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Functional Validity of a Judgment Skills Measure within the Concept of Health Literacy for Sleeping Disorder Patients

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  • Arthur Dubowicz

    (Institute of Communication and Health, University of Lugano, Via G. Buffi 13, 6904 Lugano, Switzerland)

  • Peter J. Schulz

    (Institute of Communication and Health, University of Lugano, Via G. Buffi 13, 6904 Lugano, Switzerland)

Abstract

The concept of health literacy has been widened to include higher order aspects such as patient decision-making skills while its measurement continued to rely narrowly on reading and numeracy skills, known as functional health literacy. We developed a Judgment Skills measure, designed to assess patients’ ability to make appropriate decisions with regard to their condition. The measure offers scenarios with answer options ranked for biomedical adequacy. This study aims to examine the psychometric properties and the functional validity of the Judgment Skills measure. A self-administered survey among 87 primary insomnia patients in the Italian-speaking part of Switzerland was conducted. The extensive path model included variables such as functional health literacy, coping with the medical condition, experience of the scenario, sleep quality, duration suffering, education, and age. Correlation analyses were conducted to link the variables. The Judgment Skills measure showed the expected significant correlations. In general, higher Judgment Skills were related to coping strategies leading to better health outcomes. Functional health literacy correlated highly with education, while Judgment Skills did not, which confirmed the conceptual difference of these skills. The findings propose a model for conducting research that does embrace the broader conceptualization of health literacy.

Suggested Citation

  • Arthur Dubowicz & Peter J. Schulz, 2014. "Functional Validity of a Judgment Skills Measure within the Concept of Health Literacy for Sleeping Disorder Patients," IJERPH, MDPI, vol. 11(10), pages 1-15, October.
    • Handle: RePEc:gam:jijerp:v:11:y:2014:i:10:p:10868-10882:d:41313
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    References listed on IDEAS

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    1. Chinn, Deborah, 2011. "Critical health literacy: A review and critical analysis," Social Science & Medicine, Elsevier, vol. 73(1), pages 60-67, July.
    2. Sara Rubinelli & Peter Schulz & Kent Nakamoto, 2009. "Health literacy beyond knowledge and behaviour: letting the patient be a patient," International Journal of Public Health, Springer;Swiss School of Public Health (SSPH+), vol. 54(5), pages 307-311, October.
    3. Don Nutbeam, 2009. "Defining and measuring health literacy: what can we learn from literacy studies?," International Journal of Public Health, Springer;Swiss School of Public Health (SSPH+), vol. 54(5), pages 303-305, October.
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