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Objectives: Medication literacy comprises the skills needed to access, understand, and act on medication information. Low medication literacy is frequent among older adults, making them more susceptible to negative health outcomes. The aim of this study was to develop and evaluate the content validity of an instrument to measure medication literacy in this population.
Method: Multistage methodological study. Items were generated according to a conceptual model and a literature review. The instrument was submitted to a panel of experts to assess item's relevance, clarity, and theoretical classification. Subsequently, the instrument was applied to the target population to assess its comprehensibility.
Results: Content Validity Index results indicated excellent agreement among experts on the instrument's relevance (0.98) and clarity (0.91). Overall agreement between experts regarding the theoretical subdimensions was moderate [Fleiss' kappa=0.57 (p = 0.00)]. Items were reported to be fully understood by most representatives of the target population. The final version of the instrument had 33 items divided into eight scenarios of medication use.
Conclusion: The instrument seems to have adequate content validity and good suitability for the target population. Therefore, it can help health professionals to identify older adults with low medication literacy, aiming to improve their medication use skills.
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http://dx.doi.org/10.1016/j.archger.2023.105027 | DOI Listing |
J Public Health (Oxf)
September 2025
Department of Psychology, Università Cattolica Del Sacro Cuore, L.go Gemelli 1, 20123, Milan, Italy.
Background: Antimicrobial resistance (AMR) represents a growing challenge to both individual and public health, driven by the excessive and inappropriate use of antibiotics. Studies emphasize a widespread lack of knowledge regarding proper antibiotic use and the mechanisms of antibiotic resistance. This study aims to explore the relationships between citizens' health engagement and attitudes towards antibiotic consumption (Hypothesis 1, Hypothesis 2) and explores the role of orientation to health literacy as a mediator of these relationships (Hypothesis 3).
View Article and Find Full Text PDFEur Urol Focus
September 2025
Department of Urology, Medical Centre, University of Heidelberg, Heidelberg, Germany; Department of Urology, Medical Faculty Carl Gustav Carus, TU Dresden, Dresden, Germany; Department of Urology, Philipps-University Marburg, Marburg, Germany.
Background And Objective: Since 2016, >21 000 patients with prostate cancer (PC) used our personalized online decision aid in routine care in Germany. We analyzed the effects of this online decision aid for men with nonmetastatic PC in a randomized controlled trial.
Methods: In the randomized controlled EvEnt-PCA trial, 116 centers performed 1:1 allocation of 1115 patients with nonmetastatic PC to use an online decision aid (intervention = I) or a printed brochure (control = C).
Int Psychogeriatr
September 2025
Department of Psychology and Neuroscience, Temple University, Philadelphia, PA, United States. Electronic address:
Background: As demand for mental healthcare access grows among older adult populations, digital mental health tools have emerged as promising tools. However, bridging the digital divide among older technology users remains critical. This post-hoc analysis evaluated potential factors influencing the adoption of a digital mental health tool in older adults.
View Article and Find Full Text PDFJMIR Res Protoc
September 2025
Academy for Health Innovation Uganda, Infectious Diseases Institute, Makerere University, Kampala, Uganda.
Background: Sexually transmitted infections are a significant public health concern, particularly in sub-Saharan Africa, where their prevalence remains high. Promoting awareness and reducing stigma are essential strategies for addressing this challenge, but those affected often have limited access to accurate and culturally appropriate health information. Therefore, innovative solutions are essential to enhance sexual health literacy and encourage informed health-seeking behaviors.
View Article and Find Full Text PDFNurse Educ Pract
September 2025
School of Medicine, Wuhan University of Science and Technology, Wuhan, Hubei 430065, China. Electronic address:
Aim: This study examined the network structure of the competency cluster of humanistic literacy among clinical nurses in China, identifying key and bridging competencies within the network cluster.
Background: With the increasing demand for high-quality healthcare services and the growing complexity of nurse-patient relationships, the humanistic competence of clinical nurses has received increasing attention. However, compared with the international level and professionalism, the humanistic literacy and education of nursing staff in Chinese medical institutions still has significant room for improvement.