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Measurement properties of the Health Literacy Questionnaire (HLQ) among older adults who present to the emergency department after a fall: a Rasch analysis

Overview of attention for article published in BMC Health Services Research, August 2017
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  • Above-average Attention Score compared to outputs of the same age and source (52nd percentile)

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Title
Measurement properties of the Health Literacy Questionnaire (HLQ) among older adults who present to the emergency department after a fall: a Rasch analysis
Published in
BMC Health Services Research, August 2017
DOI 10.1186/s12913-017-2520-9
Pubmed ID
Authors

Rebecca L. Morris, Sze-Ee Soh, Keith D. Hill, Rachelle Buchbinder, Judy A. Lowthian, Julie Redfern, Christopher D. Etherton-Beer, Anne-Marie Hill, Richard H. Osborne, Glenn Arendts, Anna L. Barker

Abstract

Health literacy is an important concept associated with participation in preventive health initiatives, such as falls prevention programs. A comprehensive health literacy measurement tool, appropriate for this population, is required. The aim of this study was to evaluate the measurement properties of the Health Literacy Questionnaire (HLQ) in a cohort of older adults who presented to a hospital emergency department (ED) after a fall. Older adults who presented to an ED after a fall had their health literacy assessed using the HLQ (n = 433). Data were collected as part of a multi-centre randomised controlled trial of a falls prevention program. Measurement properties of the HLQ were assessed using Rasch analysis. All nine scales of the HLQ were unidimensional, with good internal consistency reliability. No item bias was found for most items (43 of 44). A degree of overall misfit to the Rasch model was evident for six of the nine HLQ scales. The majority of misfit indicated content overlap between some items and does not compromise measurement. A measurement gap was identified for this cohort at mid to high HLQ score. The HLQ demonstrated good measurement properties in a cohort of older adults who presented to an ED after a fall. The summation of the HLQ items within each scale, providing unbiased information on nine separate areas of health literacy, is supported. Clinicians, researchers and policy makers may have confidence using the HLQ scale scores to gain information about health literacy in older people presenting to the ED after a fall. This study was registered with the Australian New Zealand Clinical Trials Registry, number ACTRN12614000336684 (27 March 2014).

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Mendeley readers

Mendeley readers

The data shown below were compiled from readership statistics for 139 Mendeley readers of this research output. Click here to see the associated Mendeley record.

Geographical breakdown

Country Count As %
Unknown 139 100%

Demographic breakdown

Readers by professional status Count As %
Student > Ph. D. Student 19 14%
Student > Master 17 12%
Researcher 12 9%
Student > Doctoral Student 9 6%
Student > Bachelor 8 6%
Other 27 19%
Unknown 47 34%
Readers by discipline Count As %
Nursing and Health Professions 29 21%
Medicine and Dentistry 22 16%
Social Sciences 13 9%
Psychology 4 3%
Computer Science 2 1%
Other 14 10%
Unknown 55 40%
Attention Score in Context

Attention Score in Context

This research output has an Altmetric Attention Score of 5. This is our high-level measure of the quality and quantity of online attention that it has received. This Attention Score, as well as the ranking and number of research outputs shown below, was calculated when the research output was last mentioned on 14 April 2018.
All research outputs
#6,541,346
of 23,318,744 outputs
Outputs from BMC Health Services Research
#3,136
of 7,804 outputs
Outputs of similar age
#102,982
of 316,705 outputs
Outputs of similar age from BMC Health Services Research
#67
of 142 outputs
Altmetric has tracked 23,318,744 research outputs across all sources so far. This one has received more attention than most of these and is in the 71st percentile.
So far Altmetric has tracked 7,804 research outputs from this source. They typically receive more attention than average, with a mean Attention Score of 7.9. This one has gotten more attention than average, scoring higher than 59% of its peers.
Older research outputs will score higher simply because they've had more time to accumulate mentions. To account for age we can compare this Altmetric Attention Score to the 316,705 tracked outputs that were published within six weeks on either side of this one in any source. This one has gotten more attention than average, scoring higher than 67% of its contemporaries.
We're also able to compare this research output to 142 others from the same source and published within six weeks on either side of this one. This one has gotten more attention than average, scoring higher than 52% of its contemporaries.