• Margarida Espírito-Santo, Tânia Nascimento, Ezequiel Pinto, Ana Luísa De Sousa-Coelho, and Jeff Newman.
• Cranfield Biotechnology Centre, Cranfield University, Cranfield, UK.
• J Eval Clin Pract. 2020 Oct 1; 26 (5): 1399-1405.

Rationale, Aims, And ObjectivesHealth literacy (HL) has been widely referenced as a determinant of health outcomes, making the assessment of low HL a fundamental step to plan educational interventions. This study aimed to translate and adapt the Short Assessment of Health Literacy-Spanish and English (SAHL-S&E) questionnaire into European Portuguese.MethodsThe SAHL-S&E questionnaire was translated using the recommendations of the International Society for Pharmacoeconomics and Outcomes Research. One hundred fifty-three Portuguese native speakers aged over 18 years old were included in this study, enrolled among users of community pharmacies in the Algarve region (Portugal).ResultsThe translation of the questionnaire used showed a good internal consistency (Cronbach α: .812), and a statistically significant (F = 5.05 P < .001) interrater reliability. Over a third of subjects (37.9%) achieved a score less than or equal to 14, which is indicative of low HL.ConclusionThis tool, intended to be used in the European Portuguese population, can be used for low HL screening.© 2019 John Wiley & Sons, Ltd.

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