<?xml version="1.0" encoding="UTF-8"?><xml><records><record><source-app name="Biblio" version="7.x">Drupal-Biblio</source-app><ref-type>17</ref-type><contributors><authors><author><style face="normal" font="default" size="100%">Hanne Søberg Finbråten</style></author><author><style face="normal" font="default" size="100%">Peter Nowak</style></author><author><style face="normal" font="default" size="100%">Robert Griebler</style></author><author><style face="normal" font="default" size="100%">Éva Bíró</style></author><author><style face="normal" font="default" size="100%">Mitja Vrdelja</style></author><author><style face="normal" font="default" size="100%">Rana Charafeddine</style></author><author><style face="normal" font="default" size="100%">Lennert Griese</style></author><author><style face="normal" font="default" size="100%">Henrik Bøggild</style></author><author><style face="normal" font="default" size="100%">Doris Schaeffer</style></author><author><style face="normal" font="default" size="100%">Thomas Link</style></author><author><style face="normal" font="default" size="100%">Zdenek Kucera</style></author><author><style face="normal" font="default" size="100%">Julien Mancini</style></author><author><style face="normal" font="default" size="100%">Jürgen M Pelikan</style></author></authors></contributors><titles><title><style face="normal" font="default" size="100%">The HLS19-COM-P, a new instrument for measuring communicative health literacy in interaction with ohysicians: development and validation in nine European countries</style></title><secondary-title><style face="normal" font="default" size="100%">Int J Environ Res Public Health</style></secondary-title></titles><keywords><keyword><style  face="normal" font="default" size="100%">Communication</style></keyword><keyword><style  face="normal" font="default" size="100%">Health Literacy</style></keyword><keyword><style  face="normal" font="default" size="100%">Humans</style></keyword><keyword><style  face="normal" font="default" size="100%">PHYSICIANS</style></keyword><keyword><style  face="normal" font="default" size="100%">Psychometrics</style></keyword><keyword><style  face="normal" font="default" size="100%">Reproducibility of Results</style></keyword><keyword><style  face="normal" font="default" size="100%">Surveys and Questionnaires</style></keyword></keywords><dates><year><style  face="normal" font="default" size="100%">2022</style></year><pub-dates><date><style  face="normal" font="default" size="100%">2022 Sep 14</style></date></pub-dates></dates><volume><style face="normal" font="default" size="100%">19</style></volume><language><style face="normal" font="default" size="100%">eng</style></language><abstract><style face="normal" font="default" size="100%">&lt;p&gt;&lt;b&gt;BACKGROUND: &lt;/b&gt;Sufficient communicative health literacy (COM-HL) is important for patients actively participating in dialogue with physicians, expressing their needs and desires for treatment, and asking clarifying questions. There is a lack of instruments combining communication and HL proficiency. Hence, the aim was to establish an instrument with sufficient psychometric properties for measuring COM-HL.&lt;/p&gt;

&lt;p&gt;&lt;b&gt;METHODS: &lt;/b&gt;The HLS-COM-P instrument was developed based on a conceptual framework integrating HL with central communicative tasks. Data were collected using different data collection modes in nine countries from December 2019 to January 2021 ( = 18,674). Psychometric properties were assessed using Rasch analysis and confirmatory factor analysis. Cronbach's alpha and Person separation index were considered for reliability.&lt;/p&gt;

&lt;p&gt;&lt;b&gt;RESULTS: &lt;/b&gt;The 11-item version (HLS-COM-P-Q11) and its short version of six items (HLS-COM-P-Q6) fit sufficiently the unidimensional partial credit Rasch model, obtained acceptable goodness-of-fit indices and high reliability. Two items tend to under-discriminate. Few items displayed differential item functioning (DIF) across person factors, and there was no consistent pattern in DIF across countries. All items had ordered response categories.&lt;/p&gt;

&lt;p&gt;&lt;b&gt;CONCLUSIONS: &lt;/b&gt;The HLS-COM-P instrument was well accepted in nine countries, in different data collection modes, and could be used to measure COM-HL.&lt;/p&gt;
</style></abstract><issue><style face="normal" font="default" size="100%">18</style></issue></record></records></xml>