Lidush Goldschmidt, Gale A Richardson, Jennifer Willford, Nancy L Day
Prenatal marijuana exposure and intelligence test performance at age 6
Journal of the American Academy of Child and Adolescent Psychiatry
knowledge patients health literacy hl emergency department ed facilitate care delivery reduce poor health outcomes systematic review investigates hl measurement instruments used ed psychometric properties accuracy detecting limited hl feasibility searched five biomedical databases studies published 1990 january 2021 evaluating hl measurement instruments tested ed internal consistency criterion validity diagnostic accuracy feasibility reviewers screened studies relevance assessed methodologic quality published criteria data synthesized around study instrument characteristics outcomes interest 2376 references screened seven met inclusion criteria studied instruments varied objective n 5 subjective n 6 measurement hl skills hl constructs measured brief health literacy screen bhls subjective numeracy scale demonstrate acceptable good internal consistency across studies none instruments perform consistently well criterion validity rapid estimate adult literacy medicinerevised newest vital sign objective tests short administration times demonstrate good accuracy one study high risk bias bhls short subjective measure shows moderate accuracy across studies including one low risk bias several short instruments seem valid measuring hl accurate detecting limited hl among ed patients practical advantages disadvantages specific measurement hl additional research necessary develop robust evidence base supporting instruments