A Psychometric Analysis of the Health Literate Health Care Organization-10 Item Questionnaire

The concept of a Health Literate Healthcare Organization (HLHO) is a relatively new approach to health literacy that moves the focus from the individual patient to the overarching health care system. The HLHO-10 questionnaire was developed internationally to assess the 10 Attributes of HLHOs as desc...

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Main Authors: Diana Singer, Carol Howe, Tracine Adame, Brennan Lewis, Teresa Wagner, Danielle Walker
Format: Article
Language:English
Published: SLACK Incorporated 2022-04-01
Series:Health Literacy Research and Practice
Online Access:https://journals.healio.com/doi/10.3928/24748307-20220518-01
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author Diana Singer
Carol Howe
Tracine Adame
Brennan Lewis
Teresa Wagner
Danielle Walker
author_facet Diana Singer
Carol Howe
Tracine Adame
Brennan Lewis
Teresa Wagner
Danielle Walker
author_sort Diana Singer
collection DOAJ
description The concept of a Health Literate Healthcare Organization (HLHO) is a relatively new approach to health literacy that moves the focus from the individual patient to the overarching health care system. The HLHO-10 questionnaire was developed internationally to assess the 10 Attributes of HLHOs as described by participants of the Institute of Medicine Roundtable on Health Literacy. The purpose of this study was to establish reliability and validity of the HLHO-10 among a sample of United States hospitals. Reliability and validity were established through assessing the factor structure for the HLHO-10 and psychometric evaluation. The HLHO-10 was found to be reliable with a Cronbach's alpha of .855 and a two-factor structure was revealed through exploratory factor analysis. Additional research is needed to further validate use of the HLHO-10 in the U.S., but initial findings of this emerging tool are promising and timely as the issue of health literacy comes to the forefront of U.S. health care systems and associated regulatory agencies. [HLRP: Health Literacy Research and Practice. 2022;6(2):e137–e141.]
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spelling doaj.art-713619b20b5e4a28bc22654b8f8b84942023-08-09T13:37:36ZengSLACK IncorporatedHealth Literacy Research and Practice2474-83072022-04-0162e137e14110.3928/24748307-20220518-01A Psychometric Analysis of the Health Literate Health Care Organization-10 Item QuestionnaireDiana SingerCarol HoweTracine AdameBrennan LewisTeresa WagnerDanielle WalkerThe concept of a Health Literate Healthcare Organization (HLHO) is a relatively new approach to health literacy that moves the focus from the individual patient to the overarching health care system. The HLHO-10 questionnaire was developed internationally to assess the 10 Attributes of HLHOs as described by participants of the Institute of Medicine Roundtable on Health Literacy. The purpose of this study was to establish reliability and validity of the HLHO-10 among a sample of United States hospitals. Reliability and validity were established through assessing the factor structure for the HLHO-10 and psychometric evaluation. The HLHO-10 was found to be reliable with a Cronbach's alpha of .855 and a two-factor structure was revealed through exploratory factor analysis. Additional research is needed to further validate use of the HLHO-10 in the U.S., but initial findings of this emerging tool are promising and timely as the issue of health literacy comes to the forefront of U.S. health care systems and associated regulatory agencies. [HLRP: Health Literacy Research and Practice. 2022;6(2):e137–e141.]https://journals.healio.com/doi/10.3928/24748307-20220518-01
spellingShingle Diana Singer
Carol Howe
Tracine Adame
Brennan Lewis
Teresa Wagner
Danielle Walker
A Psychometric Analysis of the Health Literate Health Care Organization-10 Item Questionnaire
Health Literacy Research and Practice
title A Psychometric Analysis of the Health Literate Health Care Organization-10 Item Questionnaire
title_full A Psychometric Analysis of the Health Literate Health Care Organization-10 Item Questionnaire
title_fullStr A Psychometric Analysis of the Health Literate Health Care Organization-10 Item Questionnaire
title_full_unstemmed A Psychometric Analysis of the Health Literate Health Care Organization-10 Item Questionnaire
title_short A Psychometric Analysis of the Health Literate Health Care Organization-10 Item Questionnaire
title_sort psychometric analysis of the health literate health care organization 10 item questionnaire
url https://journals.healio.com/doi/10.3928/24748307-20220518-01
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