Engelsk titel: Measuring health literacy - the Swedish Functional Health Literacy scale
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Författare:
Wångdahl, Josefin M
;
Mårtensson, Lena I
Email: josefin.wangdahl@pubcare.uu.se
Språk: Eng
Antal referenser: 36
Dokumenttyp:
Artikel
UI-nummer: 15043625
Sammanfattning
Background
The benefits of health promotion efforts vary due to a complexity of reasons. One possible reason for
an absence of effects is the level of functional health literacy among the individuals that participate in
the interventions. Thus, valid and reliable instruments that capture these kinds of skills are needed.
The aim of this study was to develop a Swedish Functional Health Literacy scale to use in health
promotion and health prevention by translating the Japanese Functional Health Literacy scale into
Swedish and testing some aspects of its validity and test-retest reliability.
Methods
The research project comprised six phases including translation and back translation, validity tests
of the two first versions of the instrument based on interviews with professionals and representatives
for the target group of the instrument, and a test-retest of the first version among target groups.
Results
The items in the first two versions were experienced as unclear, which led to improvements of the
next version. The final version of the translated instrument (the Swedish Functional Literacy scale)
showed evidence of content validity, and the test-retest confirmed that the instrument had stability
over time with a percentage agreement for the items ranging from 63% to 92% (M = 77.2%).
Conclusion
The items in the Swedish version of the scale are equivalent to the original Japanese scale in terms
of language and contents and cover the major aspects of functional health literacy as it is defined in
the literature. The translated instrument shows stability over time, that is, reliability, at least for a
part of the Swedish population. More validity tests of the Swedish Functional Health Literacy scale
based on a broader population are needed. Published by arrangement with John Wiley & Sons.