Sibel Altin|Isabelle Finke|Sibylle Kautz?Freimuth|Stephanie Stock
The evolution of health literacy assessment tools: a systematic review
University Hospital Cologne|Johannes Gutenberg University Mainz|University Hospital Cologne|University Hospital Cologne
health literacy hl seen increasingly relevant issue global public health requires reliable comprehensive operationalization limited evidence development tools measuring hl proceeded recent years scholars considered existing methodological guidance developing instrument performed systematic review generic measurement tools developed assess hl searching pubmed eric cinahl web knowledge 2009 forward two reviewers independently reviewed abstracts full text articles inclusion according predefined criteria additionally conducted reporting quality appraisal according survey reporting guideline surge identified 17 articles reporting development validation 17 instruments measuring health literacy two thirds instruments based multidimensional construct health literacy moreover trend towards mixed measurement selfreport direct test health literacy 41 instruments applying though results strongly indicate weakness coherence underlying constructs measured overall almost every third instrument based assessment formats modeled already existing functional literacy screeners realm tofhla 30 included articles report significant reporting features specified surge guideline scholars recently developing instruments measure health literacy mainly comply recommendations academic circle applying multidimensional constructs mixing measurement approaches capture health literacy comprehensively nonetheless still dependence assessment formats rooted functional literacy measurement contradicting widespread call new instruments things considered clear consensus hl measurement convergence comprehensive tools giving attention finding help offer direction towards development comparable reliable health literacy assessment tools effectively respond informational needs populations