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Development and Validation of an Environmental Health Literacy Assessment Screening Tool for Domestic Well Owners

The Water Environmental Literacy Level Scale (WELLS)

Bibliographic Data

ID15512664
AuthorsVeronica L Irvin (0000-0001-6337-9108, Oregon State University, corresponding author), Diana Rohlman (0000-0002-3982-0327, Oregon State University), Amelia Vaughan (0000-0002-3091-4482, Oregon State University), Rebecca Amantia (0000-0003-0792-3345, Oregon State University), Claire Berlin (Oregon State University), Molly L Kile (0000-0003-0646-5119, Oregon State University)
Year2019
Volume16
Issue5
Pages881-881
Publication date2019-03-11
Peer ReviewedYes
Open AccessYes
TypeARTICLE
VenueInternational Journal of Environmental Research and Public Health (JOURNAL)
Journal identifiersISSN: 1661-7827 • E-ISSN: 1660-4601
PublisherMultidisciplinary Digital Publishing Institute (PUBLISHER • CH)
DOI10.3390/ijerph16050881
PMID30862003
OpenAlexW2921297368
LanguageEN
Citations received6
References cited46

In the U.S., privately owned wells are not subject to any regulatory testing requirements. Well owners must have sufficient environmental health literacy (EHL) to understand and interpret information that contain complex terms and labels to manage their water quality. The objective of this paper is to assess the performance and validity of a new EHL screening tool. The Water Environmental Literacy Level Scale (WELLS) is based on the Newest Vital Sign (NVS) and contains six questions on comprehension, calculations and application of information. Content validity was assessed from expert review. Criterion-related and construct validity were evaluated using an online, convenience sample of adults ( n = 869). Percent of correct responses for items ranged from 53% to 96% for NVS and from 41% to 97% for WELLS. Completion time, mean scores, distributions, and internal consistency were equivalent between both scales. Higher scores suggest higher EHL. The scales were moderately correlated (ρ = 0.47, p < 0.001). Kappa agreement was 74%. Bland-Altman plots depicted little mean difference between the scales. Education and income level were positively associated with EHL. WELLS showed criterion-validity with NVS and construct validity with education and income. In practice or research, WELLS could quickly screen individuals for low EHL

Comprehension · Consistency (knowledge bases · Construct (python library · Construct validity · Content validity · Developmental psychology · Geography · Health care · Health literacy · Literacy · Pedagogy · Psychometrics · Scale (ratio · Statistics · Applied Psychology · Computer Science · Data-Driven Disease Surveillance · Health Literacy and Information Accessibility · Mathematics · Psychology · Public Health Policies and Education · Social Psychology · Artificial Intelligence

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Unique citing works6
Citations per year1,2
Citation span2021 - 2026 (6)
Citation velocitycurrent
Highly citedNo
Citation typesNeutral: 6

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