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Search for: 10 or 14

Results: 22



Database: Ovid MEDLINE(R) <1950 to August Week 5 2010>

Search Strategy:

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1 Health Litery/ (136)

2 health liter$.mp. (1738)

3 or/1-2 (1738)

4 newest vital sign.mp. (17)

5 3 and 4 (13)

6 REALM.mp. (2702)

7 Rapid estimate of Adult Litery in Medicine.mp. (101)

8 6 or 7 (2730)

9 3 and 8 (63)

10 5 and 9 (2)

11 from 5 keep 1-3,8-9 (5)

12 from 9 keep 1,6,8,14,16,19,26-28,33,37,46,51-52,60-61 (16)

13 from 5 keep 1-3,9-10,12-13 (7)

14 11 or 12 or 13 (22)

15 10 or 14 (22)



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Result <1. >

Unique Identifier

19885705

Status

MEDLINE

Authors

Rawson KA. Gunstad J. Hughes J. Spitznagel MB. Potter V. Waechter D. Rosneck J.

Authors Full Name

Rawson, Katherine A. Gunstad, John. Hughes, Joel. Spitznagel, Mary Beth. Potter, Vanessa. Waechter, Donna. Rosneck, James.

Institution

Department of Psychology, Kent State University, P.O. Box 5190, Kent, OH, 44242-0001, USA.

Title

The METER: a brief, self-administered measure of health litery.

Source

Journal of General Internal Medicine. 25(1):67-71, 2010 Jan.

Other ID

Source: NLM. PMC2811598 [Available on 01/01/11]

Abstrt

BACKGROUND: Given rapidly cumulating evidence that health litery is correlated with important health-related measures, assessing patients' health litery level is of increasing concern for researchers and prtitioners. Prtical limitations for use of existing health litery measures include length of time and prtitioner involvement in administration. OBJECTIVE: To develop and validate a brief, self-administered measure of health litery, the Medical Term Recognition Test (METER). PARTICIPANTS: 155 participants were recruited from an outpatient cardiology program at an urban hospital. MEASURES: Patients pleted measures of health litery (METER and REALM), neuropsychological ftion, psychosocial health, and self-report questionnaires about health behaviors. Indicators of cardiovascular health were also recorded from patients' ical charts. KEY RESULTS: The measure took 2 min to plete. The internal consistency of the METER was 0.93, and it correlated hig!

hly with REALM (r = 0.74). Regarding sensitivity and specificity for identifying individuals below REALM's cutoff for ftional litery, METER resulted in 75% correct identifications and 8% false positives. METER and REALM were both associated with various health-related measures (including significant correlations with measures of neuropsychological ftion and cardiovascular health). CONCLUSIONS: These initial findings show that the METER is a quick and prtical measure of health litery for use in clinical settings.

Publication Type

Comparative Study. Journal Article. Research Support, N.I.H., Extramural.

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Result <2. >

Unique Identifier

20574878

Status

MEDLINE

Authors

VanGeest JB. Welch VL. Weiner SJ.

Authors Full Name

VanGeest, Jonathan B. Welch, Verna L. Weiner, Saul J.

Institution

School of Community Health and Policy, Man State University, Baltimore, Maryland, USA.

Title

Patients' perceptions of screening for health litery: retions to the newest vital sign.

Source

Journal of Health Communication. 15(4):402-12, 2010 Jun.

Abstrt

Difficulties in caring for patients with limited health litery have prompted interest in health litery screening. Several prior studies, however, have suggested that health litery testing can lead to feelings of shame and stigmatization. In this study, we examine patient retion to the Newest Vital Sign (NVS), a screening instrument developed specifically for use in primary care. Data were collected in 2008 in the Morehouse School of Medicine, Department of Family Medicine Primary Care Clinics, where health litery screening was implemented as part of routine intake procres. Following the visit, patients pleted a series of questions assessing their screening experiences. A total of 179 patients pleted both the NVS and the retion survey. Nearly all (> 99%) patients reported that the screening did not cause them to feel shameful. There were also no differences in the reported prevalence of shame (p
ould remend clinical screening, 97% of patients answered in the affirmative. These results suggest that screening for limited health litery in primary care may not automatically elicit feelings of shame. Even patients with the lowest levels of litery were both fortable with and strongly supportive of clinical screening.

