Patients n 332 at a va preoperative clinic completed in person interviews that. 588 family medicine september 2004 brief questions to identify patients with inadequate health literacy lisa d.
We sought to develop screening questions for identifying patients with inadequate or marginal health literacy.
Brief questions to identify patients with inadequate health literacy. Three of the questions were effective at identifying individuals with inadequate reading ability as measured by the short test of functional health literacy in adults s tofhla 13 17 a standard health literacy instrument. Of 4 384 patients 1 796 41 completed interviews. The prevalences of inadequate health literacy were 6 8 and 4 2 based on the s tohfla and realm respectively.
Patients n 332 at a va preoperative clinic completed in person interviews that included 16 health literacy screening questions on a 5 point likert scale followed by a validated health literacy measure the short test of functional health literacy in adults stohfla. We sought to develop screening questions for identifying patients with inadequate or marginal health literacy. 10 11 if a patient s literacy skills are found to be limited it would alert.
Fifty four 17 7 had limited and 52 17 0 had marginal health literacy skills. 95 confidence interval ci 0 77 to 0 86 and limited marginal auroc of 0 79. 95 ci 0 74 to 0 83 health literacy skills.
We evaluated the ability of each of 3 questions to detect. 7 9 furthermore asking patients questions such as can you read or how many years of school did you complete does not accurately predict a patient s literacy level. How confident are you filling out medical forms by yourself was accurate in detecting limited auroc of 0 82.
We modified these questions to develop a single item literacy screener sils that would efficiently identify patients who have difficulty with a central aspect of. Measurements and main results. Description a single health literacy screening question intended to identify adults with inadequate health literacy.
588 september 2004 family medicine health literacy is the ability to perform basic reading and numerical tasks required to function in the health care environment 1in studies of health literacy in the united states approximately one third of english speaking patients had low health literacy 2 3studies have shown an association between limited health literacy and worse health outcomes such as poorer knowledge about health. Brief questions to identify patients with inadequate health literacy. How confident are you filling out medical forms by yourself 1 extremely 2 quite a bit 3 somewhat 4 a little 5 not at all measurement scores 3 or greater indicate inadequate health literacy1 administration time.
1 inadequate and the combination of inadequate or marginal health literacy based on the s tofhla and 2 inadequate and the combination of inadequate or marginal health literacy based on the realm. Clinicians are often unable to identify patients with limited literacy skills based on information gathered during routine clinical interactions 5 6 and patients with limited literacy skills are often reluctant to reveal this limitation. View lisa588 pdf from health sci 111 at massachusetts institute of technology.