Validation of the Written Administration of the Short Literacy Survey

Dageforde, Leigh Anne; Cavanaugh, Kerri L.; Moore, Derek E.; Harms, Kelly A.; Wright, Andrew S.; Pinson, C. Wright; Feurer, Irene D.

doi:10.1080/10810730.2015.1018572

Cited by 16 publications

(14 citation statements)

References 23 publications

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“…Previous studies of health literacy in dialysis used these assessments. We recently reported that the three-item BHLS is valid when administered as either a verbal interview or as a written self-administration [ 37 ]. Although trained research personnel supervised administration in this study of hemodialysis patients, we have also recently reported that assessment by a clinical nurse in routine care is comparable with that of formally trained personnel [ 25 ].…”

Section: Discussionmentioning

confidence: 99%

Performance of a brief survey to assess health literacy in patients receiving hemodialysis

et al. 2015

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BackgroundHealth literacy is associated with important outcomes among patients with kidney disease, but widely used measures of health literacy can be burdensome. In an effort to make a practical assessment available, we compared the performance of the three-item brief health literacy screen (BHLS) to other widely used measures of health literacy among patients with end-stage renal disease (ESRD).MethodsAdult hemodialysis patients (n = 150) from four urban dialysis facilities participated in a cross-sectional study from 2009 to 2012. Three health literacy measures were administered including (i) the rapid estimate of adult literacy in medicine (REALM), (ii) the short test of functional health literacy in adults (S-TOFHLA) and (iii) the three-item BHLS. The mini-mental state exam assessed cognitive status, and the chronic hemodialysis knowledge survey (CHeKS) and perceived kidney disease knowledge survey (PiKS) assessed kidney knowledge. Spearman's ρs and area under the receiver-operating curves examined relationships between the aforementioned variables.ResultsParticipants had received dialysis for a mean of 4.6 years. They were 49% female, 73% African American and averaged 52 years of age. Less education and less cognitive capacity were each associated (P < 0.05) with lower health literacy for all three health literacy measures. Performance on the BHLS was significantly associated with the REALM [0.35 (95% confidence interval (95% CI): 0.20–0.49); P < 0.001] and S-TOFHLA [0.49 (95% CI: 0.35–0.69); P < 0.001], the CHeKS [0.43 (95% CI: 0.28–0.55); P < 0.001] and PiKS [0.41 (95% CI: 0.27–0.54); P < 0.001].ConclusionsThe BHLS demonstrates evidence of construct validity among ESRD patients. Furthermore, health literacy was associated with kidney knowledge, supporting it as a potential intervention target to improve outcomes among patients with lower health literacy.

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Section: Discussionmentioning

confidence: 99%

Performance of a brief survey to assess health literacy in patients receiving hemodialysis

et al. 2015

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“…Women self‐reported the highest grade or level of school that they had completed, annual household income from all sources, overall health status, and mammogram frequency. We measured health literacy with a scale developed by Chew et al and summed the 3 items for a continuous health literacy score (possible range, 3‐15) . We assessed numeracy with the Subjective Numeracy Scale (possible range, 1‐6) .…”

Section: Methodsmentioning

confidence: 99%

“…We measured health literacy with a scale developed by Chew et al 26 and summed the 3 items for a continuous health literacy score (possible range, [3][4][5][6][7][8][9][10][11][12][13][14][15]. 27 We assessed numeracy with the Subjective Numeracy Scale (possible range, 1-6). 28,29 Women were asked to report what they thought the chance was that they would develop breast cancer in the next 5 years (from 0% [no chance] to 100% [definitely will]).…”

Section: Patient Covariatesmentioning

confidence: 99%

Prior breast density awareness, knowledge, and communication in a health system–embedded behavioral intervention trial

Mahorter

Knerr

Bowles

et al. 2020

Cancer

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Background Breast density is an important breast cancer risk factor and a focus of recent national and state health policy efforts. This article describes breast density awareness, knowledge, and communication among participants in a health system–embedded trial with clinically elevated breast cancer risk 1 year before state‐mandated density disclosure. Methods Trial participants' demographics and prior health history were ascertained from electronic health records. The proportions of women reporting prior breast density awareness, knowledge of density's masking effect, and communication with a provider about their own breast density were calculated using baseline interview data collected from 2017 to 2018. Multiple logistic regression was used to estimate associations between women's characteristics and density awareness, knowledge, and communication. Results Although the overwhelming majority of participants had heard of breast density (91%) and were aware of breast density's masking effect (87%), only 60% had ever discussed their breast density with a provider. Annual mammography screening was associated with prior breast density awareness (odds ratio [OR], 2.97; 95% confidence interval [CI], 1.29‐6.81), knowledge (OR, 2.83; 95% CI, 1.20‐6.66), and communication (OR, 2.87; 95% CI, 1.34‐6.16) compared with an infrequent or unknown screening interval. Receipt of breast biopsy was also associated with prior knowledge (OR, 1.60; 95% CI, 1.04‐2.45) and communication (OR, 1.36; 95% CI, 1.00‐1.85). Conclusions Breast density awareness and knowledge are high among insured women participating in clinical research, even in the absence of mandated density disclosure. Patient‐provider communication about personal density status is less common, particularly among women with fewer interactions with breast health specialists.

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“…These questions are valid for assessment of health literacy both via written and verbal administration in the transplant evaluation population (27). The questions are summed totaling 3-15 and then dichotomized into limited (total score=3-9) or adequate (total score=10-15) health literacy (28).…”

Section: Methodsmentioning

confidence: 99%

Understanding Patient Barriers to Kidney Transplant Evaluation

et al. 2015

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Background Some patients referred for kidney transplant evaluation fail to attend the visit. Our goal was to compare demographic, socioeconomic, and psychological factors between evaluation visit attendees and absentees. Methods A convenience sample of patients referred and scheduled for kidney transplant evaluation at a single center from November 2012 to December 2013 participated in a phone survey reporting socioeconomic, demographic and clinical characteristics; health literacy; and perceived knowledge and concerns about transplantation. Absentees were matched by race with attendees. Analyses of differences between groups were performed with Chi-square, Fisher’s exact test, and t-tests. Multivariable logistic regression adjusted for relevant demographic characteristics. Results 104 adults participated (61% male, 46% Caucasian, 52±12 years). Financial concerns were the most prevalent (67.3% affording medication, 64.1% affording operation). Prior evaluation at a different transplant center (p=0.029) and being on dialysis (p=0.008) were significantly associated with absence. Attendance was associated with concerns about finding a living donor (p=0.038) and higher perceived general knowledge about transplantation (p ≤0.001). No differences were appreciated in demographic, socioeconomic or health literacy factors between groups. Conclusions Both attendee and absentee patients were most concerned with the financial burden of kidney transplantation. While concerns and perceived knowledge are important correlates of behavior, other considerations such as psychological factors and prior medical experiences may influence patients’ ability to complete the kidney transplant evaluation process. Although this pilot study was conducted in a small sample and has limited generalizability, our findings can guide future research.

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Validation of the Written Administration of the Short Literacy Survey

Cited by 16 publications

References 23 publications

Performance of a brief survey to assess health literacy in patients receiving hemodialysis

Performance of a brief survey to assess health literacy in patients receiving hemodialysis

Prior breast density awareness, knowledge, and communication in a health system–embedded behavioral intervention trial

Understanding Patient Barriers to Kidney Transplant Evaluation

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