2015
DOI: 10.1007/s11606-015-3288-4
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Different Measures, Different Outcomes? A Systematic Review of Performance-Based versus Self-Reported Measures of Health Literacy and Numeracy

Abstract: BACKGROUND: Health literacy (HL) and numeracy are measured by one of two methods: performance on objective tests or self-report of one's skills. Whether results from these methods differ in their relationship to health outcomes or use of health services is unknown. METHODS: We performed a systematic review to identify and evaluate articles that measured both performancebased and self-reported HL or numeracy and examined their relationship to health outcomes or health service use. To identify studies, we starte… Show more

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Cited by 90 publications
(68 citation statements)
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“…Although the current study relies heavily on self-report without any data to validate clinically or detail the etiology of SIs, most adults have sufficient health literacy to self-report a limitation even if they cannot ascribe a definitive diagnosis, 31,32 and the study results corroborate earlier research. 2-10 In a longitudinal study of older adults, 3 participants with vision impairment had significantly decreased mobility, defined by walking speed.…”
Section: Discussionsupporting
confidence: 80%
“…Although the current study relies heavily on self-report without any data to validate clinically or detail the etiology of SIs, most adults have sufficient health literacy to self-report a limitation even if they cannot ascribe a definitive diagnosis, 31,32 and the study results corroborate earlier research. 2-10 In a longitudinal study of older adults, 3 participants with vision impairment had significantly decreased mobility, defined by walking speed.…”
Section: Discussionsupporting
confidence: 80%
“…The empirical relationship between objective and subjective HL testing has received limited attention [51]. Kiechle et al reviewed papers that concurrently used both types of measures and related them to various outcomes.…”
Section: Subjective Versus Objective Health Literacy Measuresmentioning
confidence: 99%
“…Those patients most at risk for poor cancer understanding are African American, undereducated, and of low‐income status . And despite the expertise and devotion of many health literacy and numeracy experts, who strive to standardize the assessments of health literacy, pitfalls remain . Improvements in communication and patient understanding will require concerted efforts by practitioners to ensure essential material is presented by itself and/or first, adding icon arrays to numerical information, and speaking plainly …”
Section: Introductionmentioning
confidence: 99%