Development of an Easy‐to‐Use Spanish Health Literacy Test

Lee, Shoou Yih D.; Bender, Deborah E.; Ruíz, Rafael; Cho, Young I.

doi:10.1111/j.1475-6773.2006.00532.x

Cited by 166 publications

(205 citation statements)

References 32 publications

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“…31 We also collected general sociodemographic data (age, gender, race/ethnicity, and education attainment), health status, and general prescription regimen information (self-report of number of medications taken).…”

Section: Discussionmentioning

confidence: 99%

A Patient-Centered Prescription Drug Label to Promote Appropriate Medication Use and Adherence

et al. 2016

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BACKGROUND: Patient misunderstanding of prescription drug label instructions is a common cause of unintentional misuse of medication and adverse health outcomes. Those with limited literacy and English proficiency are at greater risk. OBJECTIVE: To test the effectiveness of a patientcentered drug label strategy, including a Universal Medication Schedule (UMS), to improve proper regimen use and adherence compared to a current standard. DESIGN: Two-arm, multi-site patient-randomized pragmatic trial. PARTICIPANTS: English-and Spanish-speaking patients from eight community health centers in northern Virginia who received prescriptions from a central-fill pharmacy and who were 1) ≥30 years of age, 2) diagnosed with type 2 diabetes and/or hypertension, and 3) taking ≥2 oral medications. INTERVENTION: A patient-centered label (PCL) strategy that incorporated evidence-based practices for format and content, including prioritized information, larger font size, and increased white space. Most notably, instructions were conveyed with the UMS, which uses standard intervals for expressing when to take medicine (morning, noon, evening, bedtime). MAIN MEASURES: Demonstrated proper use of a multidrug regimen; medication adherence measured by selfreport and pill count at 3 and 9 months. KEY RESULTS: A total of 845 patients participated in the study (85.6 % cooperation rate). Patients receiving the PCL demonstrated slightly better proper use of their drug regimens at first exposure (76.9 % vs. 70.1 %, p = 0.06) and at 9 months (85.9 % vs. 77.4 %, p = 0.03). The effect of the PCL was significant for English-speaking patients (OR 2.21, 95 % CI 1.13-4.31) but not for Spanish speakers (OR 1.19, 95 % CI 0.63-2.24). Overall, the intervention did not improve medication adherence. However, significant benefits from the PCL were found among patients with limited literacy (OR 5.08,) and for those with medications to be taken ≥2 times a day (OR 2.77, 95 % CI 1.17-6.53). CONCLUSIONS:A simple modification to pharmacygenerated labeling, with minimal investment required, can offer modest improvements to regimen use and adherence, mostly among patients with limited literacy and more complex regimens. Trial Registration (ClinicalTrials.gov): NCT00973180, NCT01200849

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Section: Discussionmentioning

confidence: 99%

A Patient-Centered Prescription Drug Label to Promote Appropriate Medication Use and Adherence

et al. 2016

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“…Dicho factor común explica 31,37% de la varianza de los puntajes del cuestionario, siendo la mayoría de sus cargas factoriales por sobre 0,4 10 .…”

Section: Discussionunclassified

“…Para la aplicación del cuestionario se capacitó a un grupo de estudiantes universitarios en base a las instrucciones sugeridas por los autores que diseñaron el test 10 . Para el análisis, primero se realizó un análisis factorial exploratorio para simplificar la compleja y multivariada estructura de los datos, formulando hipótesis acerca de esta, las que luego fueron puestas a prueba con el análisis factorial confirmatorio 12 .…”

Section: Materials Y Métodounclassified

“…El Short Assessment of Health Literacy for Spanish-speaking Adults (SAHLSA-50) es un instrumento que ha sido diseñado y validado para evaluar la capacidad de leer y entender los términos médicos comunes de un adulto de habla hispana. Este test permite una evaluación rápida y práctica de la alfabetización en salud de personas adultas 10 . En Chile a la fecha no contamos con un instrumento que permita obtener esta medición.…”

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Validación del test Short Assessment of Health Literacy for Spanish-speaking Adults en Chile, para medir alfabetización en salud

Monsalves¹,

Mañalich²,

Fuentes

2016

Rev. méd. Chile

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“…In order to characterize the patient population, we created a patient survey comprised of validated and adapted measures. Validated measures included the Patient Health Questionnaire-2 (PHQ-2) 22 to screen for depression as well as the Rapid Estimate of Adult Literacy in Medicine-Short Form (REALM-SF) 23,24 and Short Assessment of Health Literacy for Spanish Adults (SAHLSA-50) 25 to assess health literacy in English and Spanish, respectively. Individual items were adapted from the Medical Outcomes Study 36-Item Short-Form Health Survey (MOS-SF-36) 26 to measure health-related quality of life and from the National Health Interview Survey 27 to examine primary care access.…”

Section: Methodsmentioning

confidence: 99%

Factors Influencing Hospital Admission of Non-critically Ill Patients Presenting to the Emergency Department: a Cross-sectional Study

et al. 2015

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BACKGROUND:Little is known about the factors that influence physicians' admission decisions, especially among lower acuity patients. For the purpose of our study, non-medical refers to all of the factors-other than the patient's clinical condition-that could potentially influence admission decisions. OBJECTIVE: To describe the influence of non-medical factors on physicians' decisions to admit non-critically ill patients presenting to the ED. DESIGN: Cross-sectional study of hospital admissions at a single academic medical center. PARTICIPANTS: Non-critically ill adult patients admitted to the hospital (n=297) and the admitting emergency medicine physicians (n=34). MAIN MEASURES: A patient survey assessed nonmedical factors, including primary care access and utilization. A physician survey assessed clinical and nonmedical factors influencing the decision to admit. Based on physician responses, admissions were characterized as Bstrongly acuity-driven,^Bmoderately acuity-driven,ô r Bweakly acuity-driven.^Among these admission types, we compared length of stay, cost, and readmission within 30 days to the hospital or ED. KEY RESULTS: Based on the admitting physician's assessment, we categorized the motivation for admission as strongly acuity-driven in 185 (62 %) admissions, moderately acuity-driven in 92 (31 %), and weakly acuity-driven in 20 (7 %). Per the physician surveys, 51 % of hospitalizations were strongly or moderately influenced by one or more non-medical factors, including lack of information about baseline conditions (23 %); inadequate access to outpatient specialty care (14 %); need for a diagnostic testing or procedure (12 %); a recent ED visit (11 %); and inadequate access to primary care (10 %). Compared with strongly-acuity driven admissions, admissions that were moderately or weakly acuity-driven were shorter and less costly but were associated with similar rates of ED (35 %) and hospital (27 %) readmission. CONCLUSIONS: Non-medical factors are influential in the admission decisions for many patients presenting to the emergency department. Moderately and weakly acuity-driven admissions may represent a feasible target for alternative care pathways.KEY WORDS: non-medical factors; hospital admission decision; access to care; care transitions; decision making; emergency medicine; health care delivery; medical decision making; severity of illness; socioeconomic factors; utilization.

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Development of an Easy‐to‐Use Spanish Health Literacy Test

Cited by 166 publications

References 32 publications

A Patient-Centered Prescription Drug Label to Promote Appropriate Medication Use and Adherence

A Patient-Centered Prescription Drug Label to Promote Appropriate Medication Use and Adherence

Validación del test Short Assessment of Health Literacy for Spanish-speaking Adults en Chile, para medir alfabetización en salud

Factors Influencing Hospital Admission of Non-critically Ill Patients Presenting to the Emergency Department: a Cross-sectional Study

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