Sandra A Smith, Lauren N Carroll
Data-Driven Maternal Health Literacy Promotion and a Postscript on Its Implications
Studies in health technology and informatics
develop falls health literacy scale fhls health literacy tool specific falls ii evaluate fhlss construct validity towards differentiating individuals different fallrelated health literacy iii determine reliability construct validity structure older population initial fhls developed based srensen et als health literacy model first administered 144 participants aged 18 years feedback scale improvement preliminary analysis determine fhlss construct validity identifying individuals different fallrelated health literacy scale refinement fhls validated 227 communityliving people aged 65 years adult participants fall prevention knowledge scored higher initial fhls less fall prevention knowledge p0001 final fhls includes 25item subjective 14item objective scale older people 1 fall past year reported lower fhlssubjective scores falls cohens d029 confidence interval ci003056 p003 older people lower levels education lower fhlsobjective scores educated counterparts d051 ci038143 p0001 factor analysis fhlssubjective generated six subscales cfa showing adequate model fit rmsea0077 cfi0883 2df 235 fhlssubjective 25item showed good reliability cronbachs alpha093 mean interitem correlation034 range 003081 intraclass coefficient 086 95 ci069093 novel contextspecific fhls displayed good construct validity reliability fhls holds promise screening tool differentiate individuals different degrees fallrelated health literacy may help guide fall prevention interventions