Hirono Ishikawa|Takeaki Takeuchi|Eiji Yano
Measuring Functional, Communicative, and Critical Health Literacy Among Diabetic Patients
Teikyo University|Shiga University of Medical Science|Teikyo University|Teikyo University
health literacy hl capacity individuals access understand use health information make informed appropriate healthrelated decisions recognized important concept patient education disease management study examined psychometric properties newly developed scales measuring three different levels hl ie functional communicative critical patients diabetesthe reliability validity three hl scales evaluated sample 138 outpatients type 2 diabetes addition sociodemographic clinical characteristics knowledge diabetes informationseeking behaviors selfefficacy assessed patient selfreport questionnaire review electronic medical recordsscale items constructed directly reflect definition hl internal consistency functional communicative critical hl scales adequately high alpha 084 alpha 077 alpha 065 respectively three interpretable factors identified exploratory factor analysis correlations hl scales measures supported construct validity scales three hl scales moderately correlated suggesting represents different domain hl abilities skillsour newly developed hl scales reliable valid measures three types hl diabetic patients exploring patients hl levels may provide better understanding patients potential barriers selfmanagement disease healthpromoting behaviors