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.
Zeitschriftenaufsatz
| Veröffentlicht | Englisch
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Autor*in
Okan, OrkanUniBi ;
Lopes, EsterUniBi;
Bollweg, Torsten MichaelUniBi ;
Bröder, JanineUniBi ;
Messer, MelanieUniBi;
Bruland, DirkUniBi;
Bond, Emma;
Carvalho, Graça S.;
Sørensen, Kristine;
Saboga-Nunes, Luis;
Levin-Zamir, Diane;
Sahrai, Diana
Alle
Alle
Einrichtung
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.
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.
Stichworte
Health literacyMeasurementAssessmentInstrumentChildrenAdolescentsLiterature review
Erscheinungsjahr
2018
Zeitschriftentitel
BMC Public Health
Band
18
Ausgabe
1
Art.-Nr.
166
Urheberrecht / Lizenzen
ISSN
1471-2458
Finanzierungs-Informationen
Open-Access-Publikationskosten wurden durch die Deutsche Forschungsgemeinschaft und die Universität Bielefeld gefördert.
Page URI
https://pub.uni-bielefeld.de/record/2916943
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, Orkan, Lopes, Ester, Bollweg, Torsten Michael, Bröder, Janine, Messer, Melanie, Bruland, Dirk, Bond, Emma, et al. 2018. “Generic health literacy measurement instruments for children and adolescents: a systematic review of the literature”. BMC Public Health 18 (1): 166.
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.
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Abel T, Sommerhalder K., Bundesgesundheitsblatt Gesundheitsforschung Gesundheitsschutz 58(9), 2015
PMID: 26201442
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
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
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
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
Peerson A, Saunders M., Health Promot Int 24(3), 2009
PMID: 19372101
AUTHOR UNKNOWN, 0
The meaning and the measure of health literacy.
Baker DW., J Gen Intern Med 21(8), 2006
PMID: 16881951
Baker DW., J Gen Intern Med 21(8), 2006
PMID: 16881951
Health literacy: new packaging for health education or radical movement?
Wills J., Int J Public Health 54(1), 2009
PMID: 19142578
Wills J., Int J Public Health 54(1), 2009
PMID: 19142578
Health literacy lost in translations? Introducing the European Health Literacy Glossary.
Sorensen K, Brand H., Health Promot Int 29(4), 2013
PMID: 23479322
Sorensen K, Brand H., Health Promot Int 29(4), 2013
PMID: 23479322
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
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
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
Assessment and measurement of health literacy: an integrative review of the literature.
Mancuso JM., Nurs Health Sci 11(1), 2009
PMID: 19298313
Mancuso JM., Nurs Health Sci 11(1), 2009
PMID: 19298313
Recommendations for advancing health literacy measurement.
McCormack L, Haun J, Sorensen K, Valerio M., J Health Commun 18 Suppl 1(), 2013
PMID: 24093340
McCormack L, Haun J, Sorensen K, Valerio M., J Health Commun 18 Suppl 1(), 2013
PMID: 24093340
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