Background
Methods
Tool development
Group discussions
Type of organizations | N organizations | N participants |
---|---|---|
Group 1: Professional organizations, chambers, associations, corporations, and authorities | 5 | 7 |
Group 2: Cost bearers and health insurance companies | 6 | 7 |
Group 3: Patient-centered organizations, patient representatives, and self-help organizations | 5 | 5 |
Group 4: Providers and clinics | 8 | 8 |
Total | 24 | 27 |
Synthesis
Delphi study
Pretest
Pilot tool testing
Online survey
Statistical analyses
Results
Tool development
Group discussions
Synthesis
Delphi study
Pretest
Final self-assessment tool
Scale | N subscale | N items |
---|---|---|
1) Easy access and navigation | 3 | 16 |
2) Integration, prioritization, and dissemination of organizational health literacy | 4 | 11 |
3) Qualification, quality management, evaluation, and needs assessment | 2 | 17 |
4) Communication with target groups | 6 | 25 |
5) Involvement and support of target groups | 2 | 8 |
Total | 17 | 77 |
Pilot tool testing
Sample description
Target groups | N organizations |
---|---|
People who are affected themselves (e.g., patients, clients, members, customers) | 34 |
People who are affected themselves as well as relatives | 8 |
Relatives (e.g., relatives association) | 1 |
Other (e.g., member organizations, employers, health professionals) | 10 |
Total | 53 |
Descriptive analyses
Scale (n cases) | Mean | Missings (in %)* | Distribution of mean values per organization | ||
---|---|---|---|---|---|
Range | SD** | Median (25%; 75%) | |||
1) Easy access and navigation (53) | 3.1 | 0.0-20.8 | 1.3–3.9 | 0.6 | 3.2 (2.8; 3.4) |
2) Integration, prioritization, and dissemination of OHL (50) | 2.7 | 3.8–24.5 | 0.5-4.0 | 0.9 | 3.0 (2.3; 3.3) |
3) Qualification, quality management, evaluation, and needs assessment (52) | 2.5 | 3.8–34.0 | 0.7-4.0 | 1.0 | 2.7 (1.6; 3.3) |
4) Communication with target groups (52) | 2.8 | 7.6–22.6 | 0.0-3.9 | 0.8 | 2.9 (2.5; 3.4) |
5) Involvement and support of target groups (47) | 2.3 | 22.6–43.4 | 0.0–4.0 | 1.0 | 2.4 (1.6; 3.0) |
Psychometric analyses
Scale (N items) | Scale level measures | Summary of item-level measures | |||
---|---|---|---|---|---|
Flooring (in %) | Ceiling (in %) | Cron-bach’s α | Item Difficulty | Item Discrimination | |
1) Easy access and navigation (16) | 0.0 | 9.4 | 0.87 | 0.54–0.91 | 0.22–0.75 |
2) Integration, prioritization, and dissemination of OHL (11) | 7.5 | 7.5 | 0.93 | 0.51–0.78 | 0.50–0.91 |
3) Qualification, quality management, evaluation, and needs assessment (17) | 7.5 | 3.8 | 0.95 | 0.31–0.88 | 0.42–0.90 |
4) Communication with target groups (25) | 3.8 | 3.8 | 0.95 | 0.40–0.93 | 0.31–0.81 |
5) Involvement and support of target groups (8) | 15.1* | 0.0 | 0.81 | 0.31–0.81 | -0.04-0.82 |