Yu Ko|J. Y.-C. Lee|Matthias Paul Han Sim Toh|Weiming Tang|Audrey Siok Ling Tan
Development and validation of a general health literacy test in Singapore
National University of Singapore|National University of Singapore|SingHealth
due concern equating correct pronunciation comprehension differences health care systems existing health literacy hl instruments may appropriate applicable englishspeaking countries usa purpose study develop validate health literacy test singapore hlts adapted version shorttest functional health literacy adults three hundred two patients interviewed administered hlts newest vital sign nvs demographic questionnaire knowledge test chronic diseases convergent validity hlts determined examining association hlts nvs hl levels whereas predictive validity tested examining difference knowledge chronic conditions two hlts hl ie adequate inadequate hl groups bivariate correlation hlts hl levels age education assessed test priori hypotheses patients inadequate hl older less educated results showed hlts displayed good internal reliability cronbachs alpha 087 correlation hlts nvs moderate 055 p 0005 individuals inadequate hl older p 0002 less educated p 0007 addition patients adequate hl higher mean score chronic disease knowledge test p 0036 conclusion hlts valid reliable measure assessing singaporeans ability read comprehend healthrelated materials written english