Levent Dumenci|Robin K. Matsuyama|Daniel L. Riddle|Laura Cartwright|Robert A. Perera|Harold Chung|Laura A. Siminoff
Measurement of Cancer Health Literacy and Identification of Patients with Limited Cancer Health Literacy
Virginia Commonwealth University|Virginia Commonwealth University|Virginia Commonwealth University|Virginia Commonwealth University|Virginia Commonwealth University|Virginia Commonwealth University|Temple University
health literacy related broad range health outcomes study designed develop psychometrically sound instrument designed measure cancer health literacy along continuum chlt30 develop another instrument designed determine whether patient limited cancer health literacy chlt6 estimate prevalence limited cancer health literacy cancer health literacy study involving 1306 black white cancer patients conducted april 2011 april 2013 virginia commonwealth university massey cancer center surrounding oncology clinics continuous latent variable modeling framework adopted dimensionally represent cancer health literacy whereas discrete latent variable modeling used estimate prevalence rates limited cancer health literacy self confidence engaging health decisions used primary outcome external validation new instruments results comprehensive analysis strongly supported construct validity reliability chlt30 chlt6 instruments measurement invariance tests ruled itemtest bias explain gender raceethnicity differences test scores limited cancer health literacy rate 18 subpopulation consisting overrepresented black undereducated lowincome cancer patients overall results supported conclusion chlt30 accurately measures cancer health literacy along continuum chlt6 efficiently identifies patients limited cancer health literacy high accuracy