Development and validation of the Rapid Estimate of Adolescent Literacy in Medicine (REALM-Teen): A tool to screen adolescents for below-grade reading in health care settings
Development and validation of the Rapid Estimate of Adolescent Literacy in Medicine (REALM-Teen): A tool to screen adolescents for below-grade reading in health care settings
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DOI：
10.1542/peds.2006-1139
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发表时间：
2006-12-01
期刊：
影响因子：
8
通讯作者：
Bocchini, Joseph A.
中科院分区：
文献类型：
--
作者：
Davis, Terry C.;Wolf, Michael S.;Bocchini, Joseph A.
客观的。青少年健康和保健方面识字率低的严重程度和后果尚不清楚。本研究的目的是验证青少年医学素养快速评估 (REALM-Teen)，这是一种英语单词识别测试，可用作医疗保健机构中的简短素养筛查工具。患者和方法。路易斯安那州和北卡罗来纳州 5 所中学中的 1 所、3 所高中、1 个儿科诊所或 2 个暑期项目的 1533 名 10 至 19 岁青少年参与了面对面访谈。收集了人口统计信息，并对参与者进行了一系列阅读测试，包括 REALM-Teen、宽范围成就测试修订版 (WRAT-3) 和 Slosson 口语阅读测试修订版 (SORT-R)。使用 Cronbach's alpha 确定 REALM-Teen 的内部一致性，并通过与 WRAT-R 和 SORT-R 的相关性建立标准有效性。使用低于年级水平的阅读（根据 SORT-R 分数）作为结果，通过绘制接收者操作特征曲线和特定阶层的似然比来计算仪器准确性和相应的截止分数。结果。参与者中有 50% 是黑人，53% 是女性； 34% 就读于初中，66% 就读于高中。管理 REALM-Teen 所需的平均时间为 3 分钟。内部一致性非常好，重测可靠性也非常好。 REALM-Teen 与 WRAT- 和 SORT-R 密切相关。确定了五个阅读级别类别：三年级及以下、四至五年级、六至七年级、八至九年级和十年级及以上。根据 SORT-R，46% 的参与者阅读低于年级水平，28% 的人重复至少 1 年级。结论。 REALM-Teen 是一款简短、可靠的工具，用于评估青少年识字技能和低于年级水平的阅读能力。
OBJECTIVE. The magnitude and consequences of low literacy in adolescent health and health care are unknown. The purpose of this study was to validate the Rapid Estimate of Adolescent Literacy in Medicine (REALM-Teen), a word-.recognition test in English that can be used as a brief literacy-screening tool in health care settings.PATIENTS AND METHODS. A total of 1533 adolescents aged 10 to 19 years attending 1 of 5 middle schools, 3 high schools, 1 pediatric clinic, or 2 summer programs in Louisiana and North Carolina participated in face-to-face interviews. Demographic information was solicited, and participants were administered a battery of reading tests, including the REALM-Teen, Wide Range Achievement Test-Revised (WRAT-3), and Slosson Oral Reading Test-Revised (SORT-R). Internal consistency for the REALM-Teen was determined using Cronbach's alpha, and criterion validity was established through correlations with both the WRAT-R and SORT-R. Using reading below grade level (according to SORT-R scores) as an outcome, instrument accuracy and corresponding cutoff scores were calculated by plotting receiver operating characteristic curves and stratum-specific likelihood ratios.RESULTS. Participants were 50% black and 53% female; 34% were enrolled in middle school and 66% in high school. The average time required to administer the REALM-Teen was 3 minutes. Internal consistency was excellent, as was test-retest reliability. The REALM-Teen is strongly correlated with both the WRAT- and SORT-R. Five reading level categories were identified: 3rd grade and below, 4th to 5th grade, 6th to 7th grade, 8th to 9th grade, and 10th grade and above. Forty-six percent of participants were reading below grade level according to the SORT-R and 28% had repeated at least 1 grade.CONCLUSION. The REALM-Teen is a brief, reliable instrument for assessing adolescent literacy skills and reading below grade level.