Lisa Korsbakke Emtekær Hæsum
Department of Health Science and Technology, Faculty of Medicine, Aalborg University, Denmark
Lars Ehlers
Centre of Improvement in Health Care, Faculty of Social Sciences and Faculty of Medicine, Aalborg University, Denmark
Ole K. Hejlesen
Department of Health Science and Technology, Faculty of Medicine, Aalborg University, Denmark/Department of Computer Science, University of Tromsø, Tromsø, Norway
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Published in: Scandinavian Conference on Health Informatics; August 22; 2014; Grimstad; Norway
Linköping Electronic Conference Proceedings 102:1, p. 1-7
Published: 2014-08-20
ISBN: 978-91-7519-241-3
ISSN: 1650-3686 (print), 1650-3740 (online)
The authors of this paper translated and adapted the original American full-length Test of Functional Health Literacy in Adults (TOFHLA) into a Danish version. As a part of a pilot study the Danish TOFHLA was validated for use in a Danish population. The purpose of the pilot study was to test and validate the Danish version of TOFHLA on 42 consecutively selected patients diagnosed with chronic obstructive pulmonary disease (COPD); and to explore tendencies and associations between health literacy and demographic characteristics; educational attainment; and mean response time. The 42 COPD patients were recruited from two different settings (the municipality of Aalborg and the municipality of Hjørring). Based on a Cronbach’s alpha coefficient of 0.943; a reliable Danish TOFHLA has been successfully developed. The results of the pilot study showed no statistical significant differences between COPD patients recruited from the municipality of Aalborg and those recruited from the municipality of Hjørring. More research is needed to explore the level of health literacy among Danish COPD patients.
Denmark; Chronic obstructive pulmonary disease; TOFHLA; Validity; Health literacy
[1 ] Baker DW. The meaning and the measure of health literacy. Journal of General Internal Medicine 2006;21(8):878-883.
[2] Sorensen K; Van Den Broucke S; Brand H; Fullam J;
Doyle G; Pelikan J; Slonszka Z. Health literacy and public
health: a systematic review and integration of definitions and
models. BMC Public Health 2012(1):80.
[3] Nielsen-Bohlman L; Panzer AM; Kindig DA. Health
literacy: a prescription to end confusion. : National Academies
Press; 2004.
[4] Nutbeam; Don (World Health Organization). Health
Promotion Glossary; 1998. Available at:
http://www.who.int/healthpromotion/about/HPR%20Glossary
%201998.pdf. Accessed 10/09; 2013.
[5] Parker RM; Williams MV; Weiss BD; Baker DW; Davis TC; Doak CC; Doak LG; Hein K; Meade CD; Nurss J. Health literacy-Report of the Council on Scientific Affairs. Jama-Journal of the American Medical Association 1999;281(6):552-557.
[6] European Commission. Together for health: a strategic
approach for the EU 2008–2013. White paper; IP/07/15712007;23.
[7] Protheroe J; Nutbeam D; Rowlands G. Health literacy: a
necessity for increasing participation in health care. The
British Journal of General Practice 2009;59(567):721.
[8] Ishikawa H; Nomura K; Sato M; Yano E. Developing a
measure of communicative and critical health literacy: a pilot
study of Japanese office workers. Health Promot Internation
2008;23(3):269-274.
[9] Barber MN; Staples M; Osborne RH; Clerehan R; Elder C;
Buchbinder R. Up to a quarter of the Australian population
may have suboptimal health literacy depending upon the
measurement tool: results from a population-based survey.
Health Promot Internation 2009;24(3):252-261.
[10] Adams RJ; Appleton SL; Hill CL; Dodd M; Findlay C;
Wilson DH. Risks associated with low functional health
literacy in an Australian population. Med J Aust
2009;191(10):530-534.
[11]W ang J; Schmid M. Regional differences in health
literacy in Switzerland. Zürich: University of Zürich.Institute
of Social and Preventive Medicine 2007.
[12] Lee TW; Kang SJ; Lee HJ; Hyun SI. Testing health
literacy skills in older Korean adults. Patient Educ Couns
2009;75(3):302-307.
[13] van der Heide I; Wang J; Droomers M; Spreeuwenberg P;
Rademakers J; Uiters E. The relationship between health;
education; and health literacy: Results from the Dutch Adult
Literacy and Life Skills Survey. J Health Commun 2013;18(sup1):172-184.
[14] Davis TC; Crouch M; Long SW; Jackson RH; Bates P;
George RB; Bairnsfather LE. Rapid assessment of literacy
levels of adult primary care patients. Fam Med
1991;23(6):433-435.
[15] Parker RM; Baker DW; Williams MV. The test of
functional health literacy in adults. Journal of general internal
medicine 1995;10(10):537-541.
[16] Berkman ND; Sheridan SL; Donahue KE; Halpern DJ;
Viera A; Crotty K; Holland A; Brasure M; Lohr KN; Harden
E. Health literacy interventions and outcomes: An updated
systematic review. 2011.
[17] Kondilis BK; Kiriaze IJ; Athanasoulia AP; Falagas ME.
Mapping health literacy research in the European Union: a
bibliometric analysis. PLoS One 2008;3(6):e2519.
[18] Sadeghi S; Brooks D; Stagg-Peterson S; Goldstein R.
Growing Awareness of the Importance of Health Literacy in
Individuals with COPD. COPD: Journal of Chronic
Obstructive Pulmonary Disease 2013;10(1):72-78.
[19] Omachi TA; Urmimala Sarkar MD M; Blanc PD. Lower
health literacy is associated with poorer health status and
outcomes in chronic obstructive pulmonary disease. Journal of
general internal medicine 2013;28(1):74-81.
[20] Roberts NJ; Ghiassi R; Partridge MR. Health literacy in
COPD. International journal of chronic obstructive pulmonary
disease 2008;3(4):499.
[21] Baker DW; Williams MV; Parker RM; Gazmararian JA;
Nurss J. Development of a brief test to measure functional
health literacy. Patient Educ Couns 1999;38(1):33-42.
[22] Nutbeam D. The evolving concept of health literacy. Soc
Sci Med 2008;67(12):2072-2078.
[23] Beaton DE; Bombardier C; Guillemin F; Ferraz MB.
Guidelines for the process of cross-cultural adaptation of selfreport
measures. Spine 2000;25(24):3186-3191.
[24] Jungersen DR. 4.500 nordjyske KOL-patienter tilbydes
behandling i eget hjem. 2013; Available at:
http://ugeskriftet.dk/nyhed/4500-nordjyske-kol-patientertilbydes-behandling-i-eget-hjem. Accessed 12/02; 2013.
[25] Sadeghi K. Measuring reading comprehension: The
judgmental validity of cloze procedure. International Journal
of American Linguistics 2008;11(2).
[26] IBM Corp. IBM SPSS Statistics for Windows; Version
21.0. . 2012.
[27] Houser J. Nursing research<br />Reading; Using and
Creating Evidence. 2nd ed. Boston: Jones & Barlett
Publishers; 2011.
[28] Bland M. An introduction to medical statistics. : Oxford
University Press; 2000.
[29] Kutner M; Greenburg E; Jin Y; Paulsen C. The Health
Literacy of America’s Adults: Results from the 2003 National
Assessment of Adult Literacy. NCES 2006-483. National
Center for Education Statistics 2006.
[30] van der Heide I; Rademakers J; Schipper M; Droomers
M; Sørensen K; Uiters E. Health literacy of Dutch adults: a
cross sectional survey. BMC Public Health 2013;13(1):1-11.