Validation of a health literacy screening tool (REALM) in a UK Population with coronary heart disease
Validation of a health literacy screening tool (REALM) in a UK Population with coronary heart disease
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DOI：
10.1093/pubmed/fdn059
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发表时间：
2008-12-01
影响因子：
4.4
通讯作者：
Ussher, M.
中科院分区：
文献类型：
--
作者：
Ibrahim, S. Y.;Reid, F.;Ussher, M.
健康素养（Health literacy， HL）在美国等发达国家已被视为一个重要的公共卫生问题。目前在英国没有有效的HL筛查工具。本研究旨在验证美国开发的HL筛查工具（成人医学读写能力快速评估；REALM）在英国与英国一般读写能力筛查工具（基本技能机构初步评估测试，BSAIT）的使用。一项涉及300名入院接受冠心病调查的成年患者的横断面调查，给予REALM和BSAIT工具完成，以及被认为可能预测HL的具体问题。这些问题涉及理解医疗信息、医疗表格或平板电脑上的说明的难度、阅读书籍的频率以及参与者的工作是否涉及阅读。REALM与BSAIT显著相关（r = 0.70; P < 0.001），并且与可能预测HL的8个问题中的7个问题显著相关。本研究表明，REALM在英国作为HL筛查工具，在研究和日常临床实践中具有面部、标准和结构效度。需要进一步的研究来评估低HL在更广泛人群中的患病率，并探索低HL与英国健康状况不佳之间可能存在的联系。
Health literacy (HL) has been recognized as an important public health issue in other developed countries such as the US. There is currently no HL screening tool valid for use in the UK. This study aimed to validate a US-developed HL screening tool (the Rapid Estimate for Adult Literacy in Medicine; REALM) for use in the UK against the UK's general literacy screening tool (the Basic Skills Agency Initial Assessment Test, BSAIT).A cross-sectional survey involving 300 adult patients admitted to hospital for investigation of coronary heart disease were given the REALM and BSAIT tools to complete as well as specific questions considered likely to predict HL. These questions relate to the difficulty in understanding medical information, medical forms or instructions on tablets, frequency of reading books and whether the participant's job involves reading.The REALM was significantly correlated with the BSAIT (r = 0.70; P < 0.001), and significantly related to seven of the eight questions likely to be predictive of HL.This study has shown that the REALM has face, criterion and construct validity for use as an HL screening tool in the UK, in research and in everyday clinical practice. Further studies are needed to assess the prevalence of low HL in a wider population and to explore the links that may exist between low HL and poor health in the UK.