Openly accessible

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 118

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 iD for 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 Creative Commons Attribution licence
Persistent URL http://hdl.handle.net/10536/DRO/DU:30102529

Document type: Journal Article
Collections: School of Health and Social Development
Open Access Collection
Connect to link resolver
 
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
Citation counts: TR Web of Science Citation Count  Cited 2 times in TR Web of Science
Scopus Citation Count Cited 2 times in Scopus
Google Scholar Search Google Scholar
Access Statistics: 75 Abstract Views, 118 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.