I too, wished to study Cancer Health Literacy in Indian patients. However, the only instrument developed thus far has come out of a study in the USA. This questionnaire is completely out of context for the Indian population. This should be taken into consideration if a single instrument is to be used across multiple countries.

Here are some of the resources that will help evaluating the measurement invariance of your instrument:

http://joophox.net/publist/CecklistMeasInv.pdf

http://comm.eval.org/HigherLogic/System/DownloadDocumentFile.ashx?DocumentFileKey=63758fed-a490-43f2-8862-2de0217a08b8

Article Measurement Invariance Conventions and Reporting: The State ...

https://ejcop.psychopen.eu/article/view/120/html

Hope this helps, good luck!

Hi Bhumika Desai,

Thank you very much for sharing.@

In Asian context, you could be referred to HLS-EU-Q47 or HLS-SF12. These tools have been validated in several Asian countries in general populations, patients in general, cancer patients, and stroke patients. A group of researchers in Manipal are conducting health literacy survey using these tools.

You are welcome to join our annual conference. visit our conference website at http://7ahla2019.org/

or Asian Health Literacy Association official website: https://www.ahla-asia.org/

You could contact Prof. Hou Wen-Hsuan in TMU via https://www.researchgate.net/profile/Wen-Hsuan_Hou

Best,

Duong

For your references

Duong, T. V., Aringazina, A., Baisunova, G., Nurjanah, Pham, T. V., Pham, K. M., Truong, T. Q., Nguyen, K. T., Oo, W. M., Mohamad, E., Su, T. T., Huang, H.-L., Sørensen, K., Pelikan, J. M., Van den Broucke, S., & Chang, P. W. (2017). Measuring health literacy in Asia: Validation of the HLS-EU-Q47 survey tool in six Asian countries. Journal of Epidemiology, 27(2), 80-86. doi: http://doi.org/10.1016/j.je.2016.09.005

Duong, T. V., Aringazina, A., Baisunova, G., Nurjanah, N., Pham, T. V., Pham, K. M., Truong, T. Q., Nguyen, K. T., Oo, W. M., Su, T. T., Abdul Majid, H., Sørensen, K., Lin, I.-F., Chang, Y., Yang, S. H., & Chang, P. W. S. (2019). Development and validation of a new short-form health literacy instrument (HLS-SF12) for the general public in six Asian countries. HLRP: Health Literacy Research and Practice, 3(2), e91-e102. doi: http://dx.doi.org/10.3928/24748307-20190225-01

Duong, T. V., Chang, P. W., Yang, S.-H., Chen, M.-C., Chao, W.-T., Chen, T., Chiao, P., & Huang, H.-L. (2017). A new comprehensive short-form health literacy survey tool for patients in general. Asian Nursing Research, 11(1), 30-35. doi: https://doi.org/10.1016/j.anr.2017.02.001

Huang, Y., Lin, G., Lu, W., Tam, K., Chen, C., Hou, W., & Hsieh, C. (2017). Validation of the European Health Literacy Survey Questionnaire in Women With Breast Cancer. Cancer nursing. doi: https://doi.org/10.1097/NCC.0000000000000475

Shen, H.-N., Lin, C.-C., Hoffmann, T., Tsai, C.-Y., Hou, W.-H., & Kuo, K. N. (2018). The relationship between health literacy and perceived shared decision making in patients with breast cancer. Patient Educ Couns. doi: https://doi.org/10.1016/j.pec.2018.09.017

Huang, Y.-J., Wang, Y.-L., Wu, T.-Y., Chen, C.-T., Kuo, K. N., Chen, S.-S., Hou, W.-H., & Hsieh, C.-L. (2015). Validation of the short-form Health Literacy Scale in patients with stroke. Patient Educ Couns, 98(6), 762-770. doi: http://dx.doi.org/10.1016/j.pec.2015.02.021

Huang, Y.-J., Chen, C.-T., Lin, G.-H., Wu, T.-Y., Chen, S.-S., Lin, L.-F., Hou, W.-H., & Hsieh, C.-L. (2017). Evaluating the European Health Literacy Survey Questionnaire in Patients with Stroke: A Latent Trait Analysis Using Rasch Modeling. The Patient - Patient-Centered Outcomes Research. doi: https://doi.org/10.1007/s40271-017-0267-3