Shoou?Yih Daniel Lee|Brian D. Stucky|Jessica Y. Lee|R. Gary Rozier|Deborah E. Bender
Short Assessment of Health Literacy—Spanish and English: A Comparable Test of Health Literacy for Spanish and English Speakers
University of North Carolina at Chapel Hill|University of North Carolina at Chapel Hill|University of North Carolina at Chapel Hill|University of North Carolina at Chapel Hill|University of North Carolina at Chapel Hill
intent study develop validate comparable health literacy test spanishspeaking englishspeaking populationsthe design instrument named short assessment health literacyspanish english sahlse combined word recognition test appearing rapid estimate adult literacy medicine realm comprehension test using multiplechoice questions designed expert panel used item response theory irt developing validating instrumentvalidation sahlse involved testing comparing instrument health literacy instruments sample 201 spanishspeaking 202 englishspeaking subjects recruited ambulatory care center university north carolina healthcare systembased irt analysis 18 items retained comparable test spanish version test sahls highly correlated spanish health literacy instruments short assessment health literacy spanishspeaking adults r088 p05 spanish test functional health literacy adults tofhla r062 p05 english version sahle high correlations realm r094 p05 english tofhla r068 p05 significant correlations found sahlse years schooling spanish englishspeaking samples r015 039 respectively sahlse displayed satisfactory reliability 080 089 spanish englishspeaking samples respectively irt analysis indicated sahlse score highly reliable individuals low level health literacythe new instrument sahlse good reliability validity particularly useful identifying individuals low health literacy could used screen low health literacy among spanish english speakers