{"id":"https://openalex.org/W7214907394","doi":"https://doi.org/10.17605/osf.io/2k7af","title":"Measuring Digital Health Literacy in Marginalised Populations: A Randomised Comparison of Layered Comprehension Support and Standard Survey Delivery, Embedded in the Validation of the Burmese eHealth Literacy Questionnaire (eHLQ)","display_name":"Measuring Digital Health Literacy in Marginalised Populations: A Randomised Comparison of Layered Comprehension Support and Standard Survey Delivery, Embedded in the Validation of the Burmese eHealth Literacy Questionnaire (eHLQ)","publication_year":2026,"publication_date":"2026-09-30","ids":{"openalex":"https://openalex.org/W7214907394","doi":"https://doi.org/10.17605/osf.io/2k7af"},"language":"en","primary_location":{"id":"doi:10.17605/osf.io/2k7af","doi":"https://doi.org/10.17605/osf.io/2k7af","is_oa":true,"landing_page_url":"https://doi.org/10.17605/osf.io/2k7af","pdf_url":null,"source":{"id":"https://openalex.org/S7407050956","display_name":"Open Science Framework","issn_l":null,"issn":null,"is_oa":false,"is_in_doaj":false,"is_core":false,"listed_in":[],"host_organization":"https://openalex.org/I2799848540","host_organization_name":"Center for Open Science","host_organization_lineage":["https://openalex.org/I2799848540"],"host_organization_lineage_names":[],"type":"repository"},"license":"cc-by","license_id":"https://openalex.org/licenses/cc-by","version":null,"is_accepted":false,"is_published":false,"raw_source_name":null,"raw_type":"StudyRegistration"},"volume":null,"type":"study-registration","is_traditional":false,"indexed_in":["datacite"],"open_access":{"is_oa":true,"oa_status":"green","oa_url":"https://doi.org/10.17605/osf.io/2k7af","any_repository_has_fulltext":true},"authorships":[{"author_position":"first","author":{"id":"https://openalex.org/A5040273920","display_name":"Hein Thu","orcid":"https://orcid.org/0009-0005-1254-5280","observed_orcids":["https://orcid.org/0009-0005-1254-5280"]},"institutions":[],"countries":[],"is_corresponding":false,"raw_author_name":"Hein Thu","raw_affiliation_strings":[],"raw_orcid":"https://orcid.org/0009-0005-1254-5280","affiliations":[]},{"author_position":"middle","author":{"id":"https://openalex.org/A5117642034","display_name":"Aung Thura Htoo","orcid":"https://orcid.org/0009-0000-8013-3468","observed_orcids":["https://orcid.org/0009-0000-8013-3468"]},"institutions":[],"countries":[],"is_corresponding":false,"raw_author_name":"Aung Thura Htoo","raw_affiliation_strings":[],"raw_orcid":null,"affiliations":[]},{"author_position":"last","author":{"id":"https://openalex.org/A5119601339","display_name":"Moe Oo Thant","orcid":"https://orcid.org/0000-0002-0724-8362","observed_orcids":["https://orcid.org/0000-0002-0724-8362"]},"institutions":[],"countries":[],"is_corresponding":false,"raw_author_name":"Moe Oo Thant","raw_affiliation_strings":[],"raw_orcid":null,"affiliations":[]}],"institutions":[],"countries_distinct_count":0,"institutions_distinct_count":0,"corresponding_author_ids":[],"corresponding_institution_ids":[],"apc_list":null,"apc_paid":null,"fwci":null,"has_fulltext":false,"cited_by_count":0,"citation_normalized_percentile":null,"cited_by_percentile_year":null,"biblio":{"volume":null,"issue":null,"first_page":null,"last_page":null},"is_retracted":false,"is_paratext":false,"is_xpac":false,"primary_topic":{"id":"https://openalex.org/T10737","display_name":"Health Literacy and Information Accessibility","score":0.8057000041007996,"subfield":{"id":"https://openalex.org/subfields/3600","display_name":"General Health Professions"},"field":{"id":"https://openalex.org/fields/36","display_name":"Health Professions"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}},"topics":[{"id":"https://openalex.org/T10737","display_name":"Health Literacy and Information Accessibility","score":0.8057000041007996,"subfield":{"id":"https://openalex.org/subfields/3600","display_name":"General Health Professions"},"field":{"id":"https://openalex.org/fields/36","display_name":"Health Professions"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}},{"id":"https://openalex.org/T11539","display_name":"Survey Methodology and Nonresponse","score":0.1875,"subfield":{"id":"https://openalex.org/subfields/3312","display_name":"Sociology