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Cross-cultural adaptation and validation of the health literacy assessment tool METER in the Portuguese adult population

dc.contributor.authorPaiva, Dagmara
dc.contributor.authorSilva, Susana
dc.contributor.authorSevero, Milton
dc.contributor.authorFerreira, Pedro
dc.contributor.authorSantos, Osvaldo
dc.contributor.authorLunet, Nuno
dc.contributor.authorAzevedo, Ana
dc.date.accessioned2015-02-11T12:20:56Z
dc.date.available2015-02-11T12:20:56Z
dc.date.issued2014
dc.description©2014 Elsevier Ireland Ltd. All rights reserved.por
dc.description.abstractOBJECTIVE: We aimed to culturally adapt and validate METER in the Portuguese population, and to define cut-off values for adequate health literacy. METHODS: We used the standard procedure for the adaptation of the words and surveyed health professionals to select the non-words. The instrument was administered to a total sample of 249 participants and retested in a sub-sample of 45 after three months. Cut-offs were defined using the modified Angoff procedure. Construct validity was assessed through association with educational attainment and health-related occupation. RESULTS: Exploratory factor analysis revealed two dimensions of the instrument, one for words and another for non-words. METER showed a high degree of internal consistency, and acceptable test-retest reliability. Adequate health literacy was defined as scoring at least 35/40 in words and 18/30 in non-words. Physicians scored higher than any other group, followed by health researchers, researchers from other areas and by people with progressively lower levels of education (p<0.001). CONCLUSION: We culturally adapted a brief and simple instrument for health literacy assessment, and showed it was valid and reliable. PRACTICE IMPLICATIONS: The Portuguese version of METER can be used to assess health literacy in Portuguese adults and to explore associations with health outcomes.eng
dc.description.sponsorshipThis work was supported by Fundação para a Ciência e a Tecnologia (HMSP-IISE/SAU-ICT/0004/2009)eng
dc.identifier.citationPatient Education and Counseling 97 (2014) 269–275por
dc.identifier.issn0738-3991
dc.identifier.urihttp://dx.doi.org/10.1016/j.pec.2014.07.024
dc.identifier.urihttp://hdl.handle.net/10451/15991
dc.language.isoporpor
dc.peerreviewedyespor
dc.publisherElsevierpor
dc.relationHealth information of Portuguese population: Knowledge and perceived quality and accessibility of health information sources
dc.subjectHealth literacyeng
dc.subjectMETEReng
dc.subjectValidation studieseng
dc.titleCross-cultural adaptation and validation of the health literacy assessment tool METER in the Portuguese adult populationeng
dc.typejournal article
dspace.entity.typePublication
oaire.awardTitleHealth information of Portuguese population: Knowledge and perceived quality and accessibility of health information sources
oaire.awardURIinfo:eu-repo/grantAgreement/FCT/3599-PPCDT/HMSP-IISE%2FSAU-ICT%2F0004%2F2009/PT
oaire.citation.titlePatient Education and Counselingeng
oaire.fundingStream3599-PPCDT
person.familyNameSantos
person.givenNameOsvaldo
person.identifier.orcid0000-0002-0836-4314
project.funder.identifierhttp://doi.org/10.13039/501100001871
project.funder.nameFundação para a Ciência e a Tecnologia
rcaap.rightsclosedAccesspor
rcaap.typearticlepor
relation.isAuthorOfPublication6819777d-2080-4708-8f20-0ce67c153687
relation.isAuthorOfPublication.latestForDiscovery6819777d-2080-4708-8f20-0ce67c153687
relation.isProjectOfPublication758f6207-51c7-4071-befb-2bcdef7cad33
relation.isProjectOfPublication.latestForDiscovery758f6207-51c7-4071-befb-2bcdef7cad33

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