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Journal Publication
Title of Article Health Literacy Measurement Tool for Patients with Type 2 Diabetes Mellitus in Thailand  
Date of Acceptance 1 August 2020 
Journal
     Title of Journal Indian Journal of Public Health Research & Development  
     Standard SCOPUS 
     Institute of Journal Institute of Medico-Legal Publications  
     ISBN/ISSN 09765506  
     Volume 11 
     Issue  
     Month ์November
     Year of Publication 2020 
     Page  
     Abstract Background: Health literacy (HL) measurement tools have been various and not yet standardized. Objectives: To investigates the properties of HL measurement tool for patients with type 2 diabetes mellitus (T2DM). Methods: A cross-sectional study was conducted among 620 T2DM. Participants were interviewed about 62 health literacy items in three domains: (a) reading medical terms; (b) numeracy test and (c) decision making. The data were collected from January to April 2019. The reliability, discrimination and difficulty wee examined using the Kuder-Richardson Reliability Coefficient (KR-20) indices of discrimination and difficulty. Results: The study found 49.8% aged older than 60 years, 80.2% had primary education level and 72.4% received no insulin injections. The properties of the HL measurement tool were (1) the reliability is at an excellent level for medical terms (KR-20 = 0.98) and good levels for both numeracy test and decision making (KR-20 = 0.72 and 0.79, respectively). (2) The indices of discrimination are high for both medical terms and decision making (r = 0.58 – 0.80 and 0.48-0.55, respectively) but at a low level for the numeracy test (r = 0.02 – 0.43). (3) The indices of difficulty are high level for medical terms and decision making (p = 0.45 – 0.70 and 0.73 – 0.76, respectively) but at a low level for the numeracy test (p=0.02 – 0.64). Conclusions: The 62-item tool is suitably good to measure HL for patients with type 2 diabetes regarding its reliability, discrimination and difficulty. However, the numeracy test should be developed more to improve discrimination and difficulty.  
     Keyword Health Literacy, Health Literacy Measurement Tool, Type 2 DM 
Author
597070015-8 Mrs. KANPECHAYA NETPISITKUL [Main Author]
Medicine Doctoral Degree

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