and Political Science"},"field":{"id":"https://openalex.org/fields/33","display_name":"Social Sciences"},"domain":{"id":"https://openalex.org/domains/2","display_name":"Social Sciences"}},{"id":"https://openalex.org/T13117","display_name":"Health Education and Validation","score":0.003000000026077032,"subfield":{"id":"https://openalex.org/subfields/2922","display_name":"Research and Theory"},"field":{"id":"https://openalex.org/fields/29","display_name":"Nursing"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}}],"keywords":[{"id":"https://openalex.org/keywords/ehealth-literacy","display_name":"digital health literacy","score":0.9399999976158142},{"id":"https://openalex.org/keywords/questionnaire-validation","display_name":"questionnaire validation","score":0.6489999890327454},{"id":"https://openalex.org/keywords/measurement-invariance","display_name":"measurement invariance","score":0.7210000157356262},{"id":"https://openalex.org/keywords/satisficing","display_name":"satisficing","score":0.7440000176429749},{"id":"https://openalex.org/keywords/marginalised-populations","display_name":"marginalised populations","score":0.6169999837875366},{"id":"https://openalex.org/keywords/illiteracy","display_name":"illiteracy","score":0.6290000081062317},{"id":"https://openalex.org/keywords/primary-care","display_name":"primary care","score":0.5440000295639038},{"id":"https://openalex.org/keywords/burmese-language","display_name":"Burmese language","score":0.6060000061988831},{"id":"https://openalex.org/keywords/study-within-a-trial","display_name":"study within a trial","score":0.6859999895095825}],"concepts":[{"id":"https://openalex.org/C2776640315","wikidata":"https://www.wikidata.org/wiki/Q7315941","display_name":"Respondent","level":2,"score":0.7390000224113464},{"id":"https://openalex.org/C202645933","wikidata":"https://www.wikidata.org/wiki/Q4930","display_name":"eHealth","level":3,"score":0.6797000169754028},{"id":"https://openalex.org/C15744967","wikidata":"https://www.wikidata.org/wiki/Q9418","display_name":"Psychology","level":0,"score":0.600600004196167},{"id":"https://openalex.org/C2778843546","wikidata":"https://www.wikidata.org/wiki/Q3097973","display_name":"Health literacy","level":3,"score":0.59170001745224},{"id":"https://openalex.org/C511192102","wikidata":"https://www.wikidata.org/wiki/Q5156948","display_name":"Comprehension","level":2,"score":0.5900999903678894},{"id":"https://openalex.org/C2777267654","wikidata":"https://www.wikidata.org/wiki/Q3519023","display_name":"Test (biology)","level":2,"score":0.5709999799728394},{"id":"https://openalex.org/C509550671","wikidata":"https://www.wikidata.org/wiki/Q126945","display_name":"Medical education","level":1,"score":0.54830002784729},{"id":"https://openalex.org/C101266164","wikidata":"https://www.wikidata.org/wiki/Q2131821","display_name":"Rasch model","level":2,"score":0.5167999863624573},{"id":"https://openalex.org/C75630572","wikidata":"https://www.wikidata.org/wiki/Q538904","display_name":"Applied psychology","level":1,"score":0.4925999939441681},{"id":"https://openalex.org/C78821406","wikidata":"https://www.wikidata.org/wiki/Q391810","display_name":"Think aloud protocol","level":3,"score":0.4262000024318695},{"id":"https://openalex.org/C547764534","wikidata":"https://www.wikidata.org/wiki/Q8236","display_name":"Literacy","level":2,"score":0.4244999885559082},{"id":"https://openalex.org/C9354725","wikidata":"https://www.wikidata.org/wiki/Q286017","display_name":"Operationalization","level":2,"score":0.39010000228881836},{"id":"https://openalex.org/C2780433410","wikidata":"https://www.wikidata.org/wiki/Q5276090","display_name":"Digital health","level":3,"score":0.37619999051094055},{"id":"https://openalex.org/C2780801425","wikidata":"https://www.wikidata.org/wiki/Q5164392","display_name":"Construct (python library)","level":2,"score":0.37549999356269836},{"id":"https://openalex.org/C49453240","wikidata":"https://www.wikidata.org/wiki/Q1592163","display_name":"Construct validity","level":3,"score":0.35600000619888306},{"id":"https://openalex.org/C2777646416","wikidata":"https://www.wikidata.org/wiki/Q242069","display_name":"Digital literacy","level":2,"score":0.35510000586509705},{"id":"https://openalex.org/C2778780117","wikidata":"https://www.wikidata.org/wiki/Q3269423","display_name":"Reading