Development of a brief test to measure functional health literacy

被引：1152

作者：

Baker, DW ^{[1
]}

Williams, MV

Parker, RM

Gazmararian, JA

Nurss, J

机构：

[1] Case Western Reserve Univ, Metrohlth Med Ctr, Dept Med, Dept Epidemiol & Biostat, Cleveland, OH 44109 USA

[2] Emory Univ, Sch Med, Dept Med, Atlanta, GA USA

[3] Prudential Ctr Hlth Care Res, Atlanta, GA USA

[4] Georgia State Univ, Ctr Study Adult Literacy, Atlanta, GA 30303 USA

来源：

PATIENT EDUCATION AND COUNSELING | 1999年 / 38卷 / 01期

关键词：

educational status; socioeconomic factors; patient education; questionnaires;

D O I：

10.1016/S0738-3991(98)00116-5

中图分类号：

R1 [预防医学、卫生学];

学科分类号：

1004 ; 120402 ;

摘要：

We describe the development of an abbreviated version of the Test of Functional Health Literacy in Adults (TOFHLA) to measure patients' ability to read and understand health-related materials. The TOFHLA was reduced from 17 Numeracy items and 3 prose passages to 4 Numeracy items and 2 prose passages (S-TOFHLA). The maximum time for administration was reduced from 22 minutes to 12. In a group of 211 patients given the S-TOFHLA, Cronbach's alpha was 0.68 for the 4 Numeracy items and 0.97 for the 36 items in the 2 prose passages. The correlation (Spearman) between the S-TOFHLA and the Rapid Estimate of Adult Literacy in Medicine (REALM) was 0.80, although there were important disagreements between the two tests. The S-TOFHLA is a practical measure of functional health literacy with good reliability and validity that can be used by health educators to identify individuals who require special assistance to achieve learning goals. (C) 1999 Elsevier Science Ireland Ltd. All rights reserved.

引用

页码：33 / 42

页数：10

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