Table 4 Individual item fit statistics
HLQ scale | HLQ item | Location | SE | Item fit residual | Chi-square | Bonferroni adjusted Chi-square probability |
|---|---|---|---|---|---|---|
Section one: scales of agreement (four response categories) | ||||||
1) Feeling understood and supported by healthcare providers | I have at least one healthcare provider who … | 0.20 | 0.10 | −2.73 | 3.60 | 0.17 |
I have at least one healthcare provider I can … | 0.04 | 0.11 | −2.85 | 2.46 | 0.29 | |
I have the healthcare providers I need … | 0.40 | 0.12 | −0.87 | 21.21 | <0.0125 | |
I can rely on at least one … | −0.63 | 0.12 | −2.61 | 0.53 | 0.76 | |
2) Having sufficient information to manage my health | I feel I have good information about health … | −0.56 | 0.10 | 1.50 | 35.02 | <0.0125 |
I have enough information to help me deal … | −0.14 | 0.10 | −3.98 | 6.67 | 0.08 | |
I am sure I have all the information I need to … | 0.42 | 0.10 | −3.45 | 8.55 | 0.04 | |
I have all the information I need to … | 0.28 | 0.09 | −2.86 | 7.86 | 0.05 | |
3) Actively managing my health | I spend quite a lot of time actively managing … | 0.48 | 0.09 | 0.461 | 20.54 | <0.01 |
I make plans for what I need to do to be … | 0.19 | 0.10 | −1.384 | 3.63 | 0.30 | |
Despite other things in my life, I make time … | 0.08 | 0.10 | −4.56 | 5.44 | 0.14 | |
I sent my own goals about health and fitness | −0.29 | 0.11 | −2.09 | 3.57 | 0.31 | |
There are things that I do regularly … | −0.46 | 0.10 | −3.80 | 10.03 | 0.02 | |
4) Social support for health | I can get access to several people who … | −0.25 | 0.09 | 0.70 | 7.08 | 0.13 |
When I feel ill, the people around me really … | 0.27 | 0.09 | 0.22 | 7.42 | 0.12 | |
If I need help, I have plenty of people I … | −0.09 | 0.09 | −2.91 | 11.27 | 0.02 | |
I have at least one person … | 0.60 | 0.08 | 2.02 | 10.69 | 0.03 | |
I have strong support from … | −0.52 | 0.09 | −3.87 | 19.17 | <0.01 | |
5) Appraisal of health information | I compare health information from different … | −0.02 | 0.09 | −0.15 | 0.84 | 0.93 |
When I see new information about health, I … | 0.50 | 0.09 | −1.864 | 2.49 | 0.65 | |
I always compare health information from … | 0.36 | 0.09 | −2.88 | 8.58 | 0.07 | |
I know how to find out if the health … | −0.56 | 0.10 | −0.09 | 3.86 | 0.42 | |
I ask healthcare providers about the quality … | −0.28 | 0.09 | 0.98 | 6.38 | 0.17 | |
Section two: scales of capabilities (five response categories) | ||||||
6) Ability to actively engage with healthcare providers | Make sure that healthcare providers understand … | −0.73 | 0.11 | −1.75 | 6.19 | 0.05 |
Feel able to discuss your health concerns with a … | −0.33 | 0.11 | −1.28 | 10.84 | <0.01 | |
Have good discussion about your health … | 0.01 | 0.10 | −3.61 | 5.09 | 0.08 | |
Discuss things with healthcare providers … | 0.37 | 0.10 | −3.27 | 1.94 | 0.38 | |
Ask healthcare providers questions to get … | 0.68 | 0.10 | −1.06 | 3.71 | 0.16 | |
7) Navigating the healthcare system | Find the right healthcare | −0.03 | 0.09 | −1.44 | 1.58 | 0.45 |
Get to see the healthcare providers I need to | −0.29 | 0.09 | −1.06 | 8.55 | 0.01 | |
Decide which healthcare provider you need … | −0.43 | 0.09 | −3.27 | 7.35 | 0.03 | |
Make sure you find the right place to get … | −0.34 | 0.09 | −6.19 | 4.98 | 0.08 | |
Find out what healthcare services you are … | 0.68 | 0.08 | 0.82 | 8.53 | 0.01 | |
Work out what is the best care for you | 0.41 | 0.09 | −0.87 | 15.66 | <0.0083 | |
8) Ability to find good health information | Find information about your health problems | −0.25 | 0.09 | −1.70 | 1.91 | 0.59 |
Find health information from several … | 0.48 | 0.07 | −1.26 | 3.72 | 0.29 | |
Get information about health so you are … | 0.15 | 0.08 | −2.51 | 4.62 | 0.20 | |
Get health information in words you … | −0.86 | 0.09 | −0.44 | 12.92 | <0.01 | |
Get health information by yourself | 0.48 | 0.07 | −0.87 | 5.49 | 0.14 | |
9) Understanding health information well enough to know what to do | Confidently fill medical forms in the correct … | 0.25 | 0.07 | −1.70 | 3.84 | 0.15 |
Accurately follow the instructions from … | −0.35 | 0.09 | −0.37 | 2.33 | 0.31 | |
Read and understand written health … | 0.23 | 0.08 | −3.87 | 7.06 | 0.03 | |
Read and understand all the information on … | 0.15 | 0.08 | −2.35 | 3.45 | 0.18 | |
Understand what healthcare providers are … | −0.28 | 0.10 | −1.87 | 1.90 | 0.39 | |