comprehension","level":3,"score":0.35409998893737793},{"id":"https://openalex.org/C65067816","wikidata":"https://www.wikidata.org/wiki/Q2295139","display_name":"Computer-assisted web interviewing","level":2,"score":0.336899995803833},{"id":"https://openalex.org/C53537400","wikidata":"https://www.wikidata.org/wiki/Q140637","display_name":"Numeracy","level":3,"score":0.335999995470047},{"id":"https://openalex.org/C160735492","wikidata":"https://www.wikidata.org/wiki/Q31207","display_name":"Health care","level":2,"score":0.3296999931335449},{"id":"https://openalex.org/C27158222","wikidata":"https://www.wikidata.org/wiki/Q5532422","display_name":"Generalizability theory","level":2,"score":0.3190999925136566},{"id":"https://openalex.org/C2777808570","wikidata":"https://www.wikidata.org/wiki/Q967853","display_name":"Massive open online course","level":2,"score":0.30169999599456787},{"id":"https://openalex.org/C26760741","wikidata":"https://www.wikidata.org/wiki/Q160402","display_name":"Perception","level":2,"score":0.29989999532699585},{"id":"https://openalex.org/C71924100","wikidata":"https://www.wikidata.org/wiki/Q11190","display_name":"Medicine","level":0,"score":0.2921000123023987},{"id":"https://openalex.org/C2779443383","wikidata":"https://www.wikidata.org/wiki/Q9228","display_name":"Burmese","level":2,"score":0.2904999852180481},{"id":"https://openalex.org/C176730311","wikidata":"https://www.wikidata.org/wiki/Q867668","display_name":"Multiple choice","level":3,"score":0.28220000863075256},{"id":"https://openalex.org/C77805123","wikidata":"https://www.wikidata.org/wiki/Q161272","display_name":"Social psychology","level":1,"score":0.28110000491142273},{"id":"https://openalex.org/C46304622","wikidata":"https://www.wikidata.org/wiki/Q374814","display_name":"Certification","level":2,"score":0.2741999924182892},{"id":"https://openalex.org/C2779473830","wikidata":"https://www.wikidata.org/wiki/Q1540899","display_name":"MEDLINE","level":2,"score":0.2685999870300293},{"id":"https://openalex.org/C27415008","wikidata":"https://www.wikidata.org/wiki/Q7256382","display_name":"Psychological intervention","level":2,"score":0.26420000195503235},{"id":"https://openalex.org/C171606756","wikidata":"https://www.wikidata.org/wiki/Q506132","display_name":"Psychometrics","level":2,"score":0.26420000195503235},{"id":"https://openalex.org/C170130773","wikidata":"https://www.wikidata.org/wiki/Q216378","display_name":"Usability","level":2,"score":0.26330000162124634},{"id":"https://openalex.org/C41008148","wikidata":"https://www.wikidata.org/wiki/Q21198","display_name":"Computer science","level":0,"score":0.25920000672340393}],"mesh":[],"locations_count":1,"locations":[{"id":"doi:10.17605/osf.io/2k7af","doi":"https://doi.org/10.17605/osf.io/2k7af","is_oa":true,"landing_page_url":"https://doi.org/10.17605/osf.io/2k7af","pdf_url":null,"source":{"id":"https://openalex.org/S7407050956","display_name":"Open Science Framework","issn_l":null,"issn":null,"is_oa":false,"is_in_doaj":false,"is_core":false,"listed_in":[],"host_organization":"https://openalex.org/I2799848540","host_organization_name":"Center for Open Science","host_organization_lineage":["https://openalex.org/I2799848540"],"host_organization_lineage_names":[],"type":"repository"},"license":"cc-by","license_id":"https://openalex.org/licenses/cc-by","version":null,"is_accepted":false,"is_published":false,"raw_source_name":null,"raw_type":"StudyRegistration"}],"best_oa_location":{"id":"doi:10.17605/osf.io/2k7af","doi":"https://doi.org/10.17605/osf.io/2k7af","is_oa":true,"landing_page_url":"https://doi.org/10.17605/osf.io/2k7af","pdf_url":null,"source":{"id":"https://openalex.org/S7407050956","display_name":"Open Science Framework","issn_l":null,"issn":null,"is_oa":false,"is_in_doaj":false,"is_core":false,"listed_in":[],"host_organization":"https://openalex.org/I2799848540","host_organization_name":"Center for Open Science","host_organization_lineage":["https://openalex.org/I2799848540"],"host_organization_lineage_names":[],"type":"repository"},"license":"cc-by","license_id":"https://openalex.org/licenses/cc-by","version":null,"is_accepted":false,"is_published":false,"raw_source_name":null,"raw_type":"StudyRegistration"},"sustainable_development_goals":[{"display_name":"Good