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Using the Health Literacy Questionnaire (HLQ) with Providers in the Early Intervention Setting: A Qualitative Validity Testing Study

Author

Listed:
  • Catherine J. Leslie

    (MGH Institute of Health Professions, Department of Occupational Therapy, Charlestown, MA 02129, USA)

  • Melanie Hawkins

    (School of Health and Social Development, Faculty of Health, Deakin University, Burwood, Melbourne 3125, Australia)

  • Diane L. Smith

    (MGH Institute of Health Professions, Department of Occupational Therapy, Charlestown, MA 02129, USA)

Abstract

More than one in four parents in the United States of America (USA) have low health literacy, which is associated with reduced health equity and negatively impacts child health outcomes. Early intervention (EI) programs are optimally placed to build the health literacy capacity of caregivers, which could improve health equity. The health literacy of interdisciplinary EI providers has not previously been measured. This study used the Health Literacy Questionnaire (HLQ) with EI providers ( n = 10) to investigate evidence based on response (cognitive) processes. Narratives from cognitive interviews gave reasons for HLQ score choices, and concordance and discordance between HLQ item intent descriptions and narrative data were assessed using thematic analysis. Results found scales with highest concordance for Scales 3, 6, and 9 (each 96%, n = 24). Concordance was lowest on Scale 5 (88%, n = 22), although still strong with only 12% discordance. Three themes reflecting discordance were identified: (1) Differences between Australian and USA culture/health systems; (2) Healthcare provider perspective; and (3) Participants with no health problems to manage. Results show strong concordance between EI providers’ narrative responses and item intents. Study results contribute validity evidence for the use of HLQ data to inform interventions that build health literacy capacity of EI providers to then empower and build the health literacy of EI parents.

Suggested Citation

  • Catherine J. Leslie & Melanie Hawkins & Diane L. Smith, 2020. "Using the Health Literacy Questionnaire (HLQ) with Providers in the Early Intervention Setting: A Qualitative Validity Testing Study," IJERPH, MDPI, vol. 17(7), pages 1-14, April.
    • Handle: RePEc:gam:jijerp:v:17:y:2020:i:7:p:2603-:d:344118
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    References listed on IDEAS

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    1. Peter Kolarcik & Eva Cepova & Andrea Madarasova Geckova & Gerald R. Elsworth & Roy W. Batterham & Richard H. Osborne, 2017. "Structural properties and psychometric improvements of the Health Literacy Questionnaire in a Slovak population," International Journal of Public Health, Springer;Swiss School of Public Health (SSPH+), vol. 62(5), pages 591-604, June.
    2. Miguel Castillo-Díaz & José-Luis Padilla, 2013. "How Cognitive Interviewing can Provide Validity Evidence of the Response Processes to Scale Items," Social Indicators Research: An International and Interdisciplinary Journal for Quality-of-Life Measurement, Springer, vol. 114(3), pages 963-975, December.
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    1. Wadad Kathy Tannous & Moin Uddin Ahmed & James Rufus John & Graham Reece & Golo Ahlenstiel, 2021. "Estimating the Economic Burden of Low Health Literacy in the Blacktown Community in Sydney, Australia: A Population-Based Study," IJERPH, MDPI, vol. 18(5), pages 1-23, February.
    2. Tetine Sentell & Sandra Vamos & Orkan Okan, 2020. "Interdisciplinary Perspectives on Health Literacy Research Around the World: More Important Than Ever in a Time of COVID-19," IJERPH, MDPI, vol. 17(9), pages 1-13, April.
    3. Jonas Lander & Marie-Luise Dierks & Melanie Hawkins, 2022. "Health Literacy Development among People with Chronic Diseases: Advancing the State of the Art and Learning from International Practices," IJERPH, MDPI, vol. 19(12), pages 1-5, June.

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