A Review of Health Literacy Measurement Tools from the Health Literacy Tool Shed Database
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Objectives: This study conducted a systematic review of generic health literacy measurement tools, aiming to support the development of effective tools for assessing health literacy levels among Koreans with evidence-based data. Methods: We analyzed data on measurement tools registered in the "Health Literacy Tool Shed" (https://healthliteracy.bu.edu) from September 1 to October 10, 2021. The database included 216 tools developed between 1961 and 2021, from which 10 were selected for in-depth review. We assessed the methodological quality of these tools using the COSMIN checklist. Results: Among the 10 studies reviewed, 4 implemented item response theory. All studies were evaluated for internal consistency in reliability, with the overall quality being deemed excellent. Additionally, both content and construct validity were rated as excellent in terms of quality. Conclusions: There is a need for the development of universally applicable health literacy measurement tools for Koreans. The reliability and validity of these tools should be subject to regular verification. Koreans need to be developed, and their reliability and validity should be regularly verified.
Abstract
Objectives: This study conducted a systematic review of generic health literacy measurement tools, aiming to support the development of effective tools for assessing health literacy levels among Koreans with evidence-based data. Methods: We analyzed data on measurement tools registered in the "Health Literacy Tool Shed" (https://healthliteracy.bu.edu) from September 1 to October 10, 2021. The database included 216 tools developed between 1961 and 2021, from which 10 were selected for in-depth review. We assessed the methodological quality of these tools using the COSMIN checklist. Results: Among the 10 studies reviewed, 4 implemented item response theory. All studies were evaluated for internal consistency in reliability, with the overall quality being deemed excellent. Additionally, both content and construct validity were rated as excellent in terms of quality. Conclusions: There is a need for the development of universally applicable health literacy measurement tools for Koreans. The reliability and validity of these tools should be subject to regular verification. Koreans need to be developed, and their reliability and validity should be regularly verified.
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