{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,5,4]],"date-time":"2026-05-04T01:56:41Z","timestamp":1777859801193,"version":"3.51.4"},"reference-count":13,"publisher":"SAGE Publications","license":[{"start":{"date-parts":[[2025,12,1]],"date-time":"2025-12-01T00:00:00Z","timestamp":1764547200000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by-nc\/4.0\/"},{"start":{"date-parts":[[2025,12,1]],"date-time":"2025-12-01T00:00:00Z","timestamp":1764547200000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/journals.sagepub.com\/page\/policies\/text-and-data-mining-license"}],"funder":[{"name":"Ministry of Interior, Hungary","award":["BM\/10449-2\/2023"],"award-info":[{"award-number":["BM\/10449-2\/2023"]}]},{"name":"J\u00e1nos Bolyai Research Scholarship of the Hungarian Academy of Sciences","award":["BO\/00933\/22\/5"],"award-info":[{"award-number":["BO\/00933\/22\/5"]}]}],"content-domain":{"domain":["journals.sagepub.com"],"crossmark-restriction":true},"short-container-title":["Journal of Patient Experience"],"published-print":{"date-parts":[[2025,12]]},"abstract":"<jats:p>\n                    The first project of the Action Network on Measuring Population and Organizational Health Literacy was the Health Literacy Population Survey 2019\u20132021 (HLS\n                    <jats:sub>19<\/jats:sub>\n                    ). Based on the HLS\n                    <jats:sub>19<\/jats:sub>\n                    's experience, improvements were needed to the communicative health literacy questionnaire before it could be used in the second wave of the HLS survey. Our aim was to test the comprehensibility of the Hungarian version of the revised questionnaire with cognitive interviews. Two questions caused comprehension problems: (1) discussing health information with your doctor from other sources such as internet, family and friends\u2014participants found this question too long and difficult, so we changed the sentence structure to make it more understandable; (2) expressing personal views and preferences to your doctor\u2014the interviewees misunderstood the question, they did not realize that we were referring to health-related personal views. During the translation process, it was challenging to convey the meaning of \u201chealth concern\u201d in Hungarian, the version with examples in parentheses was deemed the most effective. The final version of the revised questionnaire seemed to be understandable and comprehensible.\n                  <\/jats:p>","DOI":"10.1177\/23743735251401305","type":"journal-article","created":{"date-parts":[[2025,12,15]],"date-time":"2025-12-15T16:18:41Z","timestamp":1765815521000},"update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":0,"title":["Experiences of the Development of a Revised, Population-Adjusted Communicative Health Literacy Scale"],"prefix":"10.1177","volume":"12","author":[{"ORCID":"https:\/\/orcid.org\/0009-0003-9849-7368","authenticated-orcid":false,"given":"Erika","family":"Szil\u00e1gyi-Horny\u00e1k","sequence":"first","affiliation":[{"name":"University of Debrecen"},{"name":"University of Debrecen"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-2740-8404","authenticated-orcid":false,"given":"Gabriella","family":"Nagy-P\u00e9nzes","sequence":"additional","affiliation":[{"name":"University of Debrecen"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0009-0001-7684-036X","authenticated-orcid":false,"given":"Gabriella","family":"M\u00e1ty\u00e1s","sequence":"additional","affiliation":[{"name":"University of Debrecen"},{"name":"University of Debrecen"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-9679-6669","authenticated-orcid":false,"given":"R\u00f3za","family":"\u00c1d\u00e1ny","sequence":"additional","affiliation":[{"name":"University of Debrecen"},{"name":"University of Debrecen"},{"name":"Semmelweis University"},{"name":"Semmelweis University"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-0131-8147","authenticated-orcid":false,"given":"\u00c9va","family":"B\u00edr\u00f3","sequence":"additional","affiliation":[{"name":"University of Debrecen"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"179","published-online":{"date-parts":[[2025,12,15]]},"reference":[{"key":"e_1_3_3_2_2","doi-asserted-by":"publisher","DOI":"10.1371\/journal.pone.0184565"},{"key":"e_1_3_3_3_2","doi-asserted-by":"publisher","DOI":"10.1177\/23743735251334015"},{"key":"e_1_3_3_4_2","volume-title":"International Report on the Methodology, Results, and Recommendations of the European Health Literacy Population Survey 2019-2021 (HLS19) of M-POHL","author":"The HLS19 Consortium of the WHO Action Network M-POHL","year":"2021","unstructured":"The HLS19 Consortium of the WHO Action Network M-POHL. International Report on the Methodology, Results, and Recommendations of the European Health Literacy Population Survey 2019-2021 (HLS19) of M-POHL. Austrian National Public Health Institute, Vienna; 2021, Accessed June 5, 2025. https:\/\/m-pohl.net\/Int_Report_methdology_results_recommendations"},{"key":"e_1_3_3_5_2","doi-asserted-by":"publisher","DOI":"10.3390\/ijerph191811592"},{"key":"e_1_3_3_6_2","volume-title":"The HLS19-COM-P Instrument for Measuring Communicative Health Literacy","author":"The HLS19 Consortium of the WHO Action Network M-POHL","year":"2023","unstructured":"The HLS19 Consortium of the WHO Action Network M-POHL. The HLS19-COM-P Instrument for Measuring Communicative Health Literacy. Factsheet. Austrian National Public Health Institute, Vienna; 2023, Accessed June 5, 2025. https:\/\/m-pohl.net\/sites\/m-pohl.net\/files\/inline-files\/Factsheet_p%20HLS19-COM-P_1_2.pdf"},{"key":"e_1_3_3_7_2","doi-asserted-by":"publisher","DOI":"10.1007\/978-3-319-54395-6_14"},{"key":"e_1_3_3_8_2","doi-asserted-by":"publisher","DOI":"10.4135\/9781473910102"},{"key":"e_1_3_3_9_2","doi-asserted-by":"publisher","DOI":"10.2147\/JMDH.S419714"},{"key":"e_1_3_3_10_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.pec"},{"key":"e_1_3_3_11_2","first-page":"250","volume-title":"A szolg\u00e1ltat\u00e1sok vil\u00e1ga","author":"M\u00e1lovics \u00c9","year":"2009","unstructured":"M\u00e1lovics \u00c9, Vajda B, Kuba P. Paternalizmus vagy k\u00f6z\u00f6s d\u00f6nt\u00e9s? P\u00e1ciensek az orvos-beteg kommunik\u00e1ci\u00f3r\u00f3l. In: Hetesi E, Maj\u00f3 Z, Lukovics M, szerk. A szolg\u00e1ltat\u00e1sok vil\u00e1ga. JATEPress; 2009:250-264."},{"key":"e_1_3_3_12_2","first-page":"336","volume-title":"Region\u00e1lis innov\u00e1ci\u00f3s k\u00e9pess\u00e9g, versenyk\u00e9pess\u00e9g \u00e9s fenntarthat\u00f3s\u00e1g","author":"Vajda B","year":"2012","unstructured":"Vajda B, Horv\u00e1th S, M\u00e1lovics \u00c9. K\u00f6z\u00f6s d\u00f6nt\u00e9shozatal, mint innov\u00e1ci\u00f3 az orvos-beteg kommunik\u00e1ci\u00f3ban. In: Bajm\u00f3cy Z, Lengyel I, Gy M, szerk. Region\u00e1lis innov\u00e1ci\u00f3s k\u00e9pess\u00e9g, versenyk\u00e9pess\u00e9g \u00e9s fenntarthat\u00f3s\u00e1g. 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