Cross-cultural adaptation and validation of the health literacy assessment tool METER in the Portuguese adult population

Highlights • METER was adapted and validated in the Portuguese adult population. • We used educational attainment and health-related occupation in validity testing. • We used the modified Angoff method to define the cut-off for adequate levels. • Scores for adequate health literacy were ≥35/40 in wo...

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Bibliographic Details
Published in:Patient education and counseling 2014-11, Vol.97 (2), p.269-275
Main Authors: Paiva, Dagmara, Silva, Susana, Severo, Milton, Ferreira, Pedro, Santos, Osvaldo, Lunet, Nuno, Azevedo, Ana
Format: Article
Language:English
Subjects:
Adult
Cross-Cultural Comparison
Factor Analysis, Statistical
Female
Health Knowledge, Attitudes, Practice
Health literacy
Health Literacy - standards
Health Surveys
Humans
Internal Medicine
Language
Male
METER
Middle Aged
Nursing
Patient Education as Topic - standards
Portugal
Psychometrics
Reproducibility of Results
Surveys and Questionnaires - standards
Terminology as Topic
Translating
Validation studies
Young Adult
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Summary:Highlights • METER was adapted and validated in the Portuguese adult population. • We used educational attainment and health-related occupation in validity testing. • We used the modified Angoff method to define the cut-off for adequate levels. • Scores for adequate health literacy were ≥35/40 in words and ≥18/30 in non-words. • METER is a brief and simple tool, shown to be valid and reliable in this population.
ISSN:0738-3991
1873-5134
DOI:10.1016/j.pec.2014.07.024