Performance of the English and Spanish S-TOFHLA among publicly insured Medicaid and Medicare patients
Performance of the English and Spanish S-TOFHLA among publicly insured Medicaid and Medicare patients
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DOI：
10.1016/j.pec.2004.03.007
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发表时间：
2005-03-01
影响因子：
3.5
通讯作者：
Shea, JA
中科院分区：
文献类型：
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作者：
Aguirre, AC;Ebrahim, N;Shea, JA
本研究的目的是分析英语和西班牙语的S-TOFHLA量表对三个感兴趣的患者群体的心理测量学特性。尽管被广泛使用，但关于S-TOFHL的心理测量学特性的文章很少，特别是西班牙语版本。参与者为医疗补助和医疗保险患者：936名非西班牙裔和368名西班牙裔患者完成了英语S-TOFHL；1,066名西班牙裔完成了西班牙语S-TOFHL。两个版本的S-TOFHLA量表的效度均与教育程度呈正相关，与年龄呈负相关。在对教育水平进行调整后，男性和女性的得分仍然存在显著差异。在许多项目上都出现了分数差异。需要对S-TOFHLA量表和其他健康素养工具进行更多研究，以确定为什么女性的得分不同于男性。患者分组中识字技能的差异突显了医疗保健提供者在口头和书面交流中对患者识字水平敏感的重要性。(C)2004爱思唯尔爱尔兰有限公司。保留所有权利。
The objective of this study was to analyze the psychometric properties of the English and Spanish S-TOFHLA for three patient populations of interest. Despite being widely used, little is written about psychometric properties of the S-TOFHLA, particularly the Spanish version. Participants were Medicaid and Medicare patients: 936 non-Hispanic and 368 Hispanic patients completed the English S-TOFHLA; 1066 Hispanics completed the Spanish S-TOFHLA. Validity of both versions of the S-TOFHLA was supported by strong positive relationships with education and inverse relationships with age. Significant differences between scores for men and women remained after adjusting for level of education. Score differences occurred across numerous items. More research is needed on the S-TOFHLA and other health literacy instruments to determine why women score differently than men. Variability in literacy skills within subgroups of patients highlights the importance of healthcare providers being sensitive to patients' literacy levels in both spoken and written communications. (c) 2004 Elsevier Ireland Ltd. All rights reserved.