title: Validation of a Health Literacy Measure for Adolescents and Young Adults Diagnosed with Cancer.
abstract: Health literacy can influence long-term health outcomes. This study aimed to validate an adapted version of the Functional, Communicative and Critical Health Literacy measure for adolescent and young adult (AYA) cancer patients and survivors (N = 105; age 12-24 years). Exploratory factor analysis was used to validate the measure, and indicated that a slightly modified item structure better fit the results. Furthermore, item response theory analysis highlighted location and discrimination parameter differences among items. Acceptability of the measure was high. This is the first validation of a health literacy measure among AYAs with an illness such as cancer.
authors.affiliation: 1 Research, Evaluation and Social Policy , CanTeen, Sydney, Australia .|2 Cancer Nursing Research Unit, University of Sydney , Sydney, Australia .
authors.forename: Fiona E J
authors.initials: FE
authors.lastname: McDonald
authors.affiliation: 1 Research, Evaluation and Social Policy , CanTeen, Sydney, Australia .|2 Cancer Nursing Research Unit, University of Sydney , Sydney, Australia .
authors.forename: Pandora
authors.initials: P
authors.lastname: Patterson
authors.affiliation: 3 School of Psychology, University of Sydney , Sydney, Australia .
authors.forename: Daniel S J
authors.initials: DS
authors.lastname: Costa
authors.affiliation: 4 Psycho-Oncology Co-Operative Research Group (PoCoG), University of Sydney , Sydney, Australia .
authors.forename: Heather L
authors.initials: HL
authors.lastname: Shepherd
mesh_terms: D000293:Adolescent; D001315:Australia; D002648:Child; D004521:Educational Measurement / Q000379:methods; D005163:Factor Analysis, Statistical; D005260:Female; D007722:Health Knowledge, Attitudes, Practice; D057220:Health Literacy / Q000379:methods / Q000592:standards*; D006801:Humans; D008297:Male; D009369:Neoplasms / Q000523:psychology* / Q000534:rehabilitation; D015203:Reproducibility of Results; D055815:Young Adult
keywords: communicative; critical health literacy; factor analysis; functional; health literacy; instrument validation; item response theory