+ Site Statistics
+ Search Articles
+ PDF Full Text Service
How our service works
Request PDF Full Text
+ Follow Us
Follow on Facebook
Follow on Twitter
Follow on LinkedIn
+ Subscribe to Site Feeds
Most Shared
PDF Full Text
+ Translate
+ Recently Requested

A Scoping Review of Health Literacy Measurement Tools in the Context of Cardiovascular Health



A Scoping Review of Health Literacy Measurement Tools in the Context of Cardiovascular Health



Health Education and Behavior 46(4): 677-688



Background. Despite the strong link between health literacy and cardiovascular health outcomes, health literacy measurements remain flawed and fragmented. There exists a gap in the knowledge when formulating a valid measurement to capture the broad concept of health literacy. The existence of various tools for health literacy measurement also hampers the availability of health literacy data. Additionally, little research is available on a valid measurement tool for cardiovascular health literacy. Objective. This study aims to provide an overview of the health literacy measurement tools used in the context of cardiovascular health. Method. A scoping review was conducted. Two electronic databases, Medline and Embase, were searched to identify studies that described a tool for the measurement of health literacy in the context of cardiovascular health. Results. After reviewing the available studies, 53 studies met the inclusion criteria. A total of 26 health literacy measurement tools were identified in the studies. Among the 26 tools, 16 used an objective measurement approach, 9 adopted a subjective approach, and 1 employed a mixed approach. Additionally, 28 studies used tools to measure print literacy, 15 studies measured print literacy and numeracy, and 5 studies measured print literacy, oral literacy, and numeracy. Conclusions. STOFHLA, TOFHLA, and REALM were the mostly commonly used tools in the selected studies. The majority of tools were based heavily on reading skills and word recognition. Researchers should focus on the development of more comprehensive and reliable health literacy measurement tool(s) specific to cardiovascular health to assist health care providers to more efficiently and accurately identify people with cardiovascular problems who have inadequate health literacy.

Please choose payment method:






(PDF emailed within 0-6 h: $19.90)

Accession: 066552674

Download citation: RISBibTeXText

PMID: 30829066

DOI: 10.1177/1090198119831754


Related references

Measuring oral health literacy: a scoping review of existing tools. Bmc Oral Health 14: 148, 2014

Health literacy, literacy, numeracy and nutrition label understanding and use: a scoping review of the literature. Journal of Human Nutrition and Dietetics 30(3): 309-325, 2017

Towards appropriate information provision for and decision-making with patients with limited health literacy in hospital-based palliative care in Western countries: a scoping review into available communication strategies and tools for healthcare providers. Bmc Palliative Care 18(1): 37, 2019

Measurement properties of mental health literacy tools measuring help-seeking: a systematic review. Journal of Mental Health 26(6): 543-555, 2017

Airway diseases and health literacy (HL) measurement tools: A systematic review to inform respiratory research and practice. Patient Education and Counseling 101(4): 596-618, 2018

Measurement of health literacy in patients with cardiovascular diseases: A systematic review. Research in Social and Administrative Pharmacy 15(12): 1395-1405, 2019

Using the scenario method in the context of health and health care--a scoping review. Bmc Medical Research Methodology 15: 89, 2015

Screening tools to identify patients with complex health needs at risk of high use of health care services: A scoping review. Plos one 12(11): E0188663, 2017

The application of health literacy measurement tools (collective or individual domains) in assessing chronic disease management: a systematic review protocol. Systematic Reviews 5: 97, 2016

Health literacy in pediatric otolaryngology: A scoping review. International Journal of Pediatric Otorhinolaryngology 113: 252-259, 2018

Health literacy and cancer self-management behaviors: A scoping review. Cancer 124(21): 4202-4210, 2018

Health Literacy Studies Conducted in Australia: A Scoping Review. International Journal of Environmental Research and Public Health 16(7):, 2019

P68Sexual health literacy and men who have sex with men (msm): a scoping review of research literature. Sexually Transmitted Infections 91(Suppl 1): A38.1-A38, 2015

The quality of mental health literacy measurement tools evaluating the stigma of mental illness: a systematic review. Epidemiology and Psychiatric Sciences 27(5): 433-462, 2018

Integrating health literacy into occupational therapy: findings from a scoping review. Scandinavian Journal of Occupational Therapy 19(4): 305-314, 2012