Concordance between two instruments for health literacy assessment
Autor(a) principal: | |
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Data de Publicação: | 2020 |
Outros Autores: | , , , , , |
Tipo de documento: | preprint |
Idioma: | por |
Título da fonte: | SciELO Preprints |
Texto Completo: | https://preprints.scielo.org/index.php/scielo/preprint/view/1577 |
Resumo: | Objective: To determine the agreement between short test of functional health literacy in adults (S-TOFHLA) and short assessment of health literacy for Portuguese-speaking adults (SAHLPA-18) measurement instruments as a strategy to estimate concurrent validity. Methods: Cross-sectional study conducted with users of the Unified Health System. To test concurrent validity, an agreement approach with a weighted Kappa test for qualitative data was applied. Results: 372 individuals participated. It was found that 66% and 62% of these did not have an adequate level of literacy through SAHLPA-18 and S-TOFHLA, respectively. There was a strong correlation between the instruments (p<0.001; r=0.60), however 65.3% agreement, considered weak (Kappa=0.35; p<0.001). Conclusion: SAHLPA-18 and S-TOFHLA instruments have different constructs and poor agreement. The use of different instruments is indicated in research to measure the level of literacy and the development of instruments specific to health conditions that allow obtaining results close to the real context of individuals. |
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Concordance between two instruments for health literacy assessmentConcordancia entre dos instrumentos para la evaluación de alfabetización en saludConcordância entre dois instrumentos para avaliação do letramento em saúdeLetramento em SaúdeSaúde PúblicaReprodutibilidade dos TestesAutocuidadoDoenças Crônicas não TransmissíveisEducação em SaúdeHealth literacyPublic healthReproducibility of TestsSelf CareNoncommunicable DiseasesHealth EducationObjective: To determine the agreement between short test of functional health literacy in adults (S-TOFHLA) and short assessment of health literacy for Portuguese-speaking adults (SAHLPA-18) measurement instruments as a strategy to estimate concurrent validity. Methods: Cross-sectional study conducted with users of the Unified Health System. To test concurrent validity, an agreement approach with a weighted Kappa test for qualitative data was applied. Results: 372 individuals participated. It was found that 66% and 62% of these did not have an adequate level of literacy through SAHLPA-18 and S-TOFHLA, respectively. There was a strong correlation between the instruments (p<0.001; r=0.60), however 65.3% agreement, considered weak (Kappa=0.35; p<0.001). Conclusion: SAHLPA-18 and S-TOFHLA instruments have different constructs and poor agreement. The use of different instruments is indicated in research to measure the level of literacy and the development of instruments specific to health conditions that allow obtaining results close to the real context of individuals.Objetivo: Determinar a concordância entre os instrumentos de mensuração short test of functional health literacy in adults (S-TOFHLA) e short assessment of health literacy for Portuguese-speaking adults (SAHLPA-18) como estratégia para estimar a validade concorrente. Métodos: Estudo transversal, com usuários do Sistema Único de Saúde. Para testar a validade concorrente, aplicou-se abordagem de concordância com teste de Kappa ponderado para dados qualitativos. Resultados: Participaram 372 indivíduos, dos quais 66% e 62% não apresentaram nível de letramento adequado, segundo o SAHLPA-18 e o S-TOFHLA respectivamente. Observou-se correlação forte entre os instrumentos (p<0,001; r=0,60); entretanto, a concordância encontrada, 65,3% (Kappa=0,35; p<0,001), foi considerada fraca. Conclusão: Os instrumentos SAHLPA-18 e S-TOFHLA apresentam constructos diferentes e fraca concordância. É indicado o uso de diferentes instrumentos em pesquisas de mensuração do nível de letramento; e o desenvolvimento de instrumentos específicos às condições de saúde presentes, que permitam obter resultados próximos ao real contexto dos indivíduos.SciELO PreprintsSciELO PreprintsSciELO Preprints2020-12-11info:eu-repo/semantics/preprintinfo:eu-repo/semantics/publishedVersionapplication/pdfhttps://preprints.scielo.org/index.php/scielo/preprint/view/157710.1590/s1679-49742021000200004porhttps://preprints.scielo.org/index.php/scielo/article/view/1577/2498Copyright (c) 2020 Luana Resende Cangussú, Eduardo Antonio Sartori Alho, Felipe Esdras Lucas Cardoso, Adirlene Pontes de Oliveira Tenório, Romero Henrique de Almeida Barbosa, Johnnatas Mikael Lopes, Matheus Rodrigues Lopeshttps://creativecommons.org/licenses/by/4.0info:eu-repo/semantics/openAccessCangussú, Luana Resende Alho, Eduardo Antonio Sartori Cardoso, Felipe Esdras Lucas Tenório, Adirlene Pontes de Oliveira Barbosa, Romero Henrique de Almeida Lopes, Johnnatas Mikael Lopes, Matheus Rodrigues reponame:SciELO Preprintsinstname:SciELOinstacron:SCI2020-12-11T12:04:11Zoai:ops.preprints.scielo.org:preprint/1577Servidor de preprintshttps://preprints.scielo.org/index.php/scieloONGhttps://preprints.scielo.org/index.php/scielo/oaiscielo.submission@scielo.orgopendoar:2020-12-11T12:04:11SciELO Preprints - SciELOfalse |
