A short assessment of health literacy (SAHL) in the Netherlands

Maat, Henk Pander; Essink-Bot, M. L.; Leenaars, K.E.F.; Fransen, Mirjam P.

doi:10.1186/1471-2458-14-990

Cited by 45 publications

(60 citation statements)

References 18 publications

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“…The pharmacy technician scored good if the medication reconciliation gives an accurate complete overview of the medication, sufficient when the medication reconciliation produced the most important medication but some questions remained open, and insufficient when the medication reconciliation did not result in a complete overview of the medication. The patient was asked about his living situation, educational level, and to perform the Short Assessment of Health Literacy—Dutch (SAHL‐D) at the moment of inclusion at the POS. The SAHL‐D is a screening tool consisting of 33 health‐related terms to predict the health literacy of a patient.…”

Section: Methodssupporting

confidence: 90%

Risk factors for medication errors at admission in preoperatively screened patients

Ebbens

Gombert-Handoko

Al-Dulaimy

et al. 2018

Pharmacoepidemiology and Drug

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Section: Methodssupporting

confidence: 90%

Risk factors for medication errors at admission in preoperatively screened patients

Ebbens

Gombert-Handoko

Al-Dulaimy

et al. 2018

Pharmacoepidemiology and Drug

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“…SAHL-D comprehension scores of 25 and below were labeled "low health literacy" and scores of 26 or higher were considered "high health literacy." This is comparable with the norm scores for this health literacy measure indicating limited and adequate health literacy (Pander Maat et al, 2014). We used a chi-squared test to test whether the proportion of informed decisions differed across conditions.…”

Section: Discussionmentioning

confidence: 98%

“…Health literacy was measured using the Short Assessment of Adult Literacy in Dutch (SAHL-D comprehension: Pander Maat, Essink-Bot, Leenaars, & Fransen, 2014). This measure is based on the Rapid Estimate of Adult Literacy in Medicine in Dutch (REALM-D: Fransen, Van Schaik, Twickler, & Essink-Bot, 2011) and the Short Assessment for Health Literacy for Spanish and English (Lee, Bender, Ruiz, & Cho, 2006).…”

Section: Health Literacymentioning

confidence: 99%

Should We Be Afraid of Simple Messages? The Effects of Text Difficulty and Illustrations in People With Low or High Health Literacy

Meppelink

Smit

Buurman

et al. 2015

Health Communication

100

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It is often recommended that health information should be simplified for people with low health literacy. However, little is known about whether messages adapted to low health literacy audiences are also effective for people with high health literacy, or whether simple messages are counterproductive in this group. Using a two (illustrated vs. text-only) by two (nondifficult vs. difficult text) between-subjects design, we test whether older adults with low (n = 279) versus high health literacy (n = 280) respond differently to colorectal cancer screening messages. Results showed that both health literacy groups recalled information best when the text was nondifficult. Reduced text difficulty did not lead to negative attitudes or less intention to have screening among people with high health literacy. Benefits of illustrations, in terms of improved recall and attitudes, were only found in people with low health literacy who were exposed to difficult texts. This was not found for people with high health literacy. In terms of informed decisions, nondifficult and illustrated messages resulted in the best informed decisions in the low health literacy group, whereas the high health literacy group benefited from nondifficult text in general, regardless of illustrations. Our findings imply that materials adapted to lower health literacy groups can also be used for a more general audience, as they do not deter people with high health literacy.

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“…Therefore, it is unlikely that there were many people in our sample with a lack of reading skills. Nevertheless, both samples were representative of the Dutch population (over the age of 18), and the mean health literacy scores did not deviate substantially from those in other studies conducted with this measure in The Netherlands (e.g., Pander Maat et al, 2014).…”

Section: Discussionmentioning

confidence: 91%

“…To assess health literacy, we used the comprehension test of the 22-item version of the Short Assessment of Health Literacy in Dutch (SAHL-D; Pander Maat, Essink-Bot, Leenaars, & Fransen, 2014). Participants were exposed to 22 multiple-choice questions for which they had to select the accurate meaning of a healthrelated word (e.g., pancreas, biopsy, psoriasis).…”

Section: Health Literacymentioning

confidence: 99%

Health Literacy and Online Health Information Processing: Unraveling the Underlying Mechanisms

Meppelink

Smit

Diviani

et al. 2016

Journal of Health Communication

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Health literacy and online health information processing: Unraveling the underlying mechanisms Meppelink, C.S.; Smit, E.G.; Diviani, N.; van Weert, J.C.M. General rightsIt is not permitted to download or to forward/distribute the text or part of it without the consent of the author(s) and/or copyright holder(s), other than for strictly personal, individual use, unless the work is under an open content license (like Creative Commons). Disclaimer/Complaints regulationsIf you believe that digital publication of certain material infringes any of your rights or (privacy) interests, please let the Library know, stating your reasons. In case of a legitimate complaint, the Library will make the material inaccessible and/or remove it from the website. Please Ask the Library: http://uba.uva.nl/en/contact, or a letter to: Library of the University of Amsterdam, Secretariat, Singel 425, 1012 WP Amsterdam, The Netherlands. You will be contacted as soon as possible. The usefulness of the Internet as a health information source largely depends on the receiver's health literacy. This study investigates the mechanisms through which health literacy affects information recall and website attitudes. Using 2 independent surveys addressing different Dutch health websites (N = 423 and N = 395), we tested the mediating role of cognitive load, imagination ease, and website involvement. The results showed that the influence of health literacy on information recall and website attitudes was mediated by cognitive load and imagination ease but only marginally by website involvement. Thus, to improve recall and attitudes among people with lower health literacy, online health communication should consist of information that is not cognitively demanding and that is easy to imagine.The Internet is a powerful source of information that makes an unlimited amount of information available to everyone. In the United States 84% of adults use the Internet (Perrin & Duggan, 2015), and in The Netherlands 97% of the adult population has Internet access (Statistics Netherlands, 2014). Moreover, more than two thirds of the U.S. adult population currently owns a smartphone (Smith, 2015). Because nearly anything can be found online, this suggests that access to information no longer divides groups in society. Smartphones in particular are expected to decrease the digital divide created by the Internet, as they offer opportunities to reach population groups that were difficult to reach before (Fiordelli, Diviani, & Schulz, 2013). Equal physical access to the Internet, however, does not necessarily correspond to an equal ability to understand and use online information. For some population groups, finding, evaluating, and understanding information is more difficult than it is for others.Information is a valuable asset in many domains, including health. The extent to which people are able to benefit from online information largely depends on their level of health literacy, defined as the "ability to obtain, process, understand, and communicate about health-rel...

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A short assessment of health literacy (SAHL) in the Netherlands

Cited by 45 publications

References 18 publications

Risk factors for medication errors at admission in preoperatively screened patients

Risk factors for medication errors at admission in preoperatively screened patients

Should We Be Afraid of Simple Messages? The Effects of Text Difficulty and Illustrations in People With Low or High Health Literacy

Health Literacy and Online Health Information Processing: Unraveling the Underlying Mechanisms

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