Measurement Variation Across Health Literacy Assessments: Implications for Assessment Selection in Research and Practice
Measurement Variation Across Health Literacy Assessments: Implications for Assessment Selection in Research and Practice
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DOI：
10.1080/10810730.2012.712615
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发表时间：
2012-01-01
影响因子：
4.4
通讯作者：
Donaldson, Patricia
中科院分区：
文献类型：
--
作者：
Haun, Jolie;Luther, Stephen;Donaldson, Patricia
国家优先事项和最近的联邦倡议已将卫生知识普及置于提供安全可及护理的最前沿。拥有有效和可靠的健康素养措施是满足患者健康素养需求的关键因素。在这项研究中，作者研究了三种简短的健康素养工具在分类健康素养水平和确定相关因素方面的差异。作者使用成人功能性健康素养测试的简短形式筛选了378名退伍军人;成人医学素养的快速评估;和4项简短健康素养筛选工具（称为BRIEF）。他们使用患病率估计、皮尔逊积差相关和逻辑回归分析数据。当对个人的健康素养进行分类时，37%的样本在工具之间存在一致性。有100个;然而，分类和估计的风险因素因工具而异。根据不同的工具，年龄增加，教育程度低，少数民族地位，和自我报告的穷人阅读水平与低健康素养。研究结果表明，这些工具衡量健康素养不同，可能是概念上的不同。随着健康知识筛查的使用势头越来越大，工具与预期目的之间的协调至关重要;在某些情况下，可能需要多种工具。在选择工具时，应考虑管理方式、测量目的以及时间和资源的可用性。
National priorities and recent federal initiatives have brought health literacy to the forefront in providing safe accessible care. Having valid and reliable health literacy measures is a critical factor in meeting patients' health literacy needs. In this study, the authors examined variation across three brief health literacy instruments in categorizing health literacy levels and identifying associated factors. The authors screened 378 veterans using the short form of the Test of Functional Health Literacy in Adults; the Rapid Estimate of Adult Literacy in Medicine; and a 4-Item Brief Health Literacy Screening Tool (known as the BRIEF). They analyzed data using prevalence estimates, Pearson product moment correlations, and logistic regression. When categorizing individuals' health literacy, agreement among instruments was present for 37% of the sample. There were consistencies; however, categorization and estimated risk factors varied by instrument. Depending on instrument, increased age, low education, minority status, and self-reported poor reading level were associated with low health literacy. Findings suggest that these instruments measure health literacy differently and are likely conceptually different. As the use of health literacy screening gains momentum, alignment between instrument and intended purpose is essential; in some cases, multiple instruments may be appropriate. When selecting an instrument, one should consider style of administration, purpose for measure, and availability of time and resources.