Tahereh S Zarghami, Peter Zeidman, Adeel Razi, Fariba Bahrami, Gholam-Ali Hossein-Zadeh
Dysconnection and cognition in schizophrenia: A spectral dynamic causal modeling study
Human brain mapping
low health literacy hl associated reduced disease selfmanagement skills worse health outcomes increased number hospitalizations frequent use emergency room less utilization preventive services support patients low hl crucial identify affected patients hl multidimensional construct covers different skills abilities make informed health decisions validated brief screening tools assess healthliteracyrelated skills abilities primary care settings currently available german study aimed validate single item screener developed us german primary care setting study used crosssectional data survey among mainly chronically ill patients n 346 conducted family practices state north rhinewestphalia explored convergent validity single item literacy screener sils hlseuq16 sils measures functional hl asking patients need help reading information materials hlseuq16 multidimensional hl measure frequently used research purposes germany associations two instruments examined using spearmans correlations regression analyses diagnostic performance sils relative hlseuq16 assessed using receiver operator curves roc sils statistically significant correlation hlseuq16 spearman 035 explained 26 total variance stratified analyses convergent validity instruments age sex migration background education level chronic disease status showed moderate statistically significant correlations subgroups range 0223 0428 area curve 066 receiver operator curve indicated satisfactory diagnostic performance sils relative hlseuq16 sils provided acceptable initial assessment hl limitations among heterogeneous population mainly chronically ill patients primary care setting one item sils short effective tool routine use primary care specialized care settings future research test sils populations pilot applications sils routine care