Research Article

Development and Validation of the Health Literacy Assessment Instrument for Patients with Chronic Pain

Table 2

Results of exploratory factor analysis with varimax rotation.

No.ItemsDimension 1 (functional health literacy)Dimension 2 (interactive health literacy)Dimension 3 (critical health literacy)

1I have knowledge of the anatomy and physiology of pain, as well as its mechanism of conduction0.806
2I know the difference between acute pain and chronic pain0.804
3I am knowledgeable regarding the classification and nature of chronic pain0.876
4I am familiar with essential information concerning chronic pain, such as the working hours and locations of pain specialists0.727
5I have knowledge of strategies and solutions for preventing and treating chronic pain and do not have difficulties acquiring relevant information0.877
6I have knowledge of the characteristics, developmental trends, and prognoses of chronic pain0.895
7I have knowledge of the nature, dosage instructions, and side effects of analgesic medicine and can complete related medical forms calculating the pain medication dose when necessary0.872
8I have knowledge of the main comorbidities of chronic pain, such as distress and depression, and many other psychological issues0.867
9I have knowledge of the safety and risks of increasing my engagement in activities0.810
10I have knowledge of strategies and relaxation techniques for improving sleep0.679
11I am willing to accept therapy for chronic pain0.774
12I trust physicians and therapeutic methods0.765
13I have confidence in my self-care abilities and the effects of therapy for chronic pain0.735
14I am willing to emphasize my needs regarding physiological, psychological, and social support for chronic pain0.764
15I am willing to spend time and effort to relieve my pain0.793
16I am willing to pay for my medical expenses (mainly referring to out-of-pocket expenses)0.806
17I am willing to pay for chronic pain management (referring to medical costs)0.808
18I adhere to physicians’ advice0.770
19I make some preparations before visiting the physician0.600
20I engage in adequate communication with health-care providers regarding the status of my pain0.687
21I proactively seek help when I do not comprehend something relating to the prevention and control of chronic pain0.462
22I implement useful information I have obtained regarding chronic pain prevention and control0.595
23I make detailed inquiries when I do not understand physicians’ explanations0.590
24I perform timely identification of my own chronic pain and seek professional help0.557
25When chronic pain occurs, I can implement coping strategies in a timely manner0.631
26I can use analgesic medical equipment/instruments to relieve chronic pain0.515
27I can adjust my personal mental outlook to manage the psychological outcomes of chronic pain0.501
28I can collect different opinions about health information and analyze and compare their applicability, accuracy, and reliability0.622
29I can self-monitor my pain0.605
30I can make decisions regarding analgesics by incorporating physicians’ advice with the characteristics of my own situation0.651
31I can take an objective view of the adverse effects of analgesic drugs and proactively address these effects0.547

Dimension 1 (functional health literacy) = possessing basic reading, writing, and calculation skills required to obtain health information regarding pain. Dimension 2 (interactive health literacy) = the ability to actively acquire and apply chronic pain information in daily life to change pain conditions. of pain. Dimension 3 (critical health literacy) = the ability to critically analyze chronic pain based on one's own situation by using critical thinking.