Publication Type

Journal Article. Research Support, Non-U.S. Gov't.

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Result <3. >

Unique Identifier

20606152

Status

MEDLINE

Authors

Powers BJ. Trinh JV. Bosworth HB.

Authors Full Name

Powers, Benjamin J. Trinh, Jane V. Bosworth, Hayden B.

Institution

Center for Health Services Research in Primary Care, Durham Veterans Affairs Medical Center, 508 Fulton St, Durham, NC 27705, USA. e.

Title

Can this patient read and understand written health information?. [Review] [46 refs]

Source

JAMA. 304(1):76-84, 2010 Jul 7.

Abstrt

CONTEXT: Patients with limited litery are at higher risk for poor health outes; however, physicians' perceptions are incurate for identifying these patients. OBJECTIVE: To systematically review the cury of brief instruments for identifying patients with limited litery. DATA SOURCES: Search of the English-language literature from 1969 through February 2010 using PubMed, Psychinfo, and bibliographies of selected manuscripts for articles on health litery, numery, reading ability, and reading skill. STUDY SELECTION: Prospective studies including adult patients 18 years or older that evaluated a brief instrument for identifying limited litery in a health care setting pared with an cepted litery reference standard. DATA EXTRACTION: Studies were evaluated independently by 2 reviewers who eh abstrted information and assigned an overall quality rating. Disagreements were adjudicated by a third reviewer. DATA SYNTHESIS: Ten studies using 6 different ins!

truments met inclusion criteria. Ag multi-item measures, the Newest Vital Sign (English) perfor moderately well for identifying limited litery based on 3 studies. Ag the single-item questions, asking about a patient's use of a surrogate reader, confidence filling out ical forms, and self-rated reading ability perfor moderately well in identifying patients with inadequate or marginal litery. Asking a patient, "How confident are you in filling out ical forms by yourself?" is associated with a summary likelihood ratio (LR) for limited litery of 5.0 (95% confidence interval [CI], 3.8-6.4) for an answer of "a little confident" or "not at all confident"; a summary LR of 2.2 (95% CI, 1.5-3.3) for "somewhat confident"; and a summary LR of 0.44 (95% CI, 0.24-0.82) for "quite a bit" or "extremely confident." CONCLUSION: Several single-item questions, including use of a surrogate reader and confidence with ical forms, were moderately effective for quickly id!

entifying patients with limited litery. [References: 46]

Publication Type

Journal Article. Research Support, N.I.H., Extramural. Research Support, Non-U.S. Gov't. Research Support, U.S. Gov't, Non-P.H.S.. Review.

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Result <4. >

Unique Identifier

20207930

Status

MEDLINE

Authors

Shah LC. West P. Bremmeyr K. Savoy-Moore RT.

Authors Full Name

Shah, Lisa Ciccarelli. West, Patricia. Bremmeyr, Katazryna. Savoy-Moore, Ruth T.

Institution

Department of Family Medicine, St. John Hospital, Detroit, MI, USA.

Title

Health litery instrument in family icine: the "newest vital sign" ease of use and correlates.

Source

Journal of the American Board of Family Medicine: JABFM. 23(2):195-203, 2010 Mar-Apr.