dc.title.none.fl_str_mv |
Concordance between two instruments for health literacy assessment Concordancia entre dos instrumentos para la evaluación de alfabetización en salud Concordância entre dois instrumentos para avaliação do letramento em saúde |
title |
Concordance between two instruments for health literacy assessment |
spellingShingle |
Concordance between two instruments for health literacy assessment Cangussú, Luana Resende Letramento em Saúde Saúde Pública Reprodutibilidade dos Testes Autocuidado Doenças Crônicas não Transmissíveis Educação em Saúde Health literacy Public health Reproducibility of Tests Self Care Noncommunicable Diseases Health Education |
title_short |
Concordance between two instruments for health literacy assessment |
title_full |
Concordance between two instruments for health literacy assessment |
title_fullStr |
Concordance between two instruments for health literacy assessment |
title_full_unstemmed |
Concordance between two instruments for health literacy assessment |
title_sort |
Concordance between two instruments for health literacy assessment |
author |
Cangussú, Luana Resende |
author_facet |
Cangussú, Luana Resende Alho, Eduardo Antonio Sartori Cardoso, Felipe Esdras Lucas Tenório, Adirlene Pontes de Oliveira Barbosa, Romero Henrique de Almeida Lopes, Johnnatas Mikael Lopes, Matheus Rodrigues |
author_role |
author |
author2 |
Alho, Eduardo Antonio Sartori Cardoso, Felipe Esdras Lucas Tenório, Adirlene Pontes de Oliveira Barbosa, Romero Henrique de Almeida Lopes, Johnnatas Mikael Lopes, Matheus Rodrigues |
author2_role |
author author author author author author |
dc.contributor.author.fl_str_mv |
Cangussú, Luana Resende Alho, Eduardo Antonio Sartori Cardoso, Felipe Esdras Lucas Tenório, Adirlene Pontes de Oliveira Barbosa, Romero Henrique de Almeida Lopes, Johnnatas Mikael Lopes, Matheus Rodrigues |
dc.subject.por.fl_str_mv |
Letramento em Saúde Saúde Pública Reprodutibilidade dos Testes Autocuidado Doenças Crônicas não Transmissíveis Educação em Saúde Health literacy Public health Reproducibility of Tests Self Care Noncommunicable Diseases Health Education |
topic |
Letramento em Saúde Saúde Pública Reprodutibilidade dos Testes Autocuidado Doenças Crônicas não Transmissíveis Educação em Saúde Health literacy Public health Reproducibility of Tests Self Care Noncommunicable Diseases Health Education |
description |
Objective: To determine the agreement between short test of functional health literacy in adults (S-TOFHLA) and short assessment of health literacy for Portuguese-speaking adults (SAHLPA-18) measurement instruments as a strategy to estimate concurrent validity. Methods: Cross-sectional study conducted with users of the Unified Health System. To test concurrent validity, an agreement approach with a weighted Kappa test for qualitative data was applied. Results: 372 individuals participated. It was found that 66% and 62% of these did not have an adequate level of literacy through SAHLPA-18 and S-TOFHLA, respectively. There was a strong correlation between the instruments (p<0.001; r=0.60), however 65.3% agreement, considered weak (Kappa=0.35; p<0.001). Conclusion: SAHLPA-18 and S-TOFHLA instruments have different constructs and poor agreement. The use of different instruments is indicated in research to measure the level of literacy and the development of instruments specific to health conditions that allow obtaining results close to the real context of individuals. |
publishDate |
2020 |
dc.date.none.fl_str_mv |
2020-12-11 |
dc.type.driver.fl_str_mv |
info:eu-repo/semantics/preprint info:eu-repo/semantics/publishedVersion |
format |
preprint |
status_str |
publishedVersion |
dc.identifier.uri.fl_str_mv |
https://preprints.scielo.org/index.php/scielo/preprint/view/1577 10.1590/s1679-49742021000200004 |
url |
https://preprints.scielo.org/index.php/scielo/preprint/view/1577 |
identifier_str_mv |
10.1590/s1679-49742021000200004 |
dc.language.iso.fl_str_mv |
por |
language |
por |
dc.relation.none.fl_str_mv |
https://preprints.scielo.org/index.php/scielo/article/view/1577/2498 |
dc.rights.driver.fl_str_mv |
https://creativecommons.org/licenses/by/4.0 info:eu-repo/semantics/openAccess |
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https://creativecommons.org/licenses/by/4.0 |
eu_rights_str_mv |
openAccess |
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application/pdf |
dc.publisher.none.fl_str_mv |
SciELO Preprints SciELO Preprints SciELO Preprints |
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SciELO Preprints SciELO Preprints SciELO Preprints |
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SciELO |
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SCI |
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SciELO Preprints |
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SciELO Preprints |
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SciELO Preprints - SciELO |
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scielo.submission@scielo.org |
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