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Updated: Apr 16, 2026

Oral Health Assessment by Lay Personnel for Older Adults
Published on: February 2, 2020
Nursing diagnosis "Inadequate health literacy" in older adults: content validity
Rachel da Silva Serejo Cardoso1, Rosimere Ferreira Santana2, Camila Takáo Lopes3
1Universidade La Salle. Niterói, Rio de Janeiro, Brazil.
Objectives:
to assess the content validity of nursing diagnosis "Inadequate health literacy" in older adults.
Methods:
a content validity study based on the consensus of 70 professionals in the field who assessed the relevance of each diagnostic component. Components with Content Validity Indexes below 0.80 were modified or reclassified.
Results:
all diagnostic definitions achieved satisfactory scores. Related factors with the highest validity index were "deficient social support" and "inadequate/hurried communication from health care professionals". "Cognitive impairment" was the most prominent associated condition. In the at risk population category, "immigrants and/or non-native language speakers" achieved the highest score. The defining characteristics "difficulty knowing how to act in favor of health" and "lack of information about their health conditions and illness" stood out.
Conclusions:
the diagnosis demonstrated satisfactory evidence of content validity, supporting its clinical application.
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