Original Research

Development of a Hypertension Health Literacy Assessment Tool for use in primary healthcare clinics in South Africa, Gauteng

Nokuthula G. Mafutha, Sophie Mogotlane, Hester C. de Swardt
African Journal of Primary Health Care & Family Medicine | Vol 9, No 1 | a1305 | DOI: https://doi.org/10.4102/phcfm.v9i1.1305 | © 2017 Nokuthula G. Mafutha, Sophie Mogotlane, Hester C. de Swardt | This work is licensed under CC Attribution 4.0
Submitted: 09 September 2016 | Published: 27 July 2017

About the author(s)

Nokuthula G. Mafutha, Adelaide Tambo School of Nursing Science, Tshwane University of Technology, South Africa
Sophie Mogotlane, Adelaide Tambo School of Nursing Science, Tshwane University of Technology, South Africa
Hester C. de Swardt, Adelaide Tambo School of Nursing Science, Tshwane University of Technology, South Africa


Share this article

Bookmark and Share

Abstract

Background: Hypertension is a universal risk factor for cardiovascular morbidity and mortality in both the ageing and obese populations and patients must be literate in hypertension health issues to participate actively in the management of their disease. Little research has been done to investigate hypertension health literacy levels among South Africans.
Aim: To develop a Hypertension Heath Literacy Assessment Tool to establish patients’ comprehension of the health education they receive in primary healthcare (PHC) clinics in Tshwane, Gauteng, South Africa.
Setting: PHC clinics in Tshwane, Gauteng, South Africa.
Methods: The design was quantitative, descriptive and contextual in nature. The study population comprised health promoters who were experts in the field of health, documents containing hypertension health education content and individuals with hypertension. Participants were conveniently and purposefully selected. A modified Delphi technique was used to develop and validate the Hypertension Health Literacy Assessment Tool (HHLAT). To ensure validity and reliability of the HHLAT, the tool was administered to 195 participants concurrently with the Learning Ability Battery (LAB).
Results: There was a strong positive (F = 76.0, p < 0.0001, R2 = 28.25%) correlation between the LAB and the HHLAT. The HHLAT indicated that only 37 (19%) of the patients with hypertension had poor hypertension health literacy levels.
Conclusion: The HHLAT is a valid tool that can be used in busy PHC clinics as it takes less than two minutes to administer. This tool can inform the healthcare worker on the depth of hypertension health education to be given to the patient, empowering the patient and saving time in PHC facilities.

Keywords

Hypertension; health literacy; primary health care; assessment tool; and health education

Metrics

Total abstract views: 1828
Total article views: 1443

 

Crossref Citations

1. Assessment Tools for Health Literacy among the General Population: A Systematic Review
Hongyan Liu, Huan Zeng, Yang Shen, Fan Zhang, Manoj Sharma, Weiyun Lai, Yu Zhao, Genhui Tao, Jun Yuan, Yong Zhao
International Journal of Environmental Research and Public Health  vol: 15  issue: 8  first page: 1711  year: 2018  
doi: 10.3390/ijerph15081711