Measurement properties of the Health Literacy Questionnaire (HLQ) among older adults who present to the emergency department after a fall: a Rasch analysis Morris, Rebecca L., Soh, Sze-Ee, Hill, Keith D., Buchbinder, Rachelle, Lowthian, Judy A., Redfern, Julie, Etherton-Beer, Christopher D., Hill, Anne-Marie, Osborne, Richard H., Arendts, Glenn and Barker, Anna L. 2017, Measurement properties of the Health Literacy Questionnaire (HLQ) among older adults who present to the emergency department after a fall: a Rasch analysis, BMC health services research, vol. 17, pp. 1-11, doi: 10.1186/s12913-017-2520-9. Attached Files Name Description MIMEType Size Downloads osborne-measurementproperties-2017.pdf Published version application/pdf 1.15MB 143 Title Measurement properties of the Health Literacy Questionnaire (HLQ) among older adults who present to the emergency department after a fall: a Rasch analysis Author(s) Morris, Rebecca L. Soh, Sze-Ee Hill, Keith D. Buchbinder, Rachelle Lowthian, Judy A. Redfern, Julie Etherton-Beer, Christopher D. Hill, Anne-Marie Osborne, Richard H. orcid.org/0000-0002-9081-2699 Arendts, Glenn Barker, Anna L. Journal name BMC health services research Volume number 17 Article ID 605 Start page 1 End page 11 Total pages 11 Publisher BioMed Central Place of publication London, Eng. Publication date 2017 ISSN 1472-6963 Keyword(s) Falls prevention Health literacy Measurement properties Older adults Rasch analysis Science & Technology Life Sciences & Biomedicine Health Care Sciences & Services RANDOMIZED CONTROLLED-TRIAL MEASUREMENT MODEL PARTICIPATION INSTRUMENTS PROGRAM PEOPLE SCALE TOOL Summary BACKGROUND: Health literacy is an important concept associated with participation in preventive health initiatives, such as falls prevention programs. A comprehensive health literacy measurement tool, appropriate for this population, is required. The aim of this study was to evaluate the measurement properties of the Health Literacy Questionnaire (HLQ) in a cohort of older adults who presented to a hospital emergency department (ED) after a fall. METHODS: Older adults who presented to an ED after a fall had their health literacy assessed using the HLQ (n = 433). Data were collected as part of a multi-centre randomised controlled trial of a falls prevention program. Measurement properties of the HLQ were assessed using Rasch analysis. RESULTS: All nine scales of the HLQ were unidimensional, with good internal consistency reliability. No item bias was found for most items (43 of 44). A degree of overall misfit to the Rasch model was evident for six of the nine HLQ scales. The majority of misfit indicated content overlap between some items and does not compromise measurement. A measurement gap was identified for this cohort at mid to high HLQ score. CONCLUSIONS: The HLQ demonstrated good measurement properties in a cohort of older adults who presented to an ED after a fall. The summation of the HLQ items within each scale, providing unbiased information on nine separate areas of health literacy, is supported. Clinicians, researchers and policy makers may have confidence using the HLQ scale scores to gain information about health literacy in older people presenting to the ED after a fall. Language eng DOI 10.1186/s12913-017-2520-9 Field of Research 111708 Health and Community Services 111702 Aged Health Care 1117 Public Health And Health Services HERDC Research category C1 Refereed article in a scholarly journal ERA Research output type C Journal article Copyright notice ©2017, The Authors Free to Read? Yes Use Rights Persistent URL http://hdl.handle.net/10536/DRO/DU:30102529 Document type: Journal Article Collections: School of Health and Social Development Open Access Collection Related Links Link Description Connect to published version Go to link with your DU access privileges     Unless expressly stated otherwise, the copyright for items in DRO is owned by the author, with all rights reserved. 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. Versions Version Filter Type Wed, 06 Sep 2017, 22:22:29 EST Thu, 07 Sep 2017, 05:01:02 EST Sat, 23 Sep 2017, 02:31:28 EST Sat, 23 Sep 2017, 02:33:04 EST Thu, 12 Oct 2017, 05:04:25 EST Fri, 13 Oct 2017, 12:53:36 EST Fri, 13 Oct 2017, 12:59:01 EST Fri, 13 Oct 2017, 12:59:46 EST Fri, 13 Oct 2017, 13:34:33 EST Fri, 07 Sep 2018, 12:51:18 EST Filtered Full Citation counts:   Cited 4 times in TR Web of Science Cited 5 times in Scopus Search Google Scholar Access Statistics: 99 Abstract Views, 143 File Downloads  -  Detailed Statistics Created: Wed, 06 Sep 2017, 22:22:29 EST

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.