우리나라 헬스리터러시 측정 도구의 연구 동향 분석: 주제범위 문헌고찰(Scoping review)

Abstract

Objectives: This study aims to provide a descriptive review of the published health literacy measurement tools developed and validated in South Korea. Methods: Using Scoping Review methods, a literature review was conducted by scanning international and Korean databases (PubMed, CINAHL, Scopus, RISS, SCIENCEON, KoreaMed). Among the 181 articles explored, 26 were included in the review. Results: Of the 26 articles (27 tools) reviewed, 17 measured general health literacy, while nine were content/context specific. Among the 17 general health literacy measures, 12 tools were translated (from REALM, NVS, Chew, HLS-EU, and HL-SDHQ) and five were newly developed in the Korean context. Except for the REALM-family measures, all the general health literacy instruments apply multi-dimensional characteristics. Most health literacy measures had acceptable reliability (α=.70) and reported a diverse validation process (81% of the 26 articles). Conclusion: Newly developed health literacy measures need to be validated in a cultural and language-specific context. Future health literacy measures should focus on specific information concerning health literacy measures, such as time for evaluating literacy status, representative sampling for testing, and understudied populations, such as young individuals. Future systematic reviews should be conducted with further rigorous quality assessment of the health literacy instruments in Korea.