Kenneth A. Wallston|Courtney Cawthon|Candace D. McNaughton|Russell L. Rothman|Chandra Y. Osborn|Sunil Kripalani
Psychometric Properties of the Brief Health Literacy Screen in Clinical Practice
Vanderbilt University|Vanderbilt Health|Vanderbilt University|Vanderbilt University|Vanderbilt Health|Vanderbilt University|Vanderbilt Health|Vanderbilt University|Vanderbilt Health|Vanderbilt University
threeitem brief health literacy screen bhls validated research settings routine practice administered clinical personnelas part health literacy screening heals study evaluated psychometric properties bhls validate administration clinical nurses clinic hospital settingsbeginning october 2010 nurses clinics hospital academic medical center administered bhls patient intake recorded responses electronic health recordtrained research assistants ras administered short test functional health literacy adults stofhla readministered bhls convenience samples hospital clinic patients analyses included tests internal consistency reliability interadministrator reliability concurrent validity comparing nurseadministered versus raadministered bhls scores bhlsrn bhlsra respectively stofhlacronbachs alpha bhlsrn 080 among hospital patients n 498 076 among clinic patients n 295 indicating high internal consistency reliability intraclass correlation bhlsrn bhlsra among clinic patients 077 95 ci 071082 049 95 ci 040058 among hospital patients bhlsrn scores correlated significantly bhlsra scores r 033 among hospital patients r 062 among clinic patients stofhla scores r 035 among hospital clinic patients providing evidence interadministrator reliability concurrent validity regression models bhlsrn scores significant predictors stofhla scores adjustment age education gender race area receiver operating characteristic curve bhlsrn predict adequate health literacy stofhla 071 hospital 076 clinicthe bhls administered nurses routine clinical care demonstrates adequate reliability validity used health literacy measure