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The development and application of the ABCDE-health literacy scale for Thais


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Figure 1

The measurement model with the 3 levels of HL that effect health outcomes
The measurement model with the 3 levels of HL that effect health outcomes

Figure 2

Flow of the process of research selection for synthesis
Flow of the process of research selection for synthesis

Figure 3

The path analysis model among the components of health literacy that impact on maintaining a health care behavior and participating in social health activities
The path analysis model among the components of health literacy that impact on maintaining a health care behavior and participating in social health activities

The number and percentage of the HL level based on the 3 level of learning

CategoriesLevel of HLResultn (persons)% of tota samples
Basic levelPoorPersons having a low level of cognitive skill1,19627.2
FairPersons having a fair level of cognitive skill2,75562.6
GoodPersons having a high level of cognitive skill45010.2
Interactive LevelPoorPerson having a low level of social skills or interpersonal relations1,78640.6
FairPerson having a middle level of social skills or interpersonal relations2,30852.4
GoodPerson having a high level of social skills or interpersonal relations3077.0
Critical LevelPoorPersons having a low level of cognitive skill—critical literacy46510.5
FairPersons having a middle level of cognitive skill—critical literacy2,93266.6

The qualitative measurement of the ABCDE-HL scale

Component NoItem No.Full markCorrelation coefficient (r)Cronbach’s αFactor loading
1. Needed health knowledge and understanding10100.43–0.770.61 (KR-20)0.39–0.67
2. Accessing information and services5200.63–0.730.860.72–0.84
3. Communicating with professionals6240.55–0.850.910.74–0.85
4. Managing their health condition5200.69–0.750.890.71–0.79
5. Getting media and information literacy5200.55–0.710.830.39–0.77
6. Making appropriate health decisions to good practice5200.22–0.480.670.69–0.82
7. Participating in social health literacy5200.60–0.800.870.68–0.86
8. Maintaining healthy behavior10400.15–0.520.710.33–0.61

The standard classification separated by the score based on 3 levels of ABCDE-HL

ComponentTotal scoreInterpretation
Basic level0–14.9 points or <50%Cognitive skills at middle level
Component 1 and 215–23.9 points or ≥50% – <80%Cognitive skills at high level
(15 items, 30 points)24–30 points or ≥80%Cognitive skills at low level
Interactive level0–14.9 points or <50%Low level of social skills or interpersonal relations
Component 3 and 422–35.1 points or ≥50% – <80%Middle level social skills or interpersonal relations
(11 items, 44 points)35.2–44 points or ≥80%High level social skills or interpersonal relations
Critical level5–19.9 points or <50%Low level cognitive skills—critical literacy
Component 5 and 620–31.9 points or ≥50% – <80%Middle level cognitive skills—critical literacy
(10 items, 40 points)32–40 points or ≥80%High level cognitive skills—critical literacy
eISSN:
1875-855X
Język:
Angielski
Częstotliwość wydawania:
6 razy w roku
Dziedziny czasopisma:
Medicine, Assistive Professions, Nursing, Basic Medical Science, other, Clinical Medicine