The Single Item Literacy Screener: Evaluation of a brief instrument to identify limited reading ability

Morris, Nancy S.; MacLean, Charles D.; Chew, Lisa D.; Littenberg, Benjamin

doi:10.1186/1471-2296-7-21

Cited by 740 publications

(607 citation statements)

References 19 publications

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“…Equally it cannot be assumed that patients with difficulties understanding fail to seek clarification. For this reason clinicians should identify patients who may struggle, using validated screening tools (Appendix 2) [18,75,78,103]. Despite this clinicians may fail to identify patients with low health literacy and should consider producing ''health-literate'' PROMs written at or below the level of an 11-year-old subject [21,40,106].…”

Section: Discussionmentioning

confidence: 99%

Are Patient-reported Outcome Measures in Orthopaedics Easily Read by Patients?

El-Daly

Ibraheim

Rajakulendran

et al. 2016

Clinical Orthopaedics &Amp; Related Research

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Background Patient-reported outcome measures (PROMs) are commonly used by healthcare providers as means of assessing health-related quality of life and function at any given time. The complexity of PROMs can differ and when combined with varying degrees of adult literacy, error can be introduced if patients fail to understand questions. With an average adult literacy level of 11-year-old students in the United Kingdom, it is unclear to what degree PROMs can be read and understood by most patients (readability); to our knowledge, this has not been evaluated. Questions/purposes We wished to determine the readability of commonly used PROMs in orthopaedic surgery, as assessed by a validated tool that measures the complexity of the language in these surveys. MethodsWe performed a MEDLINE search to identify the most-commonly reported PROMs in orthopaedic research. One hundred twenty-one PROMs were identified and reviewed by 19 attending orthopaedic surgeons at our institution. Fifty-nine were selected as the most commonly used in our department. Of these, 52 (78%) were disease specific and included: 12 (20%) knee, 10 (17%) shoulder, seven (12%) spine, six (10%) hip, five (8%) foot and ankle, four (7%) elbow, three (5%) pelvis, three (5%) hand and wrist, and two (3%) lower limb. The remaining seven (12%) PROMs were general health questionnaires. The Flesch Reading Ease Score is a validated readability tool measuring average sentence length and syllables per word. It is expressed on a scale from 0 to 100 with higher scores indicating easier reading. We extracted the text from each PROM and inserted it in the same online Flesch Reading Ease Score calculator to generate a score. Results The mean readability score was 55 (range, 0-93), corresponding to text best understood by 16-to 18-year-old

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Section: Discussionmentioning

confidence: 99%

Are Patient-reported Outcome Measures in Orthopaedics Easily Read by Patients?

El-Daly

Ibraheim

Rajakulendran

et al. 2016

Clinical Orthopaedics &Amp; Related Research

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“…The questionnaire was developed after reviewing a number of references concerning socioeconomic standard measurement [11] , health literacy measurement [12,13] and consumer satisfaction [14,15] . The audience of DHEI educational sessions was interviewed in the setting after attending the health education session.…”

Section: Data Collection Methodsmentioning

confidence: 99%

“…The second section of the questionnaire aimed at measuring the general health literacy of the consumers through combining the Single Item Literacy Scale (SILS) [12] and relevant items of Medication Understanding and Use Self-Efficacy [13] instruments. The first item in the used scale was the SILS question, 'how often the respondent needs someone's help to understand health instructions'.…”

Section: Data Collection Methodsmentioning

confidence: 99%

Consumer-oriented evaluation of the service provided by the department of health education and information in Alexandria, Egypt

Wahba

El-Bourgy

Abdel-Gawwad

et al. 2017

EPX

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Background: Assessing consumers' satisfaction with health education services can help in monitoring the quality of provided service and understanding consumers' perceptions and utilization patterns of the service. Materials and Methods: A cross-sectional descriptive study targeting consumers attending the health education sessions provided by Alexandria Department of Health Education and Information (DHEI) at different governmental health facilities and nongovernmental organizations was performed. A simple random sample of 400 participants was interviewed using an interview questionnaire assessing respondents' socioeconomic characteristics, health literacy, attitude toward health education services, and satisfaction with the health education service provided by the DHEI.. Results: Approximately 70% of the consumers' sample showed fair health literacy level. Most of the sample mentioned physicians a credible source of health knowledge followed by 58.8% who selected health education sessions as another trusted health information source. Overall, 90% of the sample was highly satisfied by the service overall. Behavior and skills of the service providers were the most satisfying aspects, whereas health education materials obtained the least satisfaction. Consumers' educational level and healthcare affordability proved to have a significant positive influence on their satisfaction (β=0.307 and 0.191, respectively) whereas occupation and family income showed a significant negative influence (P<0.001). Conclusion:The service provided by Alexandria DHEI is highly satisfying to its target audience mainly in terms of providers and accessibility. Enhancing the technical skills of the department staff through training is highly recommended. The department is also recommended to advocate for the credibility of social workers and health visitors as health educators among the community.

