Concordance between two instruments for health literacy assessment

Detalhes bibliográficos
Autor(a) principal: Cangussú, Luana Resende
Data de Publicação: 2020
Outros Autores: Alho, Eduardo Antonio Sartori, Cardoso, Felipe Esdras Lucas, Tenório, Adirlene Pontes de Oliveira, Barbosa, Romero Henrique de Almeida, Lopes, Johnnatas Mikael, Lopes, Matheus Rodrigues
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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spelling 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
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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
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dc.relation.none.fl_str_mv https://preprints.scielo.org/index.php/scielo/article/view/1577/2498
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SciELO Preprints
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SciELO Preprints
SciELO Preprints
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