Dagmara Paiva|Susana Silva|Mílton Severo|Pedro Moura?Ferreira|Osvaldo Santos|Nuno Lunet|Ana Azevedo
Cross-cultural adaptation and validation of the health literacy assessment tool METER in the Portuguese adult population
Universidade do Porto|Universidade do Porto|Universidade do Porto|University of Lisbon|Iscte – Instituto Universitário de Lisboa|Universidade do Porto|Universidade do Porto
aimed culturally adapt validate meter portuguese population define cutoff values adequate health literacywe used standard procedure adaptation words surveyed health professionals select nonwords instrument administered total sample 249 participants retested subsample 45 three months cutoffs defined using modified angoff procedure construct validity assessed association educational attainment healthrelated occupationexploratory factor analysis revealed two dimensions instrument one words another nonwords meter showed high degree internal consistency acceptable testretest reliability adequate health literacy defined scoring least 3540 words 1830 nonwords physicians scored higher group followed health researchers researchers areas people progressively lower levels education p0001we culturally adapted brief simple instrument health literacy assessment showed valid reliablethe portuguese version meter used assess health literacy portuguese adults explore associations health outcomes