Wendy Pechero Bishop|Simon J. Craddock Lee|Celette Sugg Skinner|Tiffany M. Jones|Katharine McCallister|Jasmin A. Tiro
Validity of Single-Item Screening for Limited Health Literacy in English and Spanish Speakers
The University of Texas Southwestern Medical Center|The University of Texas Southwestern Medical Center|The University of Texas Southwestern Medical Center|The University of Texas Southwestern Medical Center|The University of Texas Southwestern Medical Center|The University of Texas Southwestern Medical Center|The University of Texas Southwestern Medical Center|The University of Texas Southwestern Medical Center|The University of Texas Southwestern Medical Center|The University of Texas Southwestern Medical Center|The University of Texas Southwestern Medical Center|The University of Texas Southwestern Medical Center
evaluate 3 singleitem screening measures limited health literacy communitybased population english spanish speakerswe recruited 324 english 314 spanish speakers community research registry dallas texas enrolled 2009 2012 used 3 screening measures 1 would rate ability read 2 confident filling medical forms 3 often someone help read hospital materials analyses stratified language used area receiver operating characteristic auroc curves compare item validated 40item short test functional health literacy adultsfor english speakers difference seen among items spanish speakers ability read identified inadequate literacy better help reading hospital materials auroc curve 076 vs 065 p 019the ability read item performed best supporting use screening tool safetynet systems caring diverse populations future studies investigate implement brief measures safetynet settings whether highlighting health literacy level influences providers communication practices patient outcomes