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

Author

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  • Adèle Perrin

    (Health Services and Performance Research, Université Claude Bernard Lyon 1, 69100 Lyon, France
    These authors are joint first authors on this work.)

  • Luiza Siqueira do Prado

    (Health Services and Performance Research, Université Claude Bernard Lyon 1, 69100 Lyon, France
    These authors are joint first authors on this work.)

  • Amélie Duché

    (Health Services and Performance Research, Université Claude Bernard Lyon 1, 69100 Lyon, France)

  • Anne-Marie Schott

    (Health Services and Performance Research, Université Claude Bernard Lyon 1, 69100 Lyon, France
    Pôle de Santé Publique, Hospices Civils de Lyon, 69002 Lyon, France)

  • Alexandra L. Dima

    (Health Services and Performance Research, Université Claude Bernard Lyon 1, 69100 Lyon, France)

  • Julie Haesebaert

    (Health Services and Performance Research, Université Claude Bernard Lyon 1, 69100 Lyon, France
    Pôle de Santé Publique, Hospices Civils de Lyon, 69002 Lyon, France)

Abstract

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.

Suggested Citation

  • Adèle Perrin & Luiza Siqueira do Prado & Amélie Duché & Anne-Marie Schott & Alexandra L. Dima & Julie Haesebaert, 2020. "Using the Brief Health Literacy Screen in Chronic Care in French Hospital Settings: Content Validity of Patient and Healthcare Professional Reports," IJERPH, MDPI, vol. 18(1), pages 1-14, December.
    • Handle: RePEc:gam:jijerp:v:18:y:2020:i:1:p:96-:d:468213
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    References listed on IDEAS

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    1. Laura M. Mackey & Catherine Doody & Erik L. Werner & Brona Fullen, 2016. "Self-Management Skills in Chronic Disease Management," Medical Decision Making, , vol. 36(6), pages 741-759, August.
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