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Measuring cancer caregiver health literacy: Validation of the Health Literacy of Caregivers Scale–Cancer (HLCS‐C) in an Australian population

Overview of attention for article published in Health & Social Care in the Community, December 2017
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Title
Measuring cancer caregiver health literacy: Validation of the Health Literacy of Caregivers Scale–Cancer (HLCS‐C) in an Australian population
Published in
Health & Social Care in the Community, December 2017
DOI 10.1111/hsc.12524
Pubmed ID
Authors

Eva Yuen, Tess Knight, Sarity Dodson, Jacqueline Chirgwin, Lucy Busija, Lina A. Ricciardelli, Susan Burney, Phillip Parente, Patricia M. Livingston

Abstract

Caregivers have been largely neglected in health literacy measurement. We assess the construct validity, and internal consistency of the Health Literacy of Caregivers Scale-Cancer (HLCS-C), and present a revised, psychometrically robust scale. Using data from 297 cancer caregivers (12.4% response rate) recruited from Melbourne, Australia between January-July 2014, confirmatory factor analysis (CFA) was conducted to evaluate the HLCS-C's proposed factor structure. Items were evaluated for: item difficulty, unidimensionality and overall item fit within their domain. Item-threshold-ordering was examined though one-parameter Item Response Theory models. Internal consistency was assessed using Raykov's reliability coefficient. CFA results identified 42 poorly performing/redundant items which were subsequently removed. A 10-factor model was fitted to 46 acceptable items with no correlated residuals or factor cross-loadings accepted. Adequate fit was revealed (χ2WLSMV  = 1463.807[df = 944], p < .001, RMSEA = 0.043, CFI = 0.980, TLI = 0.978, WRMR = 1.00). Ten domains were identified: Proactivity and determination to seek information; Adequate information about cancer and cancer management; Supported by healthcare providers (HCP) to understand information; Social support; Cancer-related communication with the care recipient (CR); Understanding CR needs and preferences; Self-care; Understanding the healthcare system; Capacity to process health information; and Active engagement with HCP. Internal consistency was adequate across domains (0.78-0.92). The revised HLCS-C demonstrated good structural, convergent, and discriminant validity, and high internal consistency. The scale may be useful for the development and evaluation of caregiver interventions.

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The data shown below were collected from the profiles of 5 X users who shared this research output. Click here to find out more about how the information was compiled.
Mendeley readers

Mendeley readers

The data shown below were compiled from readership statistics for 88 Mendeley readers of this research output. Click here to see the associated Mendeley record.

Geographical breakdown

Country Count As %
Unknown 88 100%

Demographic breakdown

Readers by professional status Count As %
Student > Master 12 14%
Student > Doctoral Student 9 10%
Researcher 6 7%
Student > Ph. D. Student 6 7%
Student > Bachelor 5 6%
Other 20 23%
Unknown 30 34%
Readers by discipline Count As %
Nursing and Health Professions 15 17%
Medicine and Dentistry 11 13%
Psychology 8 9%
Social Sciences 5 6%
Business, Management and Accounting 4 5%
Other 10 11%
Unknown 35 40%
Attention Score in Context

Attention Score in Context

This research output has an Altmetric Attention Score of 3. This is our high-level measure of the quality and quantity of online attention that it has received. This Attention Score, as well as the ranking and number of research outputs shown below, was calculated when the research output was last mentioned on 16 March 2019.
All research outputs
#14,920,631
of 25,382,440 outputs
Outputs from Health & Social Care in the Community
#1,335
of 2,073 outputs
Outputs of similar age
#225,336
of 445,833 outputs
Outputs of similar age from Health & Social Care in the Community
#13
of 33 outputs
Altmetric has tracked 25,382,440 research outputs across all sources so far. This one is in the 40th percentile – i.e., 40% of other outputs scored the same or lower than it.
So far Altmetric has tracked 2,073 research outputs from this source. They typically receive more attention than average, with a mean Attention Score of 7.8. This one is in the 34th percentile – i.e., 34% of its peers scored the same or lower than it.
Older research outputs will score higher simply because they've had more time to accumulate mentions. To account for age we can compare this Altmetric Attention Score to the 445,833 tracked outputs that were published within six weeks on either side of this one in any source. This one is in the 48th percentile – i.e., 48% of its contemporaries scored the same or lower than it.
We're also able to compare this research output to 33 others from the same source and published within six weeks on either side of this one. This one has gotten more attention than average, scoring higher than 60% of its contemporaries.