Karen R Bottenfield, Maura A Kelley, Shelby Ferebee, Andrew N Best, David Flynn, Theresa A Davies
Effectively teaching cultural competence in a pre-professional healthcare curriculum
BMC medical education
health literacy identified significant predictor healthcare utilization among refugee immigrant communities considering potential impact health outcomes accurately measuring levels health literacy among limited english proficiency lep populations important area investigation study examined psychometric properties modified version aspects health literacy scale aahls based nutbeams model health literacy using exploratory factor efa confirmatory factor cfa analysis among sample karen refugees ethnic minority group burma results efa confirmed 3factor model sample cfa results indicated good model fits demonstrating promising use aahls assessing health literacy among karen refugees findings study support validity using measure among population suggest necessary adjustments incorporate factors unique refugee experience may affect interpretation application items aahls replication using lep samples necessary confirm psychometric properties aahls ability assess health literacy using nutbeams theoretical model health literacy