Quality of health literacy instruments used in children and adolescents: a systematic review

Abstract

OBJECTIVE: Improving health literacy at an early age is crucial to personal health and development. Although health literacy in children and adolescents has gained momentum in the past decade, it remains an under-researched area, particularly health literacy measurement. This study aimed to examine the quality of health literacy instruments used in children and adolescents and to identify the best instrument for field use. DESIGN: Systematic review. SETTING: A wide range of settings including schools, clinics and communities. PARTICIPANTS: Children and/or adolescents aged 6-24 years. PRIMARY AND SECONDARY OUTCOME MEASURES: Measurement properties (reliability, validity and responsiveness) and..