Beth A O'Brien, Malikka Habib, Luca Onnis
Technology-Based Tools for English Literacy Intervention: Examining Intervention Grain Size and Individual Differences
Frontiers in psychology
effective selfmanagement treatment longterm disability stroke depends greatly health literacy patients european health literacy survey questionnaire hlseuq comprehensive theorybased measure captures multiple selfperceived competencies health literacy covers diverse range health contexts however psychometric evidence hlseuq stroke population aim study examine validity hlseuq patients stroke using rasch analysis compared model deviance among onedomain threedomain fourdomain 12domain structures using likelihood ratio tests determine dimensionality hlseuq thereafter examined unidimensionality domain local independence item fit response categories differential item functioning dif best fitting structure total 311 patients stroke participated study rasch analysis revealed 12domain hlseuq demonstrated best datamodel fit original 4point scales showed disordering corrected rescaling 3point scales two middle categories collapsed 47 items rescaled hlseuq fit 12domain rasch model demonstrated local independence assessed 12 unidimensional domains respectively invariant difficulties different age education groups patients stroke recommend using 12domain scores rescaled hlseuq comprehensively accurately capture competencies access understand appraise apply health information within three health contexts healthcare disease prevention health promotion patients stroke