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Article

Using the Brief Health Literacy Screen in Chronic Care in French Hospital Settings: Content Validity of Patient and Healthcare Professional Reports

1
Health Services and Performance Research, Université Claude Bernard Lyon 1, 69100 Lyon, France
2
Pôle de Santé Publique, Hospices Civils de Lyon, 69002 Lyon, France
*
Author to whom correspondence should be addressed.
These authors are joint first authors on this work.
Int. J. Environ. Res. Public Health 2021, 18(1), 96; https://doi.org/10.3390/ijerph18010096
Received: 31 October 2020 / Revised: 18 December 2020 / Accepted: 22 December 2020 / Published: 25 December 2020
(This article belongs to the Collection Global Health Literacy)
Person-centered care has led healthcare professionals (HCPs) to be more attentive to patients’ ability to understand and apply health-related information, especially those with chronic conditions. The concept of health literacy (HL) is essential in understanding patients’ needs in routine care, but its measurement is still controversial, and few tools are validated in French. We therefore considered the brief health literacy screen (BHLS) for assessing patient-reported HL in chronic care settings, and also developed an HCP-reported version of the BHLS with the aim of using it as a research instrument to assess HCPs’ evaluation of patients’ HL levels. We assessed the content validity of the French translation of both the patient-reported and HCP-reported BHLS in chronic care within hospital settings, through cognitive interviews with patients and HCPs. We performed qualitative analysis on interview data using the survey response Tourangeau model. Our results show that the BHLS is easy and quick to administer, but some terms need to be adapted to the French chronic care settings. Health-related information was observed to be mainly communicated orally, hence a useful direction for future literacy measures would be to also address verbal HL. View Full-Text
Keywords: health literacy; chronic care; content validity; BHLS health literacy; chronic care; content validity; BHLS
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MDPI and ACS Style

Perrin, A.; Siqueira do Prado, L.; Duché, A.; Schott, A.-M.; Dima, A.L.; Haesebaert, J. Using the Brief Health Literacy Screen in Chronic Care in French Hospital Settings: Content Validity of Patient and Healthcare Professional Reports. Int. J. Environ. Res. Public Health 2021, 18, 96. https://doi.org/10.3390/ijerph18010096

AMA Style

Perrin A, Siqueira do Prado L, Duché A, Schott A-M, Dima AL, Haesebaert J. Using the Brief Health Literacy Screen in Chronic Care in French Hospital Settings: Content Validity of Patient and Healthcare Professional Reports. International Journal of Environmental Research and Public Health. 2021; 18(1):96. https://doi.org/10.3390/ijerph18010096

Chicago/Turabian Style

Perrin, Adèle, Luiza Siqueira do Prado, Amélie Duché, Anne-Marie Schott, Alexandra L. Dima, and Julie Haesebaert. 2021. "Using the Brief Health Literacy Screen in Chronic Care in French Hospital Settings: Content Validity of Patient and Healthcare Professional Reports" International Journal of Environmental Research and Public Health 18, no. 1: 96. https://doi.org/10.3390/ijerph18010096

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