Abstrt

BACKGROUND: Health litery has been defined as the ability to obtain, process, and understand the basic information needed to make appropriate health decisions. Half of adults lk the health litery skills needed for our plex health care environment. In 2005, Weiss et al introduced the Newest Vital Sign (NVS), an instrument that can be used to quickly assess health litery. The pose of this study was to determine the ceptability and timeliness of using the NVS to measure the level of health litery in various suburban, urban, and rural primary care settings. A secondary pose was to determine the influence of taking a health class on one's level of health litery. METHODS: In this cross-sectional design, adults were recruited from 4 primary care settings and student athletes were recruited during preparticipation sports physicals. The NVS was administered and health litery rates were pared with known trends. A subset of 50 patients was ti during tes!

t administration, and refusals were logged throughout. The adults and the athletes were analyzed separately. RESULTS: One thousand fourteen patients (including athletes) agreed to participate (response rate, 97.5%). Average time needed to plete the NVS was 2.63 minutes. Of the adults tested, 48.1% destrated adequate health litery. In logistic regression analysis, younger age, more formal cation, health class participation, and body mass index were positive predictors of adequate health litery ag adults. An intertion term was used for gender/re, with white women used as the parator. The gender/re odds ratio negatively affected litery, with white men at 0.497 (95% CI, 0.328-0.753), non-white women at 0.177 (95% CI, 0.111-0.282), and non-white men at 0.210 (95% CI, 0.110-0.398). Ag the participating middle- and high-school athletes, 59.7% had adequate health litery. In logistic regression of this population, body mass index was a positive predic!

tor whereas gender/re was a negative predictor. CONCLUSION: The NVS

revealed health litery status in less than 3 minutes, was widely cepted, and provided results parable to more extensive litery tests. Particularly, taking a health cation class was associated with higher levels of health litery ag adults.

Publication Type

Journal Article. Research Support, Non-U.S. Gov't.

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Result <5. >

Unique Identifier

20010182

Status

MEDLINE

Authors

Walker J. Pepa C. Gerard PS.

Authors Full Name

Walker, Jane. Pepa, Carole. Gerard, Peggy S.

Institution

School of Nursing, Purdue University Calumet, Hamd, Indiana, USA. due.

Title

Assessing the health litery levels of patients using selected hospital services.

Source

Clinical Nurse Specialist. 24(1):31-7, 2010 Jan-Feb.

Abstrt

PURPOSE: The aim of this study was to assess the health litery abilities of patients in an urban and suburban hospital. BACKGROUND: Inadequate health litery is a widespread problem that is associated with insufficient self-care knowledge and behavior, inappropriate use of emergency services, higher rates of hospitalization, and increased healthcare costs. Knowledge of patients' reading ability is necessary to ensure that appropriately leveled printed health cation materials are available. METHODS: The health litery of a convenience sample of 21 inpatients and 34 outpatients from an urban and suburban hospital was measured using the Test of Ftional Health Litery in Adults and the Rapid Estimate of Adult Litery in Medicine. Variables for analysis included demographic charteristics, perceived health status, highest grade of school pleted, socioeconomic status, healthcare costs, and number of inpatient and outpatient admissions over the previous year. RESU!

LTS: Based on the Rapid Estimate of Adult Litery in Medicine, 33% of patients had health litery levels that were eighth grade or below, whereas cording to the Test of Ftional Health Litery in Adults, 23% had marginal or inadequate ftional health litery. Litery was significantly related to socioeconomic status (P < .001) and cation (P < .001), although 30% of participants had a reading level below the highest grade pleted. No other significant correlations were found. IMPLICATIONS: Clinical nurse specialists should ensure that health information materials are written at appropriate levels and cate nurses and other healthcare professionals to use effective munication and tehing strategies.

Publication Type

Journal Article.

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Result <6. >

Unique Identifier

19531559

Status

MEDLINE

Authors

Barber MN. Staples M. Osborne RH. Clerehan R. Elder C. Buchbinder R.

Authors Full Name

Barber, Melissa N. Staples, Margaret. Osborne, Richard H. Clerehan, Rosemary. Elder, Catherine. Buchbinder, Rhelle.

Institution

Monash Department of Clinical Epidemiology, Cabrini Hospital, Melbourne, Australia. rhelle.ash..au

Title

Up to a quarter of the Australian population may have suboptimal health litery depending upon the measurement tool: results from a population-based survey.

Source

Health Promotion International. 24(3):252-61, 2009 Sep.

