Lori H. Erby|Debra Roter|Susan Larson|Juhee Cho
The rapid estimate of adult literacy in genetics (REAL?G): A means to assess literacy deficits in the context of genetics
Johns Hopkins University|Johns Hopkins University|Johns Hopkins University|Johns Hopkins University
genetic information presents challenges patients particularly low marginal literacy goal study create rapid estimate adult literacy genetics realg tool established validity use patients receiving genetics services patterned widely used rapid estimate adult literacy medicine realm threestage method used tool development included derivation terms transcripts visits conducted 150 prenatal cancer genetic counselors concurrent validity estimated administration realg realm 203 participants predictive validity estimated relating participants realg scores scores learning task involved viewing videotaped genetic counseling session answering related questions realg measure strongly correlated realm pearson correlation 083 p 00001 indicating substantial concurrent validity population potential genetic counseling patients using realm gold standard realg scores identified readers sixth grade level 954 sensitivity 885 specificity analysis identified eightitem subset words strong concurrent validity compared longer instruments even greater predictive power relation information recall subjects scoring sixth grade level eightitem realg scored significantly lower others knowledge tests viewing genetic counseling visits realg represents screening tool used quickly identify low literate patients clinical genetics context quantify contextspecific literacy within research setting