Table 1.

Key Constructs and Example Questions from the Cancer Literacy Measure-Breast Cancer-Navajo (CLM-BC-N).

			Example Question		Response Scale
Key Construct	Number of Questions	Context/Instructions	English	Navajo	English	Navajo
Barriers to mammography	10	What would you say were the main reasons you were unable to make your appointments for a mammogram?	You did not think you needed a mammogram.	Abe’ bighá’díldla’go bee na’alkaah doo shá ádoolníił da nínízin.	Yes/No	Aoo’/Nidaga’
Cancer beliefs	9	Please tell me whether you Strongly agree, Agree, Disagree, or Strongly disagree with each statement.	Talking about cancer is dangerous.	Díí ats’íís bitł’óól dah díníisééh áádóó ba’át’e’ hólóͅ yileehígíí t’óó baa yájíłti’go ndi bááhádzid.	Strongly agree/ Agree/ Disagree/ or Strongly disagree	T’áá aaníí/ Aoo’/ Dooda/ T’áá íyisíí dooda
Cancer knowledge	14	For each statement, tell me if you think the statement is true or false.	A lump found in the breast is a definite sign of cancer.	Abe’ bii’ ni’alts’i’, nitł’izgo si’áͅ éí doodago dit’ih yileehgo éí t’áá aaníí ats’ íís bitł’óól dah díníisééh áádóó ba’át’e’ hólóͅ yileehígíí habe’ bii’ dínísééh.	True/ False	T’áá ákót’é/ Doo ákót’éeda
Health literacy	2	For each of the following questions, please select what best reflects your answer.	How difficult is it for you to fill out medical forms by yourself?	Azee’ál’íͅíͅdéͅéͅ’ naaltsoos t’áá ni hadíléehgo hait’éego ná nanitł’ah?	Not at all difficult/ A little difficult/ Very difficult	Doo shá nanitł’ ah da/ T’áá áłts’ íísígo shá nanitł’ah/ Ayóo shá nanitł’ah
Numeracy	1	For each of the following questions, please select what best reflects your answer.	Which do you prefer (like “it rarely happens”) or numbers (like “there’s a 10% chance”)? Would you say you always prefer words or you always prefer numbers, or that you have no preference?	Háájígo lá baa tsídíkos t’áá saadjígo (doo ákónát’iͅiͅhda) éí doodago numberjígo (t’ááłá’í dootł’izh bíighahgo ákóhodoonííł) ha’nííjí daats’í? Saad éí doodago numboo dootł’izh bíighahgo ha’nínígíí daats’í choo’níł’íͅ?	Always prefer words/ Always prefer numbers/ No preference	Saadjí/ numboojí dootł’izh bíighahgo ha’nííjí/ Doo háájída
Self-efficacy	2	None	If you want to get a mammogram, how difficult would it be for you to get one in the next 3 months?	Shibe’ shá bighádí’dooldlał ninizíͅiͅ’go, hait’éego ná nanitł’ah dooleeł kodóó táá’ nínáádeezidjiͅ’?	Not at all difficult/ A little difficult/ Very difficult	Doo shá nanitł’ah da/ T’áá áłts’íísigo shá nanitł’ah/ Ayóo shá nanitł’ah
Communication about cancer	2	None	In general, how difficult is it for you when it comes to talking about cancer?	Díí ats’íís bitł’óól dah díníisééh áádóó ba’át’e’ hólóͅ yileehígíí baa yáníłti’goísh t’áá ná nanitł’ ah?	Not at all difficult/ A little difficult/ Very difficult	Doo shá nanitł’ah da/ T’áá áłts’íísígo shá nanitł’ah/ Ayóo shá nanitł’ah
Family support for screening	5	Please answer Yes or No to each of the following questions.	In the past three months… Has your family member talked with you about cancer screening or mammograms?	T’áá’ nídeezid dóó hóshdéͅéͅ’, da’ nik’éí dóó biłháíníjéé’ … Nich’iͅ’ yádaałti’go díí ats’íís bitł’óól dah díníisééh áádóó ba’át’e’ hólóͅ yileehígíí t’áá bítséedi bee ádaa áháyáͅaͅgo naho’ dilkaah éí doodago habe’ bighá’dildla’go bee naalkaah yee nich’iͅ’ yádááłti’.	Yes/ No	Aoo’/ Nidaga’