Sarah Collins|Leanne M. Currie|Suzanne Bakken|David K. Vawdrey|Patricia W. Stone
Health literacy screening instruments for eHealth applications: A systematic review
Mass General Brigham|Brigham and Women's Hospital|Harvard University|University of British Columbia|Columbia University|Columbia University|Columbia University
systematically review current health literacy hl instruments use consumerfacing mobile health information technology screening evaluation toolsthe databases pubmed ovid google scholar cochrane library science citation index searched health literacy assessment instruments using terms health literacy computerbased psychometrics instruments identified method critically appraised according reported psychometric properties clinical feasibilityeleven different health literacy instruments found screening questions asking patient hisher need assistance navigating health information evaluated seven different studies promising use valid reliable feasible computerbased approach identify patients struggle low health literacy however lack consistency types screening questions proposed also lack information regarding psychometric properties computerbased health literacy instrumentsonly english language health literacy assessment instruments reviewed analyzedcurrent health literacy screening tools demonstrate varying benefits depending context use many cases seems single screening question may reliable valid feasible means establishing health literacy combination screening questions assess health literacy technological literacy may enable tailoring ehealth applications user needs research determine best screening questions best synthesis various instruments content methodologies computerbased health literacy screening assessment