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Development and Evaluation of the Korean Health Literacy Instrument

Authors
 Soo Jin Kang  ;  Tae Wha Lee  ;  Michael K. Paasche-Orlow  ;  Gwang Suk Kim  ;  Hee Kwan Won 
Citation
 Journal of Health Communication, Vol.19(2) : 254-266, 2014 
Journal Title
 Journal of Health Communication 
ISSN
 1081-0730 
Issue Date
2014
Abstract
The purpose of this study is to develop and validate the Korean Health Literacy Instrument, which measures the capacity to understand and use health-related information and make informed health decisions in Korean adults. In Phase 1, 33 initial items were generated to measure functional, interactive, and critical health literacy with prose, document, and numeracy tasks. These items included content from health promotion, disease management, and health navigation contexts. Content validity assessment was conducted by an expert panel, and 11 items were excluded. In Phase 2, the 22 remaining items were administered to a convenience sample of 292 adults from community and clinical settings. Exploratory factor and item difficulty and discrimination analyses were conducted and four items with low discrimination were deleted. In Phase 3, the remaining 18 items were administered to a convenience sample of 315 adults 40–64 years of age from community and clinical settings. A confirmatory factor analysis was performed to test the construct validity of the instrument. The Korean Health Literacy Instrument has a range of 0 to 18. The mean score in our validation study was 11.98. The instrument exhibited an internal consistency reliability coefficient of 0.82, and a test–retest reliability of 0.89. The instrument is suitable for screening individuals who have limited health literacy skills. Future studies are needed to further define the psychometric properties and predictive validity of the Korean Health Literacy Instrument.
Full Text
http://www.tandfonline.com/doi/abs/10.1080/10810730.2014.946113#.VIFZn9KsXTo
DOI
10.1080/10810730.2014.946113
Appears in Collections:
1. Journal Papers (연구논문) > 3. College of Nursing (간호대학) > Dept. of Nursing (간호학과)
Yonsei Authors
김광숙(Kim, Gwang Suk) ORCID logo https://orcid.org/0000-0001-9823-6107
이태화(Lee, Tae Wha) ORCID logo https://orcid.org/0000-0003-2568-3074
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URI
https://ir.ymlib.yonsei.ac.kr/handle/22282913/100151
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