Review Article

Financial Health Literacy and Community-Dwelling Older Adults: A Concept Analysis

Table 2

Empirical referents.

Defining attributesInstrumentCharacteristics of the toolStatistical measurementDomain and dimensions addressed

Financial-related knowledgeFinancial Literacy Scale (“The Big 3”) [45]3 itemsPsychometric data not availableFinance domain
(i) Numeracy(i) Comprehension of numeracy
(ii) Inflation(ii) Comprehension of inflation
(iii) Risk diversification(iii) Comprehension of risk diversification

Skills in health and financial planning
Healthcare and financial-related decision-making behaviors
Modified Decision-Making Competence Assessment Tool [23]3 domainsCronbach’s alpha:
Decision support = 0.71
Self-efficacy = 0.86
Numeracy = 0.53
Finance domain
(i) Ability to choose mutual funds
Health domain
(i) Ability to select and use a healthcare plan
(ii) Read nutrition label
(i) Health
(ii) Finance
(iii) Nutrition
Decision style
Self-perceptions
Cognitive abilities

Knowledge about health and financial-related conceptsRush Memory and Aging Project Survey [4]32 items
(i) 23 items on finance (financial literacy)
(ii) 9 items on health (health literacy)
Total literacy: financial literacy + health literacy (% correct averaged together)
Cronbach’s alpha: total literacy = 0.77Finance domain
(i) Comprehension of savings, investments
(ii) Comprehension of numeracy
(iii) Comprehension of financial terms and institutions
Health domain
(i) Understanding of Medicare
(ii) Understanding health insurance and medications
(iii) Interpreting risk

Knowledge about health and financial-related concepts
Skills in health and financial planning
Health Insurance Literacy (HIL) Tool [22]27 items
(i) 10 true/false items related to health insurance terminology
(ii) 17 multiple choice items specific to proficiency with the Medicare health insurance system
Cronbach’s alpha:
Terminology = 0.75
Proficiency = 0.85
Health insurance domain
(i) Knowledge/comprehension
(ii) Skills
Decision making
(i) Proficiency using health insurance resources