Methodology and validation of health literacy scale development in taiwan

Tzu I. Tsai, Shoou Yih D. Lee, Yi Wen Tsai, Ken N. Kuo

Research output: Contribution to journalArticlepeer-review

62 Citations (Scopus)


This article reports a generic methodology for developing health literacy assessment tools, consisting of 5 steps: (a) semi-structured, in-depth interviews of health care consumers; (b) consultation with health care, education, and psychometrics experts; (c) generation of an item pool; (d) selection of items for inclusion in the Mandarin Health Literacy Scale; and (e) evaluation of readability. To illustrate, the authors applied the methodology in order to develop a health literacy scale for the Mandarin Chinese-speaking population. They field-tested the initial version of the scale with a random sample of 323 Taiwanese adults. In addition, the authors used item response theory and classical test theory to examine the psychometric properties of the scale. Results showed good validity and reliability.

Original languageEnglish
Pages (from-to)50-61
Number of pages12
JournalJournal of Health Communication
Issue number1
Publication statusPublished - Jan 2011
Externally publishedYes

ASJC Scopus subject areas

  • Health(social science)
  • Communication
  • Public Health, Environmental and Occupational Health
  • Library and Information Sciences


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