Table 3.
Methodological quality of each study for each measurement property according to the COSMIN checklist
| Health literacy instrument (author, year) |
Internal consistency | Reliability | Measurement error | Content validity | Construct validity | Responsive ness |
||
| Structural validity | Hypotheses testing | Cross-cultural validity | ||||||
| NVS (Hoffman et al, 2013)50 | Poor | na | na | Poor | na | Fair | na | na |
| NVS (Driessnack et al, 2014)52 | Poor | na | na | Poor | na | Poor | na | na |
| NVS (Warsh et al, 2014)39 | na | na | na | Poor | na | Fair | na | na |
| TOFHLA (Chisolm and Buchanan, 2007)48 | na | na | na | Poor | na | Fair | na | na |
| s-TOFHLA (Hoffman et al, 2013)50 | Poor | na | na | Poor | na | Fair | na | na |
| c-sTOFHLAd (Chang et al, 2012)51 | Fair | Fair | na | Good | Fair | Fair | Fair | na |
| REALM-Teen (Davis et al, 2006)41 | Poor | Fair | na | Good | na | Fair | na | na |
| REALM-Teen (Hoffman et al, 2013)50 | Poor | na | na | Poor | na | Poor | na | na |
| HLAB (Wu et al, 2010)40 | Fair | Poor | na | Good | na | Fair | na | na |
| MMAHL (Massey et al, 2013)44 | Good | na | na | Good | Good | na | na | na |
| MHL (Levin-Zamir et al, 2011)49 | Poor | na | na | Good | na | Good | na | na |
| DNT-39 (Mulvaney et al, 2013)53 | Fair | na | na | Poor | na | Fair | na | na |
| DNT-14 (Mulvaney et al, 2013)53 | Fair | na | na | Poor | na | Fair | na | na |
| eHEALS (Norman and Skinner, 2006)43 | Fair | Fair | na | Good | Fair | Fair | na | na |
| CHC Test (Steckelberg et al, 2009)47 | na | Poor | na | Good | Poor | na | na | na |
| HKACSS (Schmidt et al, 2010)46 | Excellent | na | na | Good | na | Good | na | na |
| HLAT-51 (Harper, 2014)42 | Poor | na | na | Good | Poor | na | na | na |
| HLAT-8 (Abel et al, 2015)45 | Excellent | na | na | Poor | Excellent | Good | na | na |
| CHLT (Liu et al, 2014)54 | Fair | na | na | Good | Fair | Fair | na | na |
| VOHL (Ueno et al, 2014)55 | na | Fair | na | na | na | Fair | na | Fair |
| HAS-A (Manganello et al, 2015)56 | Fair | na | na | Good | Fair | Fair | na | na |
| MaHeLi (Guttersrud et al, 2015)57 | Fair | na | na | Poor | Fair | na | na | na |
| QuALiSMental (de Jesus Loureiro, 2015)64 | Fair | na | na | Excellent | Fair | Fair | na | na |
| FCCHL-AYAC (McDonald et al, 2016)65 | Fair | na | na | Good | Fair | Fair | na | na |
| ICHL (Smith and Samar, 2016)58 | na | na | na | Good | na | Fair | na | na |
| HELMA (Ghanbari et al, 2016)59 | Good | Good | na | Good | Good | na | na | na |
| HLSAC (Paakkari et al, 2016)60 | Fair | Fair | na | Good | Fair | Fair | na | na |
| REALM-TeenS (Manganello et al, 2017)66 | Good | na | na | Good | na | Good | na | na |
| funHLS-YA (Tsubakita et al, 2017)61 | Fair | na | na | Poor | Fair | Fair | na | na |
| HLS-TCO (Intarakamhang and Intarakamhang, 2017)62 | Fair | na | na | Good | Fair | Fair | na | na |
| HLRS-Y (Bradley-Klug et al, 2017)63 | Fair | na | na | Excellent | Fair | Fair | na | na |
| p_HLAT-8 (Quemelo et al, 2017)67 | Fair | na | na | Good | Fair | Fair | Fair | na |
c-sTOFHLAd, Chinese version of short-form Test of Functional Health Literacy in Adolescents; CHC Test, Critical Health Competence Test; CHLT, Child Health Literacy Test; COSMIN, COnsensus-based Standards for the selection of health Measurement Instruments; DNT, Diabetes Numeracy Test; eHEALS, eHealth Literacy Scale; FCCHL-AYAC, Functional, Communicative, and Critical Health Literacy-Adolescents and Young Adults Cancer; funHLS-YA, Functional Health Literacy Scale for Young Adults; HAS-A, Health Literacy Assessment Scale for Adolescents; HELMA, Health Literacy Measure for Adolescents; HKACSS, Health Knowledge, Attitudes, Communication and Self-efficacy Scale; HLAB, Health Literacy Assessment Booklet; HLAT-8, 8-item Health Literacy Assessment Tool; HLAT-51, 51-item Health Literacy Assessment Tool; HLRS-Y, Health Literacy and Resiliency Scale: Youth Version; HLS-TCO, Health Literacy Scale for Thai Childhood Overweight; HLSAC, Health Literacy for School-aged Children; ICHL, Interactive and Critical Health Literacy; MaHeLi, Maternal Health Literacy; MHL, Media Health Literacy; MMAHL, Multidimensional Measure of Adolescent Health Literacy; na, no information available; NVS, Newest Vital Sign; p_HLAT-8, Portuguese version of the 8-item Health Literacy Assessment Tool; QuALiSMental, Questionnaire for Assessment of Mental Health Literacy; REALM-Teen, Rapid Estimate of Adolescent Literacy in Medicine; REALM-TeenS, Rapid Estimate of Adolescent Literacy in Medicine Short Form; s-TOFHLA, short-form Test of Functional Health Literacy in Adults; TOFHLA, Test of Functional Health Literacy in Adults; VOHL, Visual Oral Health Literacy.