Kerri L. Cavanaugh|Chandra Y. Osborn|Francesca Tentori|Russell L. Rothman|T. Alp ?kizler|Kenneth A. Wallston
Performance of a brief survey to assess health literacy in patients receiving hemodialysis
Vanderbilt University|Vanderbilt University|Arbor Research Collaborative for Health|Vanderbilt University|Vanderbilt University|Vanderbilt University
health literacy associated important outcomes among patients kidney disease widely used measures health literacy burdensome effort make practical assessment available compared performance threeitem brief health literacy screen bhls widely used measures health literacy among patients endstage renal disease esrdadult hemodialysis patients n 150 four urban dialysis facilities participated crosssectional study 2009 2012 three health literacy measures administered including rapid estimate adult literacy medicine realm ii short test functional health literacy adults stofhla iii threeitem bhls minimental state exam assessed cognitive status chronic hemodialysis knowledge survey cheks perceived kidney disease knowledge survey piks assessed kidney knowledge spearmans area receiveroperating curves examined relationships aforementioned variablesparticipants received dialysis mean 46 years 49 female 73 african american averaged 52 years age less education less cognitive capacity associated p 005 lower health literacy three health literacy measures performance bhls significantly associated realm 035 95 confidence interval 95 ci 020049 p 0001 stofhla 049 95 ci 035069 p 0001 cheks 043 95 ci 028055 p 0001 piks 041 95 ci 027054 p 0001the bhls demonstrates evidence construct validity among esrd patients furthermore health literacy associated kidney knowledge supporting potential intervention target improve outcomes among patients lower health literacy