Universität zu Köln

Konopik, Nadine, Kaspar, Roman ORCID: 0000-0002-5829-2363, Penger, Susanne, Oswald, Frank and Himmelsbach, Ines (2021). Advancing health literacy measurement in old age. Health Promot. Int., 36 (5). S. 1310 - 1324. OXFORD: OXFORD UNIV PRESS. ISSN 1460-2245

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Abstract

Health literacy is described as a domain of competence across the life-span, gaining particular prominence in light of age-associated health restrictions. However, no specific measurement approach has been proposed for old age. The aim of this study is to augment the existing HLS-EU-Q16 scale (16 items) by items sensitive to age-specific aspects of health literacy to ensure validity and reliability for use in old age. In a first step, the HLS-EU-Q16 was administered in a sample of 463 individuals aged 72 - 92 years. Psychometric properties were evaluated using confirmatory factor analysis and item-response-theory item fit statistics. Scale reliability was found to be poor in this population segment. In a second step, age-specific items were developed based on qualitative in-depth interviews with older persons. In a third step, we tested if the additional set of age-specific items was able to enhance a valid and reliable measurement of health literacy in a second sample of older adults (N=107, 49 - 91 years). With the inclusion of an eight-item add-on, it was possible to measure health literacy in old and very old age with both high validity and satisfying precision (reliability= 0.80). The study contributes to a population-specific measurement of health literacy.

Item Type:	Journal Article
Creators:	Creators Email ORCID ORCID Put Code Konopik, Nadine UNSPECIFIED UNSPECIFIED UNSPECIFIED Kaspar, Roman UNSPECIFIED orcid.org/0000-0002-5829-2363 UNSPECIFIED Penger, Susanne UNSPECIFIED UNSPECIFIED UNSPECIFIED Oswald, Frank UNSPECIFIED UNSPECIFIED UNSPECIFIED Himmelsbach, Ines UNSPECIFIED UNSPECIFIED UNSPECIFIED
URN:	urn:nbn:de:hbz:38-575843
DOI:	10.1093/heapro/daaa137
Journal or Publication Title:	Health Promot. Int.
Volume:	36
Number:	5
Page Range:	S. 1310 - 1324
Date:	2021
Publisher:	OXFORD UNIV PRESS
Place of Publication:	OXFORD
ISSN:	1460-2245
Language:	English
Faculty:	Unspecified
Divisions:	Unspecified
Subjects:	no entry
Uncontrolled Keywords:	Keywords Language Health Policy & Services; Public, Environmental & Occupational Health Multiple languages
URI:	http://kups.ub.uni-koeln.de/id/eprint/57584