Generic health literacy measurement instruments for children and adolescents: a systematic review of the literature

Okan O, Lopes E, Bollweg TM, Bröder J, Messer M, Bruland D, Bond E, Carvalho GS, Sørensen K, Saboga-Nunes L, Levin-Zamir D, et al. (2018)
BMC Public Health 18(1): 166.

Download
OA 850.47 KB
Zeitschriftenaufsatz | Veröffentlicht | Englisch
Volltext vorhanden für diesen Nachweis
Autor
; ; ; ; ; ; ; ; ; ; ;
Alle
Abstract / Bemerkung
**Background**
Health literacy is an important health promotion concern and recently children and adolescents have been the focus of increased academic attention. To assess the health literacy of this population, researchers have been focussing on developing instruments to measure their health literacy. Compared to the wider availability of instruments for adults, only a few tools are known for younger age groups. The objective of this study is to systematically review the field of generic child and adolescent health literacy measurement instruments that are currently available.
**Method**
A systematic literature search was undertaken in five databases (PubMed, CINAHL, PsycNET, ERIC, and FIS) on articles published between January 1990 and July 2015, addressing children and adolescents ≤18 years old. Eligible articles were analysed, data was extracted, and synthesised according to review objectives.
**Results**
Fifteen generic health literacy measurement instruments for children and adolescents were identified. All, except two, are self-administered instruments. Seven are objective measures (performance-based tests), seven are subjective measures (self-reporting), and one uses a mixed-method measurement. Most instruments applied a broad and multidimensional understanding of health literacy. The instruments were developed in eight different countries, with most tools originating in the United States (n = 6). Among the instruments, 31 different components related to health literacy were identified. Accordingly, the studies exhibit a variety of implicit or explicit conceptual and operational definitions, and most instruments have been used in schools and other educational contexts. While the youngest age group studied was 7-year-old children within a parent-child study, there is only one instrument specifically designed for primary school children and none for early years.
**Conclusions**
Despite the reported paucity of health literacy research involving children and adolescents, an unexpected number of health literacy measurement studies in children’s populations was found. Most instruments tend to measure their own specific understanding of health literacy and not all provide sufficient conceptual information. To advance health literacy instruments, a much more standardised approach is necessary including improved reporting on the development and validation processes. Further research is required to improve health literacy instruments for children and adolescents and to provide knowledge to inform effective interventions.
Erscheinungsjahr
Zeitschriftentitel
BMC Public Health
Band
18
Ausgabe
1
Art.-Nr.
166
ISSN
Finanzierungs-Informationen
Article Processing Charge funded by the Deutsche Forschungsgemeinschaft and the Open Access Publication Fund of Bielefeld University.
PUB-ID

Zitieren

Okan O, Lopes E, Bollweg TM, et al. Generic health literacy measurement instruments for children and adolescents: a systematic review of the literature. BMC Public Health. 2018;18(1): 166.
Okan, O., Lopes, E., Bollweg, T. M., Bröder, J., Messer, M., Bruland, D., Bond, E., et al. (2018). Generic health literacy measurement instruments for children and adolescents: a systematic review of the literature. BMC Public Health, 18(1), 166. doi:10.1186/s12889-018-5054-0
Okan, O., Lopes, E., Bollweg, T. M., Bröder, J., Messer, M., Bruland, D., Bond, E., Carvalho, G. S., Sørensen, K., Saboga-Nunes, L., et al. (2018). Generic health literacy measurement instruments for children and adolescents: a systematic review of the literature. BMC Public Health 18:166.
Okan, O., et al., 2018. Generic health literacy measurement instruments for children and adolescents: a systematic review of the literature. BMC Public Health, 18(1): 166.
O. Okan, et al., “Generic health literacy measurement instruments for children and adolescents: a systematic review of the literature”, BMC Public Health, vol. 18, 2018, : 166.
Okan, O., Lopes, E., Bollweg, T.M., Bröder, J., Messer, M., Bruland, D., Bond, E., Carvalho, G.S., Sørensen, K., Saboga-Nunes, L., Levin-Zamir, D., Sahrai, D., Bittlingmayer, U.H., Pelikan, J.M., Thomas, M., Bauer, U., Pinheiro, P.: Generic health literacy measurement instruments for children and adolescents: a systematic review of the literature. BMC Public Health. 18, : 166 (2018).
Okan, Orkan, Lopes, Ester, Bollweg, Torsten Michael, Bröder, Janine, Messer, Melanie, Bruland, Dirk, Bond, Emma, Carvalho, Graça S., Sørensen, Kristine, Saboga-Nunes, Luis, Levin-Zamir, Diane, Sahrai, Diana, Bittlingmayer, Uwe H., Pelikan, Jürgen M., Thomas, Malcolm, Bauer, Ullrich, and Pinheiro, Paulo. “Generic health literacy measurement instruments for children and adolescents: a systematic review of the literature”. BMC Public Health 18.1 (2018): 166.
Alle Dateien verfügbar unter der/den folgenden Lizenz(en):
Volltext(e)
Access Level
OA Open Access
Zuletzt Hochgeladen
2018-02-02T15:38:03Z

Link(s) zu Volltext(en)
Access Level
OA Open Access

4 Zitationen in Europe PMC

Daten bereitgestellt von Europe PubMed Central.

