Provider Perceptions of Parent Health Literacy and Effect on Asthma Treatment Recommendations and Instructions [US]
This study by Harrington et al (2013) examines how provider perceptions of parental health literacy influenced pediatric asthma treatment recommendations and instructions, and perceptions of the parental ability to implement treatment plans. This study also examined the alignment of provider ratings of parental health literacy with parent demographics, ethnicity, and two validated health literacy measures' ratings. Harrington et al (2013) found that the provider's perceptions of the parental health literacy level influenced several aspects of pediatric asthma care. The parents' verbal communication skills and patterns of past behavior related to children's asthma management were important factors in shaping the providers' perceptions. Harrington et al (2013) noted that TOFHLA and REALM assessments were of little value in this study as they do not measure patient speaking and listening skills. These are the skills that the pediatric providers based their health literacy assessments on.
The grounded psychometric development and initial validation of the Health Literacy Questionaire (HLQ) [Aus]
Health literacy has become an increasingly important concept in public health. Osborne et al (2013) sought to develop a comprehensive measure of health literacy capable of diagnosing health literacy needs across individuals and organisations by utilizing perspectives from the general population, patients, practitioners and policymakers. The resulting questionnaire covers 9 conceptually distinct areas of health literacy: Feeling understood and supported by healthcare providers; Having sufficient information to manage my health; Actively managing my health; Social support for health; Appraisal of health information; Ability to actively engage with healthcare providers; Navigating the healthcare system; Ability to find good health information; and Understand health information well enough to know what to do. This paper describes the conceptualisation, psychometric development and initial validation of the new tool.
Measuring Health Literacy Regarding Infectious Respiratory Diseases: A New Skills-Based Instrument [China]
Sun et al (2013) examined the REALM, TOFHLA and NAAL literacy assessment tools but found that none were suitable for measuring skills-based health literacy where it concerns infectious respiratory diseases. This study aimed to explore and evaluate a new skills-based instrument on health literacy regarding respiratory infectious diseases. This instrument was designed to measure not only an individual’s reading and numeracy ability, but also their oral communication ability and their ability to use the internet to seek information. Sun et al (2013) found that the new instrument has good reliability and validity, and it could be used to assess the health literacy regarding respiratory infectious disease status of different groups.
Health literacy screening of geriatric monolingual Spanish-speaking patients using single-item literacy screening questions and education [US]
Cordasco et al (2013) describe the performance of Single Item Literacy Screener (SILS) questions, and educational attainment, as screening for inadequate health literacy in older monolingual Spanish speakers in the United States. The authors conducted in-person interviews with older monolingual Spanish-speaking diabetes patients, comparing responses to three SILS questions, and education, to shortened Test of Functional Health Literacy in Adults (sTOFHLA) scores. Cordasco et al (2013) conclude that more research needs to be done. The authors recommend that practitioners and investigators considering using single items as screeners for inadequate health literacy in older US monolingual Spanish speakers should either use the ‘confidence with forms’ SILS or a single question assessing educational achievement.
Clinical Utility of a Brief Screen for Health Literacy and Numeracy Among Adults With Diabetes Mellitus [US]
Miser, Jeppesen and Wallace (2013) examined the value of using the Newest Vital Sign (NVS) literacy / numeracy screening tool in clinical situations where contact time between practitioners and patients was short. The researchers compared the NVS scores and administration characteristics with the short version of TOFHLA and Spoken Knowledge in Low-literacy Diabetes (SKILLD) tool. 226 patients took part. The researchers found that the NVS and short TOFHLA scores were highly correlated and moderately correlated with the SKILLD scores. The researchers concluded that the NVS tool could quickly provide practitioners with valuable insights into their patients' ability to complete a practical skill needed to achieve tight blood glucose control.
Establishing Content Validity for the Nutrition Literacy Assessment Instrument [US]
Identification of low levels of health literacy is important for effective communication between providers and clients. Assessment instruments for general health literacy are inadequate for use in nutrition education encounters because they do not identify nutrition literacy. The primary objective of this 2-part study was to assess content validity for the Nutrition Literacy Assessment Instrument (NLAI). Gibbs and Chapman-Novakofski (2013) found that the NLAI is a content-valid measure of nutrition literacy. They concluded that additional validation of the NLAI is important because an objective instrument is needed for identifying nutrition literacy, a construct that appears to be different from health literacy.
Availability and Readability of Emergency Preparedness Materials for Deaf and Hard-of-Hearing and Older Adult Populations: Issues and Assessments [US]
This report looks at the findings of a literature review exploring the issues related to emergency preparedness materials (EPM) for hearing impaired and older adult populations. The primary focus of the review was to assess the availability and readability of materials for these populations and to recommend improvements. Neuhauser et al (2013) found no research about the readability of EPM aimed at this population. The authors collected EPM and interviewed staff from community based organisations serving heraing impaired and elderly adults. They found that all EPM tested above the recommended reading level for each group. Neuhauser et al (2013) recommended that more EPM for these populations should be made widely available, adhere to health literacy principles, and be accessible in alternative formats including American Sign Language. Developers should engage the intended users of EPM as co-designers and testers.
Oral Health Literacy – IOM Workshop Summary (US)
The IOM Roundtable on Health Literacy was interested in exploring oral health literacy research and how the research findings are translated into oral health practice. The roundtable held a workshop on March 29, 2012, to examine the field of oral health literacy. This document summarises the workshop. Topics include oral health literacy assessment, oral health literacy programs, state and national oral health literacy activities. Note: The PDF of this report is free to download. Click on: Download free PDF. Click on: Continue as a guest. Enter your email address and click: Continue.
Health numeracy in Japan: measures of basic numeracy account for framing bias in a highly numerate population [Jap]
Health numeracy is an important factor in how well people make decisions based on medical risk information. However, in many countries, including Japan, numeracy studies have been limited. To fill this gap, Okamoto et al (2012) evaluated health numeracy levels in a sample of Japanese adults by translating two well-known scales that objectively measure basic understanding of math and probability: the Schwartz scale and the Lipkus scale. The authors found that the sample population had a relatively high level of health numeracy and concluded that numeracy measures are still important determinants underlying susceptibility to framing bias. Okamoto et al (2012) concluded that identify individuals with low numeracy skills is important so that risk information can be presented in a way that enables them to correctly understand it. Further investigation was required on effective numeracy measures for such an intervention in Japan.
The Association among Literacy, Numeracy, HIV Knowledge and Health-Seeking Behavior: A Population-Based Survey of Women in Rural Mozambique [Moz]
Limited literacy skills are common in the United States and are related to lower HIV knowledge and worse health behaviours and outcomes. The extent of these associations is unknown in countries like Mozambique, where no rigorously validated literacy and numeracy measures exist. Ciampa et al (2012) adapted the Wide Range Achievement Test version 3 (WRAT – 3) to test the validity of the of each subscale in a non-Western context. Ciampa et al (2012) concluded that the literacy and numeracy subscales are valid for use with rural Mozambican women. Limited literacy and numeracy skills were common and associated with lower HIV knowledge. Further study is needed to determine the extent to which addressing literacy/numeracy will lead to improved health outcomes.