Isabel Jaramillo, Luisa Bergunde, Cyrielle Holuka, Carlo Schuengel, Jasminka Štefulj, Susann Steudte-Schmiedgen, Maria Kaźmierczak, Giorgia Menta, Conchita D'Ambrosio, Joan G Lalor, Jonathan D Turner, Susan Garthus-Niegel
Mode of birth and DNA methylation at birth, in childhood, and in adolescence: Uncovering the relationship using ALSPAC data
Developmental psychology
growing recognition role citizens patients health health care placed spotlight health literacy patient education identify specific competencies health definitions health literacy patientcentred concepts empirically test dimensionality general population thorough review literature health literacy selfmanagement patient empowerment patient education shared decision making revealed considerable conceptual overlap competencies health identified corpus 30 generic competencies health questionnaire containing 127 items covering 30 competencies fielded telephone interview german french italian among 1255 respondents randomly selected resident population switzerland analyses software mplus model items mixed response categories showed items load onto single factor multifactorial models good fit could erected five dimensions defined priori corresponding competencies information knowledge four competencies 17 items general cognitive skills four competencies 17 items social roles two competencies seven items medical management four competencies 27 items healthy lifestyle two competencies six items multiple indicators multiple causes models identified problematic differential item functioning six items belonging two competencies psychometric analyses instrument support broader conceptualization health literacy single competence rather package competencies health