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Development and Initial Psychometric Validation of the Acute Pancreatitis Health Literacy Scale
Weiwei Chen1,2, Shuli Ma1,3, Xia Su4
1Department of Gastroenterology, Affiliated Hospital of Yangzhou University, Yangzhou, China.
Journal of Nursing Measurement
|May 11, 2026
Summary
A new tool, the Acute Pancreatitis Health Literacy Scale (APHLS), has been developed to assess health literacy in patients with acute pancreatitis. This validated scale is crucial for understanding patient comprehension and improving care.
Area of Science:
- Gastroenterology
- Health Services Research
- Psychometrics
Background:
- Health literacy in acute pancreatitis patients remains understudied.
- Existing assessments do not specifically address the needs of this patient population.
- A validated tool is needed to evaluate health literacy in acute pancreatitis.
Purpose of the Study:
- To develop and validate the Acute Pancreatitis Health Literacy Scale (APHLS).
- To provide a reliable and valid measure for assessing health literacy in acute pancreatitis patients.
- To support the development of targeted educational interventions.
Main Methods:
- A two-phase design was employed for scale development and validation.
- Item generation involved cognitive interviews and a Delphi survey.
- Psychometric properties were assessed using content, construct, discriminant, and known-group validity, alongside reliability analyses (Cronbach's alpha, test-retest).
Main Results:
- The final 20-item APHLS demonstrated strong content validity.
- Confirmatory factor analysis supported a three-factor structure.
- The scale exhibited good internal consistency (α = .91) and excellent test-retest reliability (ICC = .955).
Conclusions:
- The APHLS is a reliable, valid, and practical instrument.
- It can effectively assess health literacy in acute pancreatitis patients.
- The scale can inform and enhance patient education strategies.
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01:21Health Literacy
Health literacy is an individual's or a community's capacity to comprehend, receive, read, and use relevant healthcare information and services. The World Health Organization (WHO, 2018) defines health literacy as the cognitive and social skills that determine the ability of individuals to gain access to, understand, and use information in ways that promote and maintain good health. As a result, the WHO helps individuals manage long-term health concerns, participate in preventative programs,...
01:27Acute Pancreatitis I: Introduction
Pancreatitis is inflammation of the pancreas, an organ located behind the stomach. It can be either acute or chronic.
Acute pancreatitis is characterized by rapid inflammation of the pancreas, often caused by factors like gallstone blockage or excessive alcohol consumption. Chronic pancreatitis, on the other hand, is a slow, progressive inflammation that may result from long-term alcohol abuse, obstructions in the pancreatic duct, or genetic factors.
The causes of acute pancreatitis include:
Acute pancreatitis is characterized by rapid inflammation of the pancreas, often caused by factors like gallstone blockage or excessive alcohol consumption. Chronic pancreatitis, on the other hand, is a slow, progressive inflammation that may result from long-term alcohol abuse, obstructions in the pancreatic duct, or genetic factors.
The causes of acute pancreatitis include:
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Assessment:
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