TY  - JOUR
A1  - Hasenpusch, Claudia
A1  - Matterne, Uwe
A1  - Tischer, Christina
A1  - Hrudey, Ilona
A1  - Apfelbacher, Christian
T1  - Development and content validation of a comprehensive health literacy survey instrument for use in individuals with asthma during the COVID-19 pandemic
JF  - International Journal of Environmental Research and Public Health
N2  - Individuals with chronic conditions have been faced with many additional challenges during the COVID-19 pandemic. Individual health literacy (HL) as the ability to access, understand, evaluate, and apply pandemic-related information has thus become ever more important in these populations. The purpose of this study was to develop and content-validate a comprehensive HL survey instrument for people with asthma based on an integrated framework, and on previous surveys and other instruments for use in the general population and vulnerable groups. Beside HL, assumed determinants, mediators, and health outcomes were embraced in the framework. A mixed-method design was used. A comprehensive examination of the available literature yielded an initial pool of 398 single items within 20 categories. Based on content validity indices (CVI) of expert ratings (n = 11) and the content analysis of cognitive interviews with participants (n = 9), the item pool was reduced, and individual items/scales refined or modified. The instrument showed appropriate comprehensibility (98.0%), was judged relevant, and had an acceptable CVI at scale level (S-CVI/Ave = 0.91). The final version comprises 14 categories measured by 38 questions consisting of 116 single items. In terms of content, the instrument appears a valid representation of behavioural and psychosocial constructs pertaining to a broad HL understanding and relevant to individuals with asthma during the COVID-19 pandemic. Regular monitoring of these behavioural and psychosocial constructs during the course of the pandemic can help identify needs as well as changes during the course of the pandemic, which is particularly important in chronic disease populations.
KW  - SARS-CoV-2
KW  - COVID-19
KW  - asthma
KW  - survey instrument
KW  - questionnaire development
KW  - health literacy
Y1  - 2022
U6  - http://nbn-resolving.de/urn/resolver.pl?urn:nbn:de:bvb:20-opus-262146
SN  - 1660-4601
VL  - 19
IS  - 4
ER  -