验证性因素分析
医学
接收机工作特性
可靠性(半导体)
健康素养
德尔菲法
比例(比率)
结构效度
同时有效性
标准效度
临床心理学
理解力
心理测量学
机器学习
人工智能
医疗保健
内科学
计算机科学
结构方程建模
功率(物理)
经济
物理
程序设计语言
量子力学
经济增长
内部一致性
作者
Hsiu Ling Chou,Yu Ling Lo,Chieh‐Yu Liu,Shih Chiang Lin,Yu-Ching Chen
出处
期刊:Cancer Nursing
[Ovid Technologies (Wolters Kluwer)]
日期:2019-04-16
卷期号:43 (5): E291-E303
被引量:6
标识
DOI:10.1097/ncc.0000000000000711
摘要
Background Health literacy (HL) influences a patient’s comprehension and judgment of health-related information. A rigorous assessment tool is needed to screen for low HL in order to improve it. Objective The aim of this study was to develop and validate the Cancer Health Literacy Scale (C-HLS). Methods The framework of the C-HLS is based on the Levels of Prevention model. The scale items were developed according to Nutbeam’s 3 constructs of HL. We employed several procedures to develop the C-HLS, including focus group interviews, item generation, the expert Delphi process, and face validity. Various types of analysis, including reliability and split-half reliability testing, confirmatory factor analysis, and criterion-related validity testing, were performed; receiver operating characteristic curve analysis was also performed to confirm sensitivity and specificity. Results There were 33 items included in the C-HLS for validation; 360 newly diagnosed cancer patients completed the survey. The administration time is only 10 to 15 minutes. Results showed that C-HLS had good reliability, split-half reliability, and validity. All confirmatory factor analysis model fit indices reached acceptable thresholds. The receiver operating characteristic curve analyses suggested that the C-HLS had an adequate combination of sensitivity and specificity to distinguish between high and low HL. Conclusions The C-HLS is a reliable, valid tool capable of discriminating levels of HL in the assessment of cancer patients and does not have an excessive administration time. Implications for Practice This scale can aid our understanding of HL in newly diagnosed cancer patients and can serve as a basis for providing individual care interventions.
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