health and well-being","score":0.8371999859809875,"id":"https://metadata.un.org/sdg/3"},{"display_name":"Quality education","score":0.5385000109672546,"id":"https://metadata.un.org/sdg/4"}],"study_designs":[],"awards":[],"funders":[],"has_content":{"grobid_xml":false,"pdf":false},"content_urls":null,"referenced_works_count":0,"referenced_works":[],"related_works":["https://openalex.org/W2786841744","https://openalex.org/W4205511287","https://openalex.org/W2604210433","https://openalex.org/W7171742551","https://openalex.org/W2615719185","https://openalex.org/W4281876680","https://openalex.org/W4378783394","https://openalex.org/W7009467849","https://openalex.org/W4360869973","https://openalex.org/W3029876432"],"abstract_inverted_index":{"Validated":[0],"questionnaires":[1],"are":[2,78,159,273],"often":[3],"given":[4],"to":[5,112,162],"people":[6,48],"who":[7,49,87],"read":[8,81],"with":[9,101],"difficulty":[10],"or":[11,45,165],"have":[12],"little":[13],"experience":[14],"of":[15,58,133,201,260],"the":[16,18,54,59,113,131,134,171,181,185,218,221,239,252,258,276,281],"ideas":[17],"items":[19,179,240],"ask":[20],"about.":[21],"When":[22],"a":[23,67,96,261],"respondent":[24],"does":[25],"not":[26],"understand":[27],"an":[28,99],"item,":[29],"data":[30,272],"collectors":[31],"usually":[32],"explain":[33],"it":[34],"in":[35,94,224,244,251],"their":[36],"own":[37,199],"words,":[38],"which":[39],"is":[40,66,108,119,124,192,249],"neither":[41],"standardised":[42,73],"nor":[43],"recorded,":[44],"studies":[46],"exclude":[47],"cannot":[50],"read.":[51],"Both":[52,168],"weaken":[53],"validity":[55],"and":[56,69,80,103,177,233],"fairness":[57],"scores.":[60],"CLEAR":[61,129],"(Comprehension-Layered,":[62],"Equitable,":[63],"Auditable,":[64],"Reproducible)":[65],"framework":[68],"open-source":[70],"tool":[71],"for":[72],"help":[74,89,122,163,166,186,210,230,236],"on":[75,164,180],"request.":[76],"Items":[77],"shown":[79],"aloud":[82],"exactly":[83],"as":[84],"validated.":[85],"Respondents":[86],"need":[88],"can":[90],"open":[91],"pre-approved":[92],"clarifications":[93],"layers:":[95],"definition,":[97],"then":[98],"example,":[100],"pictures":[102],"audio.":[104],"A":[105,264],"typed":[106],"question":[107],"matched":[109],"by":[110],"keyword":[111],"approved":[114,253],"clarifications;":[115],"no":[116],"generative":[117],"AI":[118],"used.":[120],"Every":[121],"event":[123],"logged.":[125],"This":[126,266],"study":[127,255],"tests":[128],"within":[130],"validation":[132,254,277],"Burmese":[135],"eHealth":[136],"Literacy":[137],"Questionnaire":[138],"(eHLQ;":[139],"35":[140],"items,":[141,173],"seven":[142],"scales)":[143],"among":[144],"adults":[145],"attending":[146],"primary":[147,190],"healthcare":[148],"services":[149],"at":[150],"Mae":[151,155],"Tao":[152],"Clinic":[153],"(MTC),":[154],"Sot,":[156],"Thailand.":[157],"Participants":[158],"randomised":[160],"1:1":[161],"off.":[167],"arms":[169,226],"receive":[170],"same":[172,182,222],"audio,":[174],"picture-story":[175],"introduction":[176],"practice":[178],"device;":[183],"only":[184],"layer":[187],"differs.":[188],"The":[189,247],"outcome":[191],"comprehension":[193],"accuracy:":[194],"blinded":[195],"coders":[196],"score":[197],"participants\u2019":[198],"explanations":[200],"two":[202,282],"randomly":[203],"chosen":[204],"items.":[205],"We":[206],"also":[207,268],"test":[208],"whether":[209,217,229,234],"benefits":[211],"weaker":[212],"readers":[213],"more":[214],"(differential":[215],"boost),":[216],"eHLQ":[219],"measures":[220],"construct":[223],"both":[225],"(measurement":[227],"invariance),":[228],"reduces":[231],"satisficing,":[232],"logged":[235],"requests":[237],"identify":[238],"that":[241],"caused":[242],"problems":[243],"cognitive":[245],"interviews.":[246],"comparison":[248],"embedded":[250],"(CEAB-2026-028),":[256],"following":[257],"logic":[259],"Study":[262],"Within":[263],"Trial.":[265],"registration":[267],"fixes,":[269],"before":[270],"any":[271],"collected,":[274],"how":[275],"analyses":[278],"will":[279],"use":[280],"arms.":[283]},"counts_by_year":[],"updated_date":"2026-11-07T11:25:07.637180","created_date":"2026-10-01T00:00:00"}
