International application of health literacy measures: Adaptation and validation of the newest vital sign in The Netherlands

Fransen, Mirjam P.; Leenaars, K.E.F.; Rowlands, Gillian; Weiss, Barry D.; Maat, Henk Pander; Essink-Bot, M. L.

doi:10.1016/j.pec.2014.08.017

Cited by 66 publications

(84 citation statements)

References 19 publications

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“…Indeed, the values reported in other cultures were: 0.74 in United Kingdom [16]; 0.72 in Japan [17]; 0.76 in The Netherlands [5]; and 0.76 in English-speaking Americans [10]. Slightly lower values was reported in a USA Spanish-speaking group ( α =0.69) [10].…”

Section: Discussionmentioning

confidence: 99%

“…Numerous studies have shown that an inadequate HL level is associated with inadequate understanding of written information, lack of medical information, less use of preventive measures, lower medication compliance, impaired health care knowledge, poor health-related outcomes and higher health care costs [4]. Appropriate and valid HL measurement tools are essential in research to evaluate the effect of HL on several health outcomes, such as healthcare use, and the effectiveness of preventive healthcare and targeted interventions [5]. Furthermore, they are useful in clinical practice to improve communication with patients.…”

Section: Introductionmentioning

confidence: 99%

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Cross-cultural validation of health literacy measurement tools in Italian oncology patients

Zotti

Cocchi

Polesel

et al. 2017

BMC Health Serv Res

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BackgroundThe aim of this study was to assess the psychometric characteristics of four Health Literacy (HL) measurement tools, viz. Newest Vital Sign (NVS), Short Test of Functional Health Literacy in Adults (STOFHLA), Single Item Literacy Screener (SILS) and Single question on Self-rated Reading Ability (SrRA) among Italian oncology patients.MethodsThe original version of the tools were translated from the English language into Italian using a standard forward-backward procedure and according to internationally recognized good practices. Their internal consistency (reliability) and validity (construct, convergent and discriminative) were tested in a sample of 245 consecutive cancer patients recruited from seven Italian health care centers.ResultsThe internal consistency of the STOFHLA-I was Chronbach’s α=0.96 and that of NVS-I was α=0.74. The STOFHLA-I, NVS-I, SILS-I and SrRA-I scores were in a good relative correlation and in all tools the discriminative known-group validity was confirmed. The reliability and validity values were similar to those obtained from other cultural context studies.ConclusionThe psychometric characteristics of the Italian version of NVS, STHOFLA, SILS and SrRA were found to be good, with satisfactory reliability and validity. This indicates that they could be used as a screening tool in Italian patients. Moreover, the use of the same cross-cultural tools, validated in different languages, is essential for implementing multicenter studies to measure and compare the functional HL levels across countries.Electronic supplementary materialThe online version of this article (doi:10.1186/s12913-017-2359-0) contains supplementary material, which is available to authorized users.

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Section: Discussionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Cross-cultural validation of health literacy measurement tools in Italian oncology patients

Zotti

Cocchi

Polesel

et al. 2017

BMC Health Serv Res

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“…Health literacy scores were dichotomised into adequate and inadequate health literacy per measure, following predefined cut-off points [26, 27, 29, 30]. For REALM-D a score <60 indicated inadequate health literacy, for NVS-D this was <2, and for SBSQ-D this was <3.…”

Section: Methodsmentioning

confidence: 99%

Cardiovascular disease risk and secondary prevention of cardiovascular disease among patients with low health literacy

et al. 2017

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ObjectiveTo explore the association between health literacy and the risk of cardiovascular disease (CVD), and to assess the differential effects by health literacy level of a nurse-coordinated secondary prevention program (NCPP) in patients with coronary artery disease (CAD).MethodsData were collected in two medical centres participating in the RESPONSE trial (Randomised Evaluation of Secondary Prevention by Outpatient Nurse SpEcialists). CVD risk profiles were assessed at baseline and 12-month follow-up using the Systematic Coronary Risk Evaluation (SCORE). Health literacy was assessed by the short Rapid Estimate of Adult Literacy in Medicine (REALM-D) and the Newest Vital Sign (NVS-D); self-reported health literacy was evaluated by the Set of Brief Screening Questions (SBSQ-D).ResultsAmong 201 CAD patients, 18% exhibited reading difficulties, 52% had difficulty understanding and applying written information, and 5% scored low on self-reported health literacy. Patients with low NVS-D scores had a higher CVD risk [mean SCORE 5.2 (SD 4.8) versus 3.3 (SD 4.1), p < 0.01]. Nurse-coordinated care seemed to reduce CVD risk irrespective of health literacy levels without significant differences.ConclusionInadequate health literacy is prevalent in CAD patients in the Netherlands, and is associated with less favourable CVD risk profiles. Where many other forms of CVD prevention fail, nurse-coordinated care seems to be effective among patients with inadequate health literacy.

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“…The newest vital sign (NVS) consists of a nutrition label from an ice‐cream container, which is presented to the participant . The NVS is suitable to measure individual reading and numeracy skills and can be applied in healthcare settings . The participant answers six questions related to the information on the label, and scores range from 0 to 6.…”

Section: Methodsmentioning

confidence: 99%

“…To date, most health literacy research has been performed in the USA; however, other countries have also made efforts to address the issue of health literacy . Most of these studies focused on general (health) literacy skills and did not specifically address understanding of drug information . However, health literacy is a complex concept consisting of different skills that may be necessary to ensure good medication use .…”

Section: Introductionmentioning

confidence: 99%

Health literacy among pharmacy visitors in the Netherlands

Koster

Philbert

Bouvy

2015

Pharmacoepidemiol Drug Saf

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International application of health literacy measures: Adaptation and validation of the newest vital sign in The Netherlands

Cited by 66 publications

References 19 publications

Cross-cultural validation of health literacy measurement tools in Italian oncology patients

Cross-cultural validation of health literacy measurement tools in Italian oncology patients

Cardiovascular disease risk and secondary prevention of cardiovascular disease among patients with low health literacy

Health literacy among pharmacy visitors in the Netherlands

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