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Table 4 Descriptive statistics of items and internal consistency of scales (n = 1993)

From: Towards a comprehensive, person-centred assessment of health literacy: translation, cultural adaptation and psychometric test of the Dutch Health Literacy Questionnaire

1. Feeling understood and supported by healthcare providers – Alpha = 0.91 (N = 1895)

 

Mean (sd)

Floor/ceiling effects

Item-total correlation

Item-remainder correlation

Alpha if item is deleted

I have at least one healthcare provider who …

3.0

Ceiling

0.88

0.77

0.89

I have at least one healthcare provider I can …

3.0

No

0.90

0.82

0.87

I have the healthcare providers I need …

2.9

No

0.85

0.73

0.90

I can rely on at least one …

3.0

No

0.92

0.85

0.86

2. Having sufficient information to manage my health – Alpha = 0.89 (N = 1895)

I feel I have good information about health …

3.0

No

0.82

0.67

0.89

I have enough information to help me deal …

3.0

No

0.88

0.79

0.85

I am sure I have all the information I …

2.8

No

0.89

0.79

0.85

I have all the information I need to …

2.9

No

0.89

0.80

0.85

3. Actively managing my health – Alpha = 0.86 (N = 1897)

I spend quite a lot of time actively managing …

2.6

No

0.72

0.56

0.86

I make plans for what I need to do to be …

2.9

No

0.83

0.72

0.82

Despite other things in my life, I make time …

2.8

No

0.84

0.74

0.81

I set my own goals about health and fitness …

3.0

No

0.75

0.60

0.85

There are things that I do regularly …

2.9

No

0.86

0.77

0.81

4. Social support for health – Alpha = 0.86 (N = 1913)

I can get access to several people who …

2.9

No

0.84

0.74

0.82

When I feel ill, the people around me really …

2.7

No

0.75

0.60

0.86

If I need help, I have plenty of people I..

2.9

No

0.87

0.78

0.81

I have at least one person … .

3.1

Ceiling

0.72

0.56

0.87

I have strong support from …

2.9

Ceiling

0.85

0.76

0.82

5. Appraisal of health information– Alpha = 0.83 (N = 1898)

I compare health information from different …

2.7

No

0.80

0.67

0.78

When I see new information about health, I …

2.6

No

0.79

0.65

0.79

I always compare health information from …

2.6

No

0.86

0.77

0.75

I know how to find out if the health …

2.8

No

0.69

0.50

0.83

I ask healthcare providers about the quality …

2.5

No

0.72

0.55

0.82

6. Ability to actively engage with healthcare providers– Alpha = 0.94 (N = 1882)

Make sure that healthcare providers understand..

3.9

No

0.87

0.79

0.93

Feel able to discuss your health concerns...

4.0

Ceiling

0.91

0.85

0.92

Have good discussions about your health …

4.0

Ceiling

0.88

0.82

0.92

Discuss things with healthcare providers …

4.0

Ceiling

0.89

0.83

0.92

Ask healthcare providers to get …

4.0

Ceiling

0.90

0.85

0.92

7. Navigating the healthcare system– Alpha = 0.93 (N = 1875)

Find the right healthcare...

3.9

Ceiling

0.85

0.78

0.92

Get to see the healthcare provider you need to..

4.0

Ceiling

0.83

0.75

0.92

Decide which health care provider you need …

3.9

Ceiling

0.89

0.83

0.91

Make sure you find the right place to get …

4.0

Ceiling

0.89

0.83

0.91

Find out what healthcare services you are …

3.6

No

0.82

0.74

0.92

Work out what is the best care for you …

3.8

No

0.87

0.80

0.91

8. Ability to find good health information– Alpha = 0.93 (N = 1881)

Find information about health problems …

4.0

Ceiling

0.88

0.82

0.92

Find health information from several …

3.9

Ceiling

0.91

0.86

0.91

Get information about health so you are …

3.9

No

0.89

0.82

0.92

Get health information in words you …

4.1

Ceiling

0.84

0.75

0.93

Get health information by yourself …

3.9

Ceiling

0.90

0.85

0.91

9. Understanding health information well enough to know what to do– Alpha = 0.91 (N = 1884)

Confidently fill medical forms in the correct …

4.0

Ceiling

0.86

0.78

0.88

Accurately follow the instructions from …

4.0

Ceiling

0.78

0.66

0.91

Read and understand written health …

4.0

Ceiling

0.87

0.79

0.88

Read and understand all the information on …

4.0

Ceiling

0.85

0.77

0.89

Understand what healthcare providers are …

4.1

Ceiling

0.90

0.84

0.87