Assessment of Colon Cancer Literacy in Screening Colonoscopy Patients: A Validation Study

Pendlimari, Rajesh; Holubar, Stefan D.; Hassinger, James P.; Cima, Robert R.

doi:10.1016/j.jss.2011.04.036

Cited by 35 publications

(44 citation statements)

References 19 publications

(29 reference statements)

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“…This is problematic, as it is only with adequate health literacy that patients can truly make informed decisions regarding their care. 5,25 Furthermore, patients with limited health literacy have been shown to experience inferior outcomes with regard to their given conditions. 11,19,33 This was the impetus for our investigation into the prevalence of and factors related to inadequate health literacy in patients undergoing elective CTR, as the identification of such patients will enable orthopedic surgeons to identify this subset of at-risk individuals.…”

Section: Discussionmentioning

confidence: 99%

“…The LiMP scores ranged from 0 to 9, with scores more than or equal to 6 indicative of adequate musculoskeletal health literacy. This cutoff was determined in an earlier work, in which the LiMP survey was validated based on the techniques described by Pendlimari et al 25,27 Statistics Performance on the LiMP survey was evaluated as a function of the mean score and the prevalence of adequate and inadequate musculoskeletal literacy among participants. A chi-square analysis was performed to assess whether demographic parameters significantly correlated with categorical outcome variables (limited or adequate musculoskeletal health literacy).…”

Section: Data Collection and Literacy Assessmentmentioning

confidence: 99%

“…11,19,33 Conversely, patients with adequate health literacy experience more effective and meaningful interactions with their physicians and are better equipped to make informed and appropriate treatment decisions. 5,25 In the United States, studies of health literacy have estimated that between 33% and 48% of Americans possess inadequate health literacy. 2,8,15,24 This is troubling, as the annual cost of low health literacy is estimated to range from $106 to $238 billion.…”

Section: Introductionmentioning

confidence: 99%

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A Cross-Sectional Study of Musculoskeletal Health Literacy in Patients With Carpal Tunnel Syndrome

Rosenbaum

Dunkman

Goldberg

et al. 2016

Hand (New York, N,Y.)

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Background: Approximately 33% of Americans have inadequate health literacy, which is associated with infrequent use of preventative services, increased hospitalization and use of emergency care, and worse control of chronic diseases. In this study, the Literacy in Musculoskeletal Problems (LiMP) questionnaire was used to evaluate the prevalence of limited musculoskeletal literacy in patients undergoing carpal tunnel release (CTR), as these individuals may be at increased risk of inferior outcomes. Methods: This cross-sectional study included individuals older than or equal to 18 years of age who were scheduled for elective CTR. Participants completed a demographic survey and the LiMP questionnaire during their preoperative office visit. The prevalence of limited health literacy was determined, with chi-square analysis used to determine the influence of demographic parameters. Results: The mean LiMP score was 6 ± 1.40. Limited musculoskeletal literacy was seen in 34% of participants (22/65). Analysis identified race (Caucasian), gender (female), higher education levels (≥college), current or prior employment in a health care field, and a prior physician visit for a non-carpal tunnel musculoskeletal complaint as being associated with higher literacy rates. Conclusions: Approximately one-third of patients scheduled for elective CTR have limited musculoskeletal literacy and may lack the necessary skills required for making informed decisions regarding their care. This is concerning, as CTR is performed in the United States on roughly 500 000 individuals annually, at an estimated cost of 2 billion dollars. The identification of those most at risk is thus crucial, and will facilitate the development of education campaigns and interventions geared toward those who are most vulnerable.

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Section: Discussionmentioning

confidence: 99%

Section: Data Collection and Literacy Assessmentmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

See 1 more Smart Citation

A Cross-Sectional Study of Musculoskeletal Health Literacy in Patients With Carpal Tunnel Syndrome

Rosenbaum

Dunkman

Goldberg

et al. 2016

Hand (New York, N,Y.)

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“…In addition to variation in the conceptual model of health literacy represented and the skills assessed, some health literacy instruments have been developed for generic use whilst others measure health literacy in a specific health context such as the Assessment of Colon Cancer Literacy (ACCL) instrument [6] which is developed to use in the health context of colon cancer screening. It is unclear from published literature if there is one universal instrument that can be used in numerous contexts and settings.…”

Section: Introductionmentioning

confidence: 99%

Optimal health literacy measurement for the clinical setting: A systematic review

Duell

Wright

Renzaho

et al. 2015

Patient Education and Counseling

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“…Specifically, they include the Assessment of Colon Cancer Literacy (Pendlimari, Holubar, Hassinger, & Cima, 2012), the Cancer Literacy Score (Diviani & Schulz, 2012), and Cancer Literacy Assessment Tools (Williams, Reckase, & Rivera-Vasquez, 2008). The first two cancer specific instruments assess colon cancer-related health literacy (Pendlimari et al, 2012) and knowledge about general cancer risk, diagnosis, and treatment as well as coping with cancer (Diviani & Schulz, 2012), respectively. The Cancer Literacy Assessment Tools (Williams et al, 2008) measure women’s understanding of their personal and familial risk of breast and cervical cancers.…”

mentioning

confidence: 99%

Development and Validation of the Assessment of Health Literacy in Breast and Cervical Cancer Screening

Han

Huh

Kim³

et al. 2014

Journal of Health Communication

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For many people limited health literacy is a major barrier to effective preventive health behavior such as cancer screening, yet a comprehensive health literacy measure that is specific to breast and cervical cancer screening is not readily available. The purpose of this paper is to describe the development and testing of a new instrument to measure health literacy in the context of breast and cervical cancer screening, the Assessment of Health Literacy in Cancer Screening (AHL-C). The AHL-C is based on Baker’s conceptualization of health literacy and modeled from the two most popular health literacy tests, the Rapid Estimate of Adult Literacy in Medicine and the Test of Functional Health Literacy in Adults. The AHL-C consists of four subscales; print literacy, numeracy, comprehension, and familiarity. We used baseline data from 560 Korean American immigrant women who participated in a community-based randomized trial designed to test the effect of a health literacy-focused intervention to promote breast and cervical cancer screening. Rigorous psychometric testing supports that the AHL-C is reliable, valid, and significantly correlated with theoretically selected variables. Future research is needed to test the utility of the AHL-C in predicting cancer screening outcomes.

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Assessment of Colon Cancer Literacy in Screening Colonoscopy Patients: A Validation Study

Cited by 35 publications

References 19 publications

A Cross-Sectional Study of Musculoskeletal Health Literacy in Patients With Carpal Tunnel Syndrome

A Cross-Sectional Study of Musculoskeletal Health Literacy in Patients With Carpal Tunnel Syndrome

Optimal health literacy measurement for the clinical setting: A systematic review

Development and Validation of the Assessment of Health Literacy in Breast and Cervical Cancer Screening

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