Abstrt

The objective of this paper is to measure health litery in a representative sample of the Australian general population using three health litery tools; to consider the congruency of results; and to determine whether these assessments were associated with socio-demographic charteristics. Fe-to-fe interviews were conducted in a stratified random sample of the adult Victorian population identified from the 2004 Australian Government Electoral Roll. Participants were invited to participate by mail and follow-up telephone call. Health litery was measured using the Rapid Estimate of Adult Litery in Medicine (REALM), Test of Ftional Health Litery in Adults (TOFHLA) and Newest Vital Sign (NVS). Of 1680 people invited to participate, 89 (5.3%) were ineligible, 750 (44.6%) were not conttable by phone, 531 (32%) refused and 310 (response rate 310/1591, 19.5%) agreed to participate. Compared with the general population, participants were slightly older, better ed!

ucated and had a higher annual ine. The proportion of participants with less than adequate health litery levels varied: 26.0% (80/308) for the NVS, 10.6% (51 33/310) for the REALM and 6.8% (21/309) for the TOFHLA. A varying but significant proportion of the general population was found to have limited health litery. The health litery measures we used, while moderately correlated, appear to measure different but related constructs and use different cut offs to indicate poor health litery.

Publication Type

Journal Article. Research Support, Non-U.S. Gov't.

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Result <7. >

Unique Identifier

19051972

Status

MEDLINE

Authors

Reeves K.

Authors Full Name

Reeves, Kathleen.

Title

Health litery: the newest vital sign.

Source

MEDSURG Nursing. 17(5):288, 296, 2008 Oct.

Publication Type

Journal Article.

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Result <8. >

Unique Identifier

18660507

Status

MEDLINE

Authors

Ibrahim SY. Reid F. Shaw A. Rowlands G. Gomez GB. Chesnokov M. Ussher M.

Authors Full Name

Ibrahim, S Y. Reid, F. Shaw, A. Rowlands, G. Gomez, G B. Chesnokov, M. Ussher, M.

Institution

Fulty of Health and Social Care, Institute of Primary Care and Public Health, London South Bank University, London, UK.

Title

Validation of a health litery screening tool (REALM) in a UK population with coronary heart disease.

Source

Journal of Public Health. 30(4):449-55, 2008 Dec.

Abstrt

BACKGROUND: Health litery (HL) has been recognized as an important public health issue in other developed countries such as the US. There is currently no HL screening tool valid for use in the UK. This study ai to validate a US-developed HL screening tool (the Rapid Estimate for Adult Litery in Medicine; REALM) for use in the UK against the UK's general litery screening tool (the Basic Skills Agency Initial Assessment Test, BSAIT). METHODS: A cross-sectional survey involving 300 adult patients admitted to hospital for investigation of coronary heart disease were given the REALM and BSAIT tools to plete as well as specific questions considered likely to predict HL. These questions relate to the difficulty in understanding ical information, ical forms or instructions on tablets, frequency of reading books and whether the participant's job involves reading. RESULTS: The REALM was significantly correlated with the BSAIT (r = 0.70; P < 0.001), and significantl!

y related to seven of the eight questions likely to be predictive of HL. CONCLUSIONS: This study has shown that the REALM has fe, criterion and construct validity for use as an HL screening tool in the UK, in research and in everyday clinical prtice. Further studies are needed to assess the prevalence of low HL in a wider population and to explore the links that may exist between low HL and poor health in the UK.

Publication Type

Journal Article. Research Support, Non-U.S. Gov't. Validation Studies.

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Result <9. >

Unique Identifier

18588408

Status

MEDLINE

Authors

Volandes AE. Paasche-Orlow M. Gillick MR. Cook EF. Shaykevich S. Abbo ED. Lehmann L.

Authors Full Name

Volandes, Angelo E. Paasche-Orlow, Michael. Gillick, Muriel R. Cook, E F. Shaykevich, Shi. Abbo, Elmer D. Lehmann, Lisa.

Institution

General Medicine Unit, Masshusetts General Hospital, Boston, Masshusetts 02114, USA.

Title

Health litery not re predicts end-of-life care preferences.

Source

Journal of Palliative Medicine. 11(5):754-62, 2008 Jun.

Abstrt

BACKGROUND: Several studies have reported that African Americans are more likely than whites to prefer aggressive treatments at the end of life. OBJECTIVE: Since the ical information presented to subjects is frequently plex, we hypothesized that apparent differences in end-of-life preferences and decision making may be due to disparities in health litery. A video of a patient with advanced dementia may overe munication barriers associated with low health litery. DESIGN: Before and after oral survey. PARTICIPANTS: Subjects presenting to their primary care doctors. METHODS: Subjects were asked their preferences for end-of-life care after they heard a verbal description of advanced dementia. Subjects then viewed a 2-minute video of a patient with advanced dementia and were asked again about their preferences. For the analysis, preferences were dichotomized into fort care and aggressive care. Health litery was measured using the Rapid Estimate of Adult Lit!

ery in Medicine (REALM) and subjects were divided into three litery categories: low (0-45, sixth grade and below), marginal (46-60, seventh to eighth grade) and adequate (61-66, ninth grade and above). Unadjusted and adjusted logistic regression models were fit using stepwise algorithms to examine ftors related to initial preferences before the video. RESULTS: A total of 80 African Americans and 64 whites pleted the interview. In unadjusted analyses, African Americans were more likely than whites to have preferences for aggressive care after the verbal description, odds ratio (OR) 4.8 (95% confidence interval [CI] 2.1-10.9). Subjects with low or marginal health litery were also more likely than subjects with adequate health litery to have preferences for aggressive care after the verbal description, OR 17.3 (95% CI 6.0-49.9) and OR 11.3 (95% CI 4.2-30.8) respectively. In adjusted analyses, health litery (low health litery: OR 7.1, 95% CI 2.1-24.2; marginal !

health litery OR 5.1, 95% CI 1.6-16.3) but not re (OR 1.1, 95% CI

0.3-3.2) was an independent predictor of preferences after the verbal description. After watching a video of advanced dementia, there were no significant differences in the distribution of preferences by re or health litery. CONCLUSIONS: Health litery and not re was an independent predictor of end-of-life preferences after hearing a verbal description of advanced dementia. In addition, after viewing a video of a patient with advanced dementia there were no longer any differences in the distribution of preferences cording to re and health litery. These findings suggest that clinical prtice and research relating to end-of-life preferences may need to focus on a patient cation model incorporating the use of decision aids such as video to ensure infor decision-making.

Publication Type

Comparative Study. Journal Article.

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Result <10. >

Unique Identifier

18467532

Status

MEDLINE

Authors

Johnson K. Weiss BD.

Authors Full Name

Johnson, Kristen. Weiss, Barry D.

Institution

Polyclinic Family Medicine Northgate, North Seattle, Washington, USA.

Title

How long does it take to assess litery skills in clinical prtice?.

Source

Journal of the American Board of Family Medicine: JABFM. 21(3):211-4, 2008 May-Jun.

Abstrt

BACKGROUND: Health litery screening is often not perfor in clinical settings. One possible reason is the concern about the time involved in performing such assessments. Our objective was to measure the time required to administer the Newest Vital Sign (NVS) litery assessment instrument to English-speaking primary care patients. METHODS: The NVS was administered to 78 consecutive English-speaking patients in an outpatient primary care clinic. The length of time to plete the NVS was ti with a stopwatch. RESULTS: The average time to plete the NVS was 2.9 minutes (95% confidence limit, 2.6-3.1 min). CONCLUSION: The NVS is a health litery screening tool of sufficient brevity to be considered for use in primary care prtices.

Publication Type

Journal Article.

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Result <11. >

Unique Identifier

18335281

Status

MEDLINE

Authors

Chew LD. Griffin JM. Partin MR. Noorbaloochi S. Grill JP. Snyder A. Bradley KA. Nugent SM. Baines AD. Vanryn M.

Authors Full Name

Chew, Lisa D. Griffin, Joan M. Partin, Melissa R. Noorbaloochi, Siamak. Grill, Joseph P. Snyder, Annamay. Bradley, Katharine A. Nugent, Sean M. Baines, Alisha D. Vanryn, Michelle.

Institution

Department of Medicine, Division of General Internal Medicine, University of Washington, Harborview Medical Center, Seattle, WA, USA. lchew@u.washington.

Title

Validation of screening questions for limited health litery in a large VA outpatient population.

Comments

Comment in: J Gen Intern Med. 2008 Sep;23(9):1545; PMID: 18636297]

Source

Journal of General Internal Medicine. 23(5):561-6, 2008 May.

Other ID

Source: NLM. PMC2324160

Abstrt

OBJECTIVES: Previous studies have shown that a single question may identify individuals with inadequate health litery. We evaluated and pared the performance of 3 health litery screening questions for detecting patients with inadequate or marginal health litery in a large VA population. METHODS: We conducted in-person interviews ag a random sample of patients from 4 VA ical centers that included 3 health litery screening questions and 2 validated health litery measures. Patients were classified as having inadequate, marginal, or adequate health litery based on the Short Test of Ftional Health Litery in Adults (S-TOFHLA) and the Rapid Estimate of Adult Litery in Medicine (REALM). We evaluated the ability of eh of 3 questions to detect: 1) inadequate and the bination of "inadequate or marginal" health litery based on the S-TOFHLA and 2) inadequate and the bination of "inadequate or marginal" health litery based on the REALM. MEASUREMEN!

TS AND MAIN RESULTS: Of 4,384 patients, 1,796 (41%) pleted interviews. The prevalences of inadequate health litery were 6.8% and 4.2%, based on the S-TOHFLA and REALM, respectively. Comparable prevalences for marginal health litery were 7.4% and 17%, respectively. For detecting inadequate health litery, "How confident are you filling out ical forms by yourself?" had the largest area under the Receiver Operating Charteristic Curve (AUROC) of 0.74 (95% CI: 0.69-0.79) and 0.84 (95% CI: 0.79-0.89) based on the S-TOFHLA and REALM, respectively. AUROCs were lower for detecting "inadequate or marginal" health litery than for detecting inadequate health litery for eh of the 3 questions. CONCLUSION: A single question may be useful for detecting patients with inadequate health litery in a VA population.

Publication Type

Journal Article. Multicenter Study. Research Support, U.S. Gov't, Non-P.H.S.. Validation Studies.

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Result <12. >

Unique Identifier

17557682

Status

MEDLINE

Authors

Gong DA. Lee JY. Rozier RG. Pahel BT. Richman JA. Vann WF Jr.

Authors Full Name

Gong, Debra A. Lee, Jessica Y. Rozier, R Gary. Pahel, Bhavna T. Richman, Julia A. Vann, William F Jr.

Institution

Department of Pediatric Dentistry CB 7450, University of North Carolina, Chapel Hill, NC 27599-7450, USA.

Title

Development and testing of the Test of Ftional Health Litery in Dentistry (TOFHLiD).

Source

Journal of Public Health Dentistry. 67(2):105-12, 2007.

Abstrt

OBJECTIVE: This study aims to evaluate the reliability and validity of the Test of Ftional Health Litery in Dentistry (TOFHLiD), a new instrument to measure ftional oral health litery. METHODS: TOFHLiD uses text passages and prompts related to fluoride use and cess to care to assess reading prehension and numerical ability. Parents of pediatric dental patients (n = 102) were administered TOFHLiD, a ical litery prehension test (TOFHLA), and two word recognition tests [Rapid Estimate of Adult Litery in Dentistry (REALD), Rapid Estimate of Adult Litery in Medicine (REALM)]. This design provided assessments of dental and ical health litery by all subjects, both measured with two different methods (reading/numery ability and word recognition). Construct validity of TOFHLiD was assessed by entering