Hypertension Health Literacy Scale (HK-LS) Test

How the Scales are Structured
Who Usually Takes This Test?
See How You Compare
Below is a preview of how scores are typically distributed across each scale.
Example Questions From the Test
- Yes
- No
- I don't know
- Yes
- No
- Not sure
- Yes
- No
- I don't know
Hypertension Health Literacy Scale (HK-LS) Test - Description and methodology of the test
For people who want to understand what they know about hypertension, the Hypertension Health Literacy Scale (HK-LS) Test offers a focused profile of practical disease knowledge. This hypertension knowledge assessment suits readers reviewing information about blood-pressure readings, treatment, medicines, food, habits, and long-term risks. The result can show where understanding is solid and where targeted learning may improve conversations with healthcare professionals.
What This Assessment Explores
A blood pressure knowledge test covers seven areas:
- Complications (0-5) measures untreated risks: Limited awareness 0-1; Partial awareness 2-3; Strong awareness 4-5.
- Diet (0-2) measures dietary knowledge: Limited knowledge 0-1; Strong knowledge 2-2.
- Lifestyle (0-5) measures healthy habits: Limited 0-1; Moderate 2-3; Strong 4-5.
- Medication Adherence (0-4) measures medication adherence knowledge: Low adherence knowledge 0-1; Moderate adherence knowledge 2-3; High adherence knowledge 4-4.
- Treatment (0-4) measures treatment knowledge: Limited understanding 0-1; Basic understanding 2-3; Strong understanding 4-4.
- Interpretation (0-2) measures blood-pressure readings: Limited 0-0; Basic 1-1; Strong 2-2.
- Overall Health Literacy (0-22) measures hypertension understanding: Low literacy 0-13; Moderate literacy 14-20; High literacy 21-22.
Methodology and Evidence Base
Each item presents a statement with Yes/No or True/False choices and an uncertainty option such as “I don’t know” or “Not sure.” The statements address blood-pressure values, treatment beliefs, daily medication, food preparation, salt, smoking, alcohol, and consequences of untreated hypertension. This format checks recognition of accurate guidance and misconceptions.
Scoring follows the questionnaire’s displayed dimensions and overall total. Higher results indicate stronger understanding within each definition, while the displayed bands classify the questionnaire’s score levels; they do not by themselves establish population norms or clinical cutoffs.
The questionnaire is conceptually consistent with the Hypertension Knowledge-Level Scale, an instrument covering definition, treatment, lifestyle, diet, medication adherence, and complications. Related Greek and Brazilian validation studies examined translated versions, but they do not validate this online English presentation.
Because the questionnaire is self-administered, responses can still be influenced by language proficiency, education, wording interpretation, and current context. Results are descriptive knowledge indicators, not diagnoses or measures of current blood-pressure control, but they can help identify priorities for high blood pressure education.
- Erkoc, Sultan Baliz, Burhanettin Isikli, Selma Metintas, and Cemalettin Kalyoncu. (2012). Hypertension Knowledge-Level Scale (HK-LS): a study on development, validity and reliability. International Journal of Environmental Research and Public Health, 9(3), 1018-1029. 10.3390/ijerph9031018
- Chatziefstratiou, Anastasia A., Konstantinos Giakoumidakis, Nikolaos V. Fotos, George Baltopoulos, and Hero Brokalaki-Pananoudaki. (2015). Translation and validation of the Greek version of the hypertension knowledge-level scale. Journal of Clinical Nursing, 24(23-24), 3417-3424. 10.1111/jocn.12906
- Hereibi, Mireille Janczyk, Juliana Perez Arthur, Maria de Fatima Mantovani, Angela Tais Mattei, Wendy Julia Mariano Viante, and Carina Bortolato-Major. (2021). Construct validity and reliability of the Brazilian version of Hypertension Knowledge-Level Scale. Revista Gaucha de Enfermagem, 42, e20190429. 10.1590/1983-1447.2021.20190429
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