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© 2020 by the authors. Licensee MDPI, Basel, Switzerland. This article is an open access article distributed under the terms and conditions of the Creative Commons Attribution (CC BY) license (http://creativecommons.org/licenses/by/4.0/). Notwithstanding the ProQuest Terms and Conditions, you may use this content in accordance with the terms of the License.

Abstract

There is a need for valid and reliable instruments to focus on medication aspects of health literacy and help healthcare professionals address patients’ barriers to medication use. This cross-sectional study describes the conceptualization, development, and psychometric properties of the first Chinese Medication Literacy Measurement (ChMLM) to assess the level of health literacy on medication use. The 17-item ChMLM (ChMLM-17) and its short form, 13-item ChMLM (ChMLM-13), consist of four sections (vocabulary, over-the-counter labels, prescription labels, and advertisements) to cover six domains of medication-related health literacy. Multistage stratified quota sampling was attempted to recruit a representative sample in Taiwan. Receiver operating characteristic curves were used to identify the cut-off point for differentiating high and low medication literacy. Psychometric analyses were performed (n = 1410) to assess the reliability and validity separately on all samples and sociodemographic subgroups. The 17- and 13-item versions both had high construct validity among all patients and patients with low medication literacy. The developed ChMLM-17 and ChMLM-13 is expected to help healthcare providers and researchers to accurately measure medication-related health literacy and improve medication use in the real-world practice.

Details

Title
Conceptualization, Development and Psychometric Evaluations of a New Medication-Related Health Literacy Instrument: The Chinese Medication Literacy Measurement
Author
Hsiang-Wen, Lin 1   VIAFID ORCID Logo  ; Chang, Elizabeth H 2   VIAFID ORCID Logo  ; Ko, Yu 3   VIAFID ORCID Logo  ; Chun-Yu, Wang 4 ; Yu-Shan, Wang 5 ; Okti Ratna Mafruhah 5   VIAFID ORCID Logo  ; Shang-Hua, Wu 6 ; Yu-Chieh, Chen 7 ; Yen-Ming, Huang 8   VIAFID ORCID Logo 

 School of Pharmacy and Graduate Institute, College of Pharmacy, China Medical University, Taichung City 404333, Taiwan; [email protected] (Y.-S.W.); [email protected] (O.R.M.); [email protected] (Y.-C.C.); Department of Pharmacy, China Medical University Hospital, Taichung City 404332, Taiwan; Department of Pharmacy System, Outcomes and Policy, College of Pharmacy, University of Illinois at Chicago, Chicago, IL 60612, USA 
 Department of Clinical Pharmacy, School of Pharmacy, College of Pharmacy, Taipei Medical University, Taipei City 110301, Taiwan; [email protected] (E.H.C.); [email protected] (Y.K.); Research Center for Pharmacoeconomics, College of Pharmacy, Taipei Medical University, Taipei City 110301, Taiwan; Department of Pharmacy, Wan Fang Hospital, Taipei Medical University, Taipei City 116081, Taiwan 
 Department of Clinical Pharmacy, School of Pharmacy, College of Pharmacy, Taipei Medical University, Taipei City 110301, Taiwan; [email protected] (E.H.C.); [email protected] (Y.K.); Research Center for Pharmacoeconomics, College of Pharmacy, Taipei Medical University, Taipei City 110301, Taiwan 
 Department of Pharmacy, Shin Kong Wu Ho-Su Memorial Hospital, Taipei City 111045, Taiwan; [email protected]; Taiwan International Pharmacy Advancement Association, Taipei City 100006, Taiwan 
 School of Pharmacy and Graduate Institute, College of Pharmacy, China Medical University, Taichung City 404333, Taiwan; [email protected] (Y.-S.W.); [email protected] (O.R.M.); [email protected] (Y.-C.C.) 
 Department of Pharmacy, Songde Branch, Taipei City Hospital, Taipei City 110209, Taiwan; [email protected] 
 School of Pharmacy and Graduate Institute, College of Pharmacy, China Medical University, Taichung City 404333, Taiwan; [email protected] (Y.-S.W.); [email protected] (O.R.M.); [email protected] (Y.-C.C.); Department of Pharmacy, China Medical University Hospital, Taichung City 404332, Taiwan 
 Graduate Institute of Clinical Pharmacy, College of Medicine, National Taiwan University, Taipei City 100025, Taiwan; Department of Allied and Population Health, College of Pharmacy and Allied Health Professions, South Dakota State University, Brookings, SD 57007, USA 
First page
6951
Publication year
2020
Publication date
2020
Publisher
MDPI AG
ISSN
1661-7827
e-ISSN
1660-4601
Source type
Scholarly Journal
Language of publication
English
ProQuest document ID
2635381153
Copyright
© 2020 by the authors. Licensee MDPI, Basel, Switzerland. This article is an open access article distributed under the terms and conditions of the Creative Commons Attribution (CC BY) license (http://creativecommons.org/licenses/by/4.0/). Notwithstanding the ProQuest Terms and Conditions, you may use this content in accordance with the terms of the License.