Services
Socio Economic Objective 929999 Health not elsewhere classified
HERDC Research category C1.1 Refereed article in a scholarly journal
ERA Research output type C Journal article
Copyright notice ©2013, Sørensen et al.
Free to Read? Yes
Use Rights Creative Commons Attribution licence
Persistent URL http://hdl.handle.net/10536/DRO/DU:30067596

Document type: Journal Article
Collections: School of Health and Social Development
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Every reasonable effort has been made to ensure that permission has been obtained for items included in DRO. If you believe that your rights have been infringed by this repository, please contact drosupport@deakin.edu.au.