Validation of three health literacy screening questions compared with S-TOFHLA in a low-income diverse English- and Spanish-Speaking population.
Background Clinicians need a tool to gauge patients' ability to understand health conditions and treatment options. The Short-form Test of Functional Health Literacy in Adults (S-TOFHLA) is the gold standard for this, but its length is prohibitive for use in clinical settings. This study seeks to va...
| Published in: | Journal of Public Health Vol. 46; no. 3; pp. 383 - 392 |
|---|---|
| Main Authors: | , , , |
| Format: | research tables/charts Journal Article |
| Published: |
Oxford University Press / USA
Sep2024
|
| Online Access: | View this record in EBSCOhost |
| fields | @attributes: recordID: 1 pdfLink: plink: https://search.ebscohost.com/login.aspx?direct=true&db=ccm&AN=179324455&site=ehost-live header: @attributes: shortDbName: ccm uiTerm: 179324455 longDbName: CINAHL Complete uiTag: AN controlInfo: bkinfo: dissinfo: jinfo: jid: 17413842 1CA0 jtl: Journal of Public Health issn: 17413842 maglogo: N pubinfo: dt: Sep2024 vid: 46 iid: 3 pid: 622 pub: Oxford University Press / USA artinfo: ui: 179324455 179324455 179324455 10.1093/pubmed/fdae035 179324455 ppf: 383 ppct: 9 formats: fmt: – @attributes: type: T – @attributes: type: P tig: atl: Validation of three health literacy screening questions compared with S-TOFHLA in a low-income diverse English- and Spanish-Speaking population. aug: au: Kincaid, Hope Coyne, Cathy A Hamadani, Roya Friel, Timothy affil: Network Office of Research and Innovation, Lehigh Valley Health Network , Allentown, PA 18103 , USA sug: subj: Health Literacy Health Screening Socioeconomic Factors Instrument Validation Cultural Diversity Human Cross Sectional Studies English Language Spanish Language Pennsylvania Hispanic Americans ROC Curve Coefficient alpha Descriptive Statistics Sensitivity and Specificity Data Analysis Software Funding Source ab: Background Clinicians need a tool to gauge patients' ability to understand health conditions and treatment options. The Short-form Test of Functional Health Literacy in Adults (S-TOFHLA) is the gold standard for this, but its length is prohibitive for use in clinical settings. This study seeks to validate a novel three-item question set for predicting health literacy. Methods This cross-sectional study utilized an in-person questionnaire alongside the S-TOFHLA. The sample included 2027 English- and Spanish-speaking adults (≥18 years) recruited from primary care practices serving a low-income eastern Pennsylvania community. Most patients (57.7%) identified as Hispanic. Diagnostic accuracy of each question and aggregated scores were assessed against the validated survey by calculating the area under the receiver operating characteristic (AUROC) curve. Results Questions in the 'Problems Learning' and 'Help Reading' domains (AUROC 0.66 for each) performed better than the 'Confident Forms' question (AUROC 0.64). Summing all three scores resulted in an even higher AUROC curve (0.71). Cronbach's alpha of the combined items was 0.696. Conclusions Study results suggest that any of the three questions are viable options for screening health literacy levels of diverse patients in primary care clinical settings. However, they perform better as a summed score than when used individually. pubtype: Academic Journal doctype: research tables/charts Journal Article ougenre: Article language: English refInfo: holdings: @attributes: islocal: N |
|---|