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“…-Procedeu-se a uma análise de instrumentos de avaliação da literacia em saúde disponíveis para diferentes países e para distintas populações; focados na perceção do respondente em relação a uma série de situações do quotidiano, e não na avaliação objetiva da sua capacidade de leitura e interpretação de informação relacionada com a saúde; identificando-se os itens relevantes para a língua e cultura portuguesas, tendo sido dada particular atenção aos seguintes instrumentos: Health Literacy Assessment Scale for Adolescents (HAS-A) (Manganello, DeVellis, Davis, & Schottler-Thal, 2015); ALL Aspects Health Literacy Scale (AAHLS) (Chinn, & McCarthy, 2013); European Health Literacy Survey (HLS-EU Consortium, 2012a; 2012b); Health Literacy Questionnaire (HLQ) (Osborne, Batterham, Elsworth, Hawkins, & Buchbinder, 2013); Health Literacy Management Scale (HeLMS) (Jordan, Buchbinder, Briggs, Elsworth, Busija, Batterham, & Osborne, 2013); Single Item Literacy Screener (SILS) (Morris, MacLean, Chew, & Littenberg, 2006); The eHealth Literacy Scale (e-HEALS) (Norman, & Skinner, 2006).…”

Section: Métodounclassified

Escala de Literacia em Saúde (ELS): Construção e estudo psicométrico

Silva

Jólluskin

2017

R Est Inv Psico y Educ

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ResumoO presente estudo teve como objetivo a construção e validação de uma escala de literacia em saúde para a população adulta portuguesa. Foi construída a Escala de Literacia em Saúde (ELS), constituída por 111 itens, que avaliam 3 domínios -Literacia em Saúde Funcional, Comunicacional e Crítica -e que foi testada em 316 indivíduos adultos. O questionário apresenta boa sensibilidade, elevada fidelidade e boa validade interna e externa, podendo constituir-se como uma ferramenta de avaliação importante para a avaliação de necessidades de intervenção no domínio da literacia em saúde na população portuguesa. Palavras chave: Literacia, saúde, avaliação, escala. AbstractThe present study aimed to develop and validate a health literacy scale for Portuguese adult population. The Health Literacy Scale (ELS) consists in 111 items that evaluate 3 domains -Functional, Communicational and Critical Health Literacy. The scale was tested in 316 adult participants. The questionnaire revealed good sensitivity, high fidelity and good internal and external validity, and can be an important evaluation tool for the evaluation of intervention needs in the field of health literacy in the Portuguese population. Keywords: Literacy, health, assessment, scale A literacia em saúde é assumida pela Organização Mundial de Saúde (World Health Organization [WHO], 2013) como componente fundamental da procura de saúde e bem-estar na sociedade moderna. Atualmente, não só as pessoas são confrontadas com um grande volume de informação sobre saúde, cuja credibilidade nem sempre é clara, como também enfrentam sistemas de saúde cada vez mais complexos. Neste contexto, ter conhecimento de saúde tornou-se um desafio crescente (WHO, 2013).Uma vez que a pobre literacia em saúde se associa negativamente à saúde dos indivíduos, populações e comunidades, e sendo esta um dos mais fortes preditores do estado de saúde (WHO, 2013), urge, do ponto de vista da saúde pública, dispor de um conhecimento aprofundado da realidade no país. Parece também particularmente importante conhecer a realidade dos grupos minoritários que, pelas suas características, se encontram fragilizados neste domínio, dispondo de poucas ferramentas para participar na construção ativa da sua saúde e nos serviços de saúde da comunidade.De acordo com Nutbeam (2000), a literacia em saúde foi muitas vezes definida como a capacidade de aplicar as competências de literacia a materiais relacionados com a saúde (como prescrições, cartões de agendamento de consultas, rótulos de medicamentos, etc.). Porém, este tipo de definição parece perder muito do significado mais profundo e objetivo da literacia para as pessoas.Para uma maior compreensão da aplicação do conceito de literacia no dia-a-dia, alguns autores afastaram-se das abordagens mais focadas na capacidade da leitura e escrita, propondo uma tipologia focada naquilo que a literacia nos capacita a fazer. Nesse sentido, distinguem três tipos essenciais de literacia (Freebody & Luke, 1990;Nutbeam, 2000): 1) Literacia básica/funcional, que espelha a a...

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The Single Item Literacy Screener: Evaluation of a brief instrument to identify limited reading ability

Cited by 740 publications

References 19 publications

Are Patient-reported Outcome Measures in Orthopaedics Easily Read by Patients?

Are Patient-reported Outcome Measures in Orthopaedics Easily Read by Patients?

Consumer-oriented evaluation of the service provided by the department of health education and information in Alexandria, Egypt

Escala de Literacia em Saúde (ELS): Construção e estudo psicométrico

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