Eric S. Kiechle|Andrew T. Hnat|Kenneth E. Norman|Anthony J. Viera|Darren A. DeWalt|Jane H. Brice
Comparison of Brief Health Literacy Screens in the Emergency Department
University of North Carolina at Chapel Hill|University of North Carolina at Chapel Hill|University of North Carolina Health Care|University of North Carolina at Chapel Hill|University of North Carolina at Chapel Hill|University of North Carolina at Chapel Hill
measuring health literacy efficiently yet accurately interest clinically research authors examined 6 brief health literacy measures compared categorization patient health literacy levels comparative associations patients health status authors assessed 400 emergency department patients short test functional health literacy adults newest vital sign single item literacy screen brief screening questions rapid estimate adult literacy medicinerevised medical term recognition test authors analyzed data using spearmans correlation coefficients ran separate logistic regressions instrument patient selfreported health status tests differed proportion patients skills classified adequate instruments significantly correlated instruments targeting similar skills strongly correlated scoring poorly instrument significantly associated worse health status adjusting age sex race score combined inadequatemarginal category short test functional health literacy adults carrying largest risk 294 95 ci 123 705 future research need elaborate instrument differences predicting different outcomes