Innovation & Research Practice
Paper: Research Abstract
Trend and Transformation of Research Measurement Tools in the Field of Health Literacy: An Exploratory and Descriptive Analysis of the Instruments in Chinese Society
Sunday, May 5
5:35 PM - 5:50 PM
Room: Columbus IJ (East Tower, Ballroom/Gold Level)
Dept. of Healthcare Administration, Asia University
Taipei, Taipei, Taiwan (Republic of China)
Objectives: The development of the Health Literacy Measurement Tools in Chinese society has nearly started a decade ago. The tools developed by government or research institutions are China's Health Literacy 66 and Taiwan's MHLS. In order to further explore the trend and development of health literacy in Chinese society, Literature associated with these two main scales has been investigated.
Methods: Literature analysis is adopted to inspect eight databases, including Ovid Medline, CNKI, WANFANG DATA, CQVIP, Airiti Library, Law Data, NDLTD in Taiwan, and PerioPath Index to Taiwan Periodical Literature System, and the Chinese government's statistical yearbooks, totaling 185 journal articles, and 28 master's theses. From these literatures, data of health literacy scale of these two regions were organized and analyzed from the following perspectives: validity and reliability, health literacy domain measured, specific context, modern approach for tool development, maximum number of items, approximate administration time and sample size in validation study, age validation, and measure availability.
Results: China's "Healthy Literacy 66" contains three major parts: basic health knowledge and concepts, healthy lifestyle and behaviors, and basic skills. The overall level increased from 6.48% in 2008 to 14.18% in 2017. Taiwan's MHLS contains three-stage, five-level healthcare concepts and disease treatment development process, and designs four different question pools: the reading and understanding for patient education information, dialogue simulation for physician-patient interaction, user-guide of medicine bag and the comprehension and signing of medical documents . The survey started in 2012 and has successfully helped to increase the budget for preventive medicine, and to publicize in the international communities.
Conclusions: China's health literacy scale is implemented by government without participation of scholars and experts. Due to the complexities and difficulties of the scale implementation, mobile technology, especially the penetration of mobile phone functioning as the major payment tools in China, are be an alternative of point to overcome the barriers. In addition, more stakeholders, such as scholars and experts, to be involved in the government projects in the future. Moreover aligning the value of mobile technology in promotion and monitoring, the ultimate objective is to improved people’s health literacy.