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The Evaluation of Health Literacy Interventions for Palliative Care Patients Farida Nur Qomariyah; Ika Adelia Susanti
Health and Technology Journal (HTechJ) Vol. 3 No. 6 (2025): December 2025
Publisher : KHD Production

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.53713/htechj.v3i6.533

Abstract

Health literacy is crucial in palliative care, where patients often face complex medical conditions and must make end-of-life decisions. This literature review aims to evaluate the effectiveness of health literacy interventions in improving patient outcomes in palliative care settings. The review synthesized evidence from high-quality studies, including randomized controlled trials (RCTs) and quasi-experimental designs, with a focus on various intervention strategies such as educational programs, multimedia tools, and health coaching. The review utilized the PRISMA framework for study selection and the JBI critical appraisal checklist for assessing study quality. It included studies from databases such as Scopus, PubMed, and Google Scholar, focusing on publications from 2016 to 2025. The studies consistently showed that these interventions enhance patient understanding, engagement in treatment decisions, and overall quality of life. However, challenges remain in identifying the most effective interventions due to variations in study designs and outcome measures. This review highlights the significance of health literacy interventions in palliative care, advocating for additional research that focuses on LHL-specific strategies and standardized outcome measures to improve patient care.
The Evaluation of Health Literacy Interventions for Palliative Care Patients Farida Nur Qomariyah; Ika Adelia Susanti
Health and Technology Journal (HTechJ) Vol. 3 No. 6 (2025): December 2025
Publisher : KHD Production

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.53713/htechj.v3i6.533

Abstract

Health literacy is crucial in palliative care, where patients often face complex medical conditions and must make end-of-life decisions. This literature review aims to evaluate the effectiveness of health literacy interventions in improving patient outcomes in palliative care settings. The review synthesized evidence from high-quality studies, including randomized controlled trials (RCTs) and quasi-experimental designs, with a focus on various intervention strategies such as educational programs, multimedia tools, and health coaching. The review utilized the PRISMA framework for study selection and the JBI critical appraisal checklist for assessing study quality. It included studies from databases such as Scopus, PubMed, and Google Scholar, focusing on publications from 2016 to 2025. The studies consistently showed that these interventions enhance patient understanding, engagement in treatment decisions, and overall quality of life. However, challenges remain in identifying the most effective interventions due to variations in study designs and outcome measures. This review highlights the significance of health literacy interventions in palliative care, advocating for additional research that focuses on LHL-specific strategies and standardized outcome measures to improve patient care.
Development and preliminary psychometric evaluation of a Tuberculosis-Specific Health Literacy Questionnaire based on the integrated model: A phase 1 pilot study in Indonesia Farida Nur Qomariyah; Lukawee Piyabanditkul
Nursing and Health Sciences Journal (NHSJ) Vol. 6 No. 3 (2026): September 2026
Publisher : KHD-Production

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.53713/nhsj.v6i3.715

Abstract

Tuberculosis-specific health literacy is critical for treatment adherence, yet Indonesia lacks a context-specific instrument grounded in a comprehensive framework. This pilot study aimed to develop and preliminarily evaluate a tuberculosis-specific health literacy questionnaire based on the Integrated Model of Health Literacy. A cross-sectional Phase 1 instrument-development study was conducted among former tuberculosis patients in Jember Regency, Indonesia. The 46-item questionnaire was mapped to four domains: access, understand, appraise, and apply. Content validity was assessed by five experts using Item-Level and Scale-Level Content Validity Indices. Forward-backward translation ensured semantic equivalence. Interrater reliability was evaluated by three independent raters using the Intraclass Correlation Coefficient. Internal consistency was examined using Cronbach's alpha. The instrument demonstrated excellent content validity with a Scale-Level Content Validity Index average of 0.99. Overall interrater reliability was good, yielding an Intraclass Correlation Coefficient of 0.81. Internal consistency was exceptionally high, with a total Cronbach's alpha of 0.97. Domain-specific alphas ranged from 0.89 to 0.96. Two items met the minimum Item-Level Content Validity Index threshold of 0.80 and were retained for further refinement. The newly developed tuberculosis-specific health literacy questionnaire exhibits promising preliminary psychometric properties. Subsequent large-scale validation studies must evaluate factor structure, test-retest reliability, and potential item reduction before the instrument can be utilized for routine clinical or public health decision-making.