Validation of the French version of the Functional, Communicative and Critical Health Literacy scale (FCCHL)

Journal of Patient-Reported Outcomes

Youssoufa M. Ousseine¹  Anne-Déborah Bouhnik¹  Julien Mancini¹  Allan ‘Ben’ Smith²  Alexandra Rouquette³  Virginie Ringa³  Laurent Rigal⁴ 

[1] Aix-Marseille Univ, INSERM, IRD, UMR912, SESSTIM, Institut Paoli-Calmettes, “Cancers, Biomedicine & Society” group;Centre for Oncology Education and Research Translation (CONCERT), Ingham Institute for Applied Medical Research & South Western Sydney Clinical School, University of New South Wales;Public Health and Epidemiology Department, APHP, Bicêtre Hospital;Université Paris-Saclay, Univ. Paris-Sud, UVSQ, CESP, INSERM;

关键词: Health literacy;    Measurement;    Validation studies;    Psychometrics;    Cancer;    France;   

DOI  :  10.1186/s41687-018-0027-8

来源: DOAJ

【 摘 要 】

Abstract Background Health literacy is a key asset, defined as the capacity to acquire, understand and use information in ways which promote and maintain good health. Objectives To assess the reliability and validity of the French translation of the Functional, Communicative and Critical Health Literacy (FCCHL) scale. Methods/participants A cross-sectional survey using an online questionnaire was proposed to all members of Seintinelles association. Exploratory and confirmatory factorial analyses were conducted. Results Data from 2342 respondents (45.8% had cancer history) were analysed. The FCCHL scale was well-accepted (missing value by item ≤0.7%). Factor analysis revealed an acceptable fit of three-factor model (comparative fit index = 0.922, root mean square error of approximation = 0.065 and standardized root mean square residual = 0.052). The FCCHL showed satisfactory reliability (α = 0.77) and scalar invariance was reached for education and deprivation, but not for age. Known group validity was verified as mean scale scores differed according to education, deprivation and age, as expected. Conclusion The French version of the FCCHL provides a brief reliable and valid measure to explore the dimensions of health literacy. It could be used by health professionals to screen for health literacy level in order to develop this skill and to tailor health communication.

【 授权许可】

Unknown