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Health literacy assessment: Translation and cultural adaptation to the Portuguese population
Margarida Espírito-Santo1,2,3, Tânia Nascimento2,3, Ezequiel Pinto2,3
1Cranfield Biotechnology Centre, Cranfield University, Cranfield, UK.
Rationale, Aims, And Objectives:
Health literacy (HL) has been widely referenced as a determinant of health outcomes, making the assessment of low HL a fundamental step to plan educational interventions. This study aimed to translate and adapt the Short Assessment of Health Literacy-Spanish and English (SAHL-S&E) questionnaire into European Portuguese.
Methods:
The SAHL-S&E questionnaire was translated using the recommendations of the International Society for Pharmacoeconomics and Outcomes Research. One hundred fifty-three Portuguese native speakers aged over 18 years old were included in this study, enrolled among users of community pharmacies in the Algarve region (Portugal).
Results:
The translation of the questionnaire used showed a good internal consistency (Cronbach α: .812), and a statistically significant (F = 5.05 P < .001) interrater reliability. Over a third of subjects (37.9%) achieved a score less than or equal to 14, which is indicative of low HL.
Conclusion:
This tool, intended to be used in the European Portuguese population, can be used for low HL screening.
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