A brief 20-item dental/medical health literacy screen (REALMD-20)
A brief 20-item dental/medical health literacy screen (REALMD-20)
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DOI：
10.1111/jphd.12005
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发表时间：
2013-12-01
影响因子：
2.3
通讯作者：
Atchison, Kathryn
中科院分区：
文献类型：
--
作者：
Gironda, Melanie;Der-Martirosian, Claudia;Atchison, Kathryn
很少有健康素养的工具，可用于临床医生，以帮助了解患者难以理解的健康信息的影响。那些确实存在的是冗长的，将不利于在忙碌的临床环境中使用。长期的牙科和医疗结果可能会改善，如果卫生保健提供者可以识别个人的健康素养水平低，谁可以受益于定制的通信，但很少有仪器可用于临床使用。本研究的目的是介绍一个简短的20个项目筛选有限的牙科/医疗健康素养的成年牙科患者。方法200名成年患者寻求治疗的牙科诊所在一个大型医疗综合体完成了健康素养筛查工具和调查。描述了20项文书的开发步骤。20项牙科/医疗器械与其他健康素养措施的比较计算平均健康素养得分，测试的可靠性和可读性，以及相关系数。结果在20个项目的简单测量得分显着不同种族，教育程度，语言使用，需要帮助的医疗/健康材料的形式。根据REALMD-20测量，牙科/医疗健康知识水平较低的人接受定期随访护理的可能性低于文化水平较高的人。结论REALMD-20是一种快速筛查工具，临床医生可以使用它来检测在牙科/医疗诊所环境中寻求治疗的成年患者中有限的牙科/医疗健康素养。
Objectives Few health literacy instruments are available to clinicians to help understand the implications of patient difficulty understanding health information. Those that do exist are lengthy and would not be conducive to use in a busy clinical setting. Long-term dental and medical outcomes may improve if health care providers can identify individuals with low health literacy levels who may benefit from tailored communication, yet few instruments are available for clinical use. The purpose of this study is to introduce a brief 20-item screener for limited dental/medical health literacy among adult dental patients. Methods Two-hundred adult patients seeking treatment at a dental clinic in a large medical complex completed a health literacy screening instrument and survey. Steps in the development of the 20-item instrument are described. Comparison of the 20-item dental/medical instrument with other health literacy measures are calculated using mean health literacy scores, tests of reliability and readability, and correlation coefficients. Results Scores on the brief 20-item measure varied significantly by race, education level, language use, needing help with medical/health materials forms. Those with lower dental/medical health literacy, as measured by the REALMD-20 were less likely to receive regular follow-up care than those with higher literacy. Conclusions The REALMD-20 is a quick screening instrument that can be used by clinicians to detect limited dental/medical health literacy among adult patients seeking treatment in dental/medical clinic settings.