Comparison of brief health literacy screens in the emergency department.

Journal Article (Journal Article)

Measuring health literacy efficiently yet accurately is of interest both clinically and in research. The authors examined 6 brief health literacy measures and compared their categorization of patient health literacy levels and their comparative associations with patients' health status. The authors assessed 400 emergency department patients with the Short Test of Functional Health Literacy in Adults, the Newest Vital Sign, Single Item Literacy Screen, brief screening questions, Rapid Estimate of Adult Literacy in Medicine-Revised, and the Medical Term Recognition Test. The authors analyzed data using Spearman's correlation coefficients and ran separate logistic regressions for each instrument for patient self-reported health status. Tests differed in the proportion of patients' skills classified as adequate, but all instruments were significantly correlated; instruments targeting similar skills were more strongly correlated. Scoring poorly on any instrument was significantly associated with worse health status after adjusting for age, sex and race, with a score in the combined inadequate/marginal category on the Short Test of Functional Health Literacy in Adults carrying the largest risk (OR = 2.94, 95% CI [1.23, 7.05]). Future research will need to further elaborate instrument differences in predicting different outcomes.

Full Text

Duke Authors

Cited Authors

  • Kiechle, ES; Hnat, AT; Norman, KE; Viera, AJ; DeWalt, DA; Brice, JH

Published Date

  • 2015

Published In

Volume / Issue

  • 20 / 5

Start / End Page

  • 539 - 545

PubMed ID

  • 25807061

Electronic International Standard Serial Number (EISSN)

  • 1087-0415

Digital Object Identifier (DOI)

  • 10.1080/10810730.2014.999893


  • eng

Conference Location

  • United States