Felisha M Davis, Jonathan Bowling, Ashish T Khanchandani, Michael C Larkins, Dmitry Tumin, Sunil Badami, Ahmed K Alomari, Shoujun Chen, Moiz Vora, Yaolin Zhou
Development of a Scoring Rubric Assessing Medical Students' Explanations of Pathology Reports
Archives of pathology & laboratory medicine
health literacy ability access understand evaluate use essential health information make basic health decisions study aimed develop psychometrically evaluate instrument measuring health literacy among adults health literacy instrument adults helia addition literature review panel specialists different disciplines formed generate item pool framework defined develop initial questionnaire based definition health literacy important global public health issues initial questionnaire contained 66 items next 15 experts public health approached assess content validity consequently 19 items removed provisional version questionnaire 47 items provided finally random sample adults completed questionnaire psychometric properties instrument assessed overall 323 adults aged 18 65 years old completed questionnaire exploratory factor analysis performed 33 items loaded indicated 5factor solution questionnaire jointly explained 529 variance observed factors follows access information 6 items reading 4 items understanding 7 items appraisal 4 items decision makingbehavioral intention 12 items confirmatory factory analysis also indicated good fit data fivelatent structure 2df 160 srmr 0049 rmsea 0043 cfi 098 nfi 095 nnfi 098 gfi 087 additional analysis internal consistency showed satisfactory results cronbachs alpha coefficients ranging 072 089 intraclass correlation coefficient testretest analysis also showed acceptable stability questionnaire icc 084 mean score health literacy measured helia 763 sd 151 100 study sample findings suggest health literacy instrument adults helia valid reliable instrument measuring health literacy short easytouse instrument could applied different settings