Quality of health literacy instruments used in children and adolescents: a systematic review.
Guo S, Armstrong R, Waters E, Sathish T, Alif SM, Browne GR, Yu X., BMJ Open 8(6), 2018
PMID: 29903787
Bibliometric analysis of global migration health research in peer-reviewed literature (2000-2016).
Sweileh WM, Wickramage K, Pottie K, Hui C, Roberts B, Sawalha AF, Zyoud SH., BMC Public Health 18(1), 2018
PMID: 29925353

93 References

Daten bereitgestellt von Europe PubMed Central.

Health literacy and public health: a systematic review and integration of definitions and models.
Sorensen K, Van den Broucke S, Fullam J, Doyle G, Pelikan J, Slonska Z, Brand H; (HLS-EU) Consortium Health Literacy Project European, Brand H, van den Broucke S, Sorensen K, Agrafiodis D, Ioannidi E, Kondilis B, Doyle G, Fullam J, Cafferkey K, Pelikan J, Roethlin F, Slonska Z, Falcon M, Tchamov K, Zhekov A, Droomers M, Schuit J, van der Heide I, Uiters E, Ward G, Mensing M., BMC Public Health 12(), 2012
PMID: 22276600
Understanding critical health literacy: a concept analysis.
Sykes S, Wills J, Rowlands G, Popple K., BMC Public Health 13(), 2013
PMID: 23419015
New federal policy initiatives to boost health literacy can help the nation move beyond the cycle of costly 'crisis care'.
Koh HK, Berwick DM, Clancy CM, Baur C, Brach C, Harris LM, Zerhusen EG., Health Aff (Millwood) 31(2), 2012
PMID: 22262723
Health literacy measurement: an inventory and descriptive summary of 51 instruments.
Haun JN, Valerio MA, McCormack LA, Sorensen K, Paasche-Orlow MK., J Health Commun 19 Suppl 2(), 2014
PMID: 25315600
Health Literacy im Kindes- und Jugendalter
Zamora P, Pinheiro P, Okan O, Bitzer E-M, Jordan S, Bittlingmayer UH., 2015

AUTHOR UNKNOWN, 0
Shanghai declaration on promoting health in the 2030 Agenda for Sustainable Development.
World Health Organization., Health Promot Int 32(1), 2017
PMID: 28180270
Health literacy as a public health goal: a challenge for contemporary health education and communication strategies into the 21st century
Nutbeam D., 2000
Health literacy: a second decade of distinction for Americans.
Parker R, Ratzan SC., J Health Commun 15 Suppl 2(), 2010
PMID: 20845190
Health literacy in Europe: comparative results of the European health literacy survey (HLS-EU).
Sorensen K, Pelikan JM, Rothlin F, Ganahl K, Slonska Z, Doyle G, Fullam J, Kondilis B, Agrafiotis D, Uiters E, Falcon M, Mensing M, Tchamov K, van den Broucke S, Brand H; HLS-EU Consortium., Eur J Public Health 25(6), 2015
PMID: 25843827
Low health literacy and health outcomes: an updated systematic review.
Berkman ND, Sheridan SL, Donahue KE, Halpern DJ, Crotty K., Ann. Intern. Med. 155(2), 2011
PMID: 21768583
Health Education as social policy. Proceedings of the will Rogers Conf on health education, Saranac Lake, NY June 22–23, 1973
Simonds SK., 1974
Health literacy and children: introduction.
Abrams MA, Klass P, Dreyer BP., Pediatrics 124 Suppl 3(), 2009
PMID: 19861479
Health literacy as a learning outcome in schools
Paakkari L, Paakkari O., 2012

Nielsen-Bohlman L, Panzer AM, Kindig DA., 2004

AUTHOR UNKNOWN, 0
Lifecourse health development: past, present and future.
Halfon N, Larson K, Lu M, Tullis E, Russ S., Matern Child Health J 18(2), 2014
PMID: 23975451
Effortful control, executive functions, and education: bringing self-regulatory and social-emotional competencies to the table
Liew J., 2012
Considering children and health literacy: a theoretical approach.
Borzekowski DL., Pediatrics 124 Suppl 3(), 2009
PMID: 19861482

Rootman I, Gordon-El-Bihbety D., 2008
Three approaches to school health education as a means to higher levels of health literacy
Paakkari L., 2015
Promoting health literacy in secondary schools: a review
Hagell A, Rigby E, Perrow F., 2015
Health literacy in schools: prioritising health and well-being issues through the curriculum
Kilgour L, Matthews N, Christian P, Shire J., 2015
Media Health Literacy (MHL): development and measurement of the concept among adolescents.
Levin-Zamir D, Lemish D, Gofin R., Health Educ Res 26(2), 2011
PMID: 21422003

AUTHOR UNKNOWN, 0

AUTHOR UNKNOWN, 0

AUTHOR UNKNOWN, 0
Making health information meaningful: Children's health literacy practices.
Fairbrother H, Curtis P, Goyder E., SSM Popul Health 2(), 2016
PMID: 29349163

AUTHOR UNKNOWN, 0
The evolution of health literacy assessment tools: a systematic review.
Altin SV, Finke I, Kautz-Freimuth S, Stock S., BMC Public Health 14(), 2014
PMID: 25418011
State of the science of health literacy measures: Validity implications for minority populations.
Nguyen TH, Park H, Han HR, Chan KS, Paasche-Orlow MK, Haun J, Kim MT., Patient Educ Couns (), 2015
PMID: 26275841
Health literacy screening instruments for eHealth applications: a systematic review.
Collins SA, Currie LM, Bakken S, Vawdrey DK, Stone PW., J Biomed Inform 45(3), 2012
PMID: 22521719

AUTHOR UNKNOWN, 0
Measuring oral health literacy: a scoping review of existing tools.
Dickson-Swift V, Kenny A, Farmer J, Gussy M, Larkins S., BMC Oral Health 14(), 2014
PMID: 25472659
Measuring child and adolescent health literacy: a systematic review of literature
Ormshaw MJ, Paakkari LT, Kannas LK., 2013
Preferred reporting items for systematic reviews and meta-analyses: the PRISMA statement.
Moher D, Liberati A, Tetzlaff J, Altman DG; PRISMA Group, Altman D, Antes G, Atkins D, Barbour V, Barrowman N, Berlin JA, Clark J, Clarke M, Cook D, D'Amico R, Deeks JJ, Devereaux PJ, Dickersin K, Egger M, Ernst E, Gotzsche PC, Grimshaw J, Guyatt G, Higgins J, Ioannidis JP, Kleijnen J, Lang T, Liberati A, Magrini N, McNamee D, Moja L, Moher D, Mulrow C, Napoli M, Oxman A, Pham B, Rennie D, Sampson M, Schulz KF, Shekelle PG, Tetzlaff J, Tovey D, Tugwell P., Int J Surg 8(5), 2010
PMID: 20171303
Early adolescents perceptions of health and health literacy.
Brown SL, Teufel JA, Birch DA., J Sch Health 77(1), 2007
PMID: 17212754
Health literacy instruction and evaluation among secondary school students
Hubbard B, Rainey J., 2007
Health literacy and sources of health education among adolescents in Greece.
Vardavas CI, Kondilis BK, Patelarou E, Akrivos PD, Falagas ME., Int J Adolesc Med Health 21(2), 2009
PMID: 19702197
Health-related behaviour, knowledge, attitudes, communication and social status in school children in Eastern Germany.
Schmidt CO, Fahland RA, Franze M, Splieth C, Thyrian JR, Plachta-Danielzik S, Hoffmann W, Kohlmann T., Health Educ Res 25(4), 2010
PMID: 20228152
Developing and evaluating a relevant and feasible instrument for measuring health literacy of Canadian high school students.
Wu AD, Begoray DL, Macdonald M, Wharf Higgins J, Frankish J, Kwan B, Fung W, Rootman I., Health Promot Int 25(4), 2010
PMID: 20466776
Study on student health literacy gained through health education in elementary and middle schools in China
Yu X, Yang T, Wang S, Zhang X., 2012
Gesundheitskompetenz: was wissen unsere Schüler über gesundheit?. [health-related knowledge: what do our pupils know about health? An empirical study]
Wallmann B, Gierschner S, Froböse I., 2012

AUTHOR UNKNOWN, 0
How to measure critical health competences: development and validation of the Critical Health Competence Test (CHC Test).
Steckelberg A, Hulfenhaus C, Kasper J, Rost J, Muhlhauser I., Adv Health Sci Educ Theory Pract 14(1), 2007
PMID: 17902033
Using the "Newest Vital Sign" to assess health literacy in children.
Driessnack M, Chung S, Perkhounkova E, Hein M., J Pediatr Health Care 28(2), 2013
PMID: 23910945

AUTHOR UNKNOWN, 0
[The German Health Interview and Examination Survey for Children and Adolescents (KiGGS) 2003-2006 - a milestone in paediatrics].
Thyen U., Bundesgesundheitsblatt Gesundheitsforschung Gesundheitsschutz 50(5-6), 2007
PMID: 17514435
Health promotion glossary
Nutbeam D., 1998

AUTHOR UNKNOWN, 0
National Institutes of Health, US Department of Health and Human Services
Ratzan SC, Parker RM., 2000

Zarcadoolas C, Pleasant AF, Greer DS., 2006

AUTHOR UNKNOWN, 2002
Health literacy: a concept/dimensional analysis.
Mancuso JM., Nurs Health Sci 10(3), 2008
PMID: 18786068
Development and implementation of Taiwan’s child health literacy test
Liu CH, Liao LL, Shih SF, Chang TC, Chi HY, Osborne RH., 2014

AUTHOR UNKNOWN, 0
Reliability and construct validity of the adolescent interactive health literacy questionnaire
Zhang SC, Wan YH, Tao SM, Chen J, Tao FB., 2014

AUTHOR UNKNOWN, 0
Can we exploit and adapt indigenous knowledge and ethno-botanicals for a healthy living in the face of emerging diseases like Ebola in Africa
Anchang KY, DeLuca L, Mshigeni K, SKK M, Dudley a, Nambu F., 2015
Can the Newest Vital Sign be used to assess health literacy in children and adolescents?
Warsh J, Chari R, Badaczewski A, Hossain J, Sharif I., Clin Pediatr (Phila) 53(2), 2013
PMID: 24065737

AUTHOR UNKNOWN, 0
Literacy, Learning and health–a social practices view of health literacy
Papen U., 2009
Health literacy among young adults: a short survey tool for public health and health promotion research.
Abel T, Hofmann K, Ackermann S, Bucher S, Sakarya S., Health Promot Int 30(3), 2014
PMID: 24482542
The causal pathways linking health literacy to health outcomes.
Paasche-Orlow MK, Wolf MS., Am J Health Behav 31 Suppl 1(), 2007
PMID: 17931132

AUTHOR UNKNOWN, 0
[Health literacy: An introduction to the concept and its measurement].
Abel T, Sommerhalder K., Bundesgesundheitsblatt Gesundheitsforschung Gesundheitsschutz 58(9), 2015
PMID: 26201442

AUTHOR UNKNOWN, 0

James A, Prout A., 2015
Interviews with children about their mental health problems: The congruence and validity of information that children report.
Macleod E, Woolford J, Hobbs L, Gross J, Hayne H, Patterson T., Clin Child Psychol Psychiatry 22(2), 2016
PMID: 27352797

AUTHOR UNKNOWN, 0
Conducting focus groups with children and young people: strategies for success
Gibson F., 2007
Conducting qualitative interviews with school children in dental research.
Gill P, Stewart K, Treasure E, Chadwick B., Br Dent J 204(7), 2008
PMID: 18408682
Health literacy revisited: what do we mean and why does it matter?
Peerson A, Saunders M., Health Promot Int 24(3), 2009
PMID: 19372101
The evolving concept of health literacy.
Nutbeam D., Soc Sci Med 67(12), 2008
PMID: 18952344

AUTHOR UNKNOWN, 0
The meaning and the measure of health literacy.
Baker DW., J Gen Intern Med 21(8), 2006
PMID: 16881951
Health literacy: new wine in old bottles?
Tones K., Health Educ Res 17(3), 2002
PMID: 12120844
A review of health literacy: Definitions, interpretations, and implications for policy initiatives.
Malloy-Weir LJ, Charles C, Gafni A, Entwistle V., J Public Health Policy 37(3), 2016
PMID: 27193502
Health literacy in childhood and youth: a systematic review of definitions and models.
Broder J, Okan O, Bauer U, Bruland D, Schlupp S, Bollweg TM, Saboga-Nunes L, Bond E, Sorensen K, Bitzer EM, Jordan S, Domanska O, Firnges C, Carvalho GS, Bittlingmayer UH, Levin-Zamir D, Pelikan J, Sahrai D, Lenz A, Wahl P, Thomas M, Kessl F, Pinheiro P., BMC Public Health 17(1), 2017
PMID: 28441934
Recommendations for advancing health literacy measurement.
McCormack L, Haun J, Sorensen K, Valerio M., J Health Commun 18 Suppl 1(), 2013
PMID: 24093340

Export

Markieren/ Markierung löschen
Markierte Publikationen

Open Data PUB

Web of Science

Dieser Datensatz im Web of Science®

Quellen

PMID: 29357867
PubMed | Europe PMC

Suchen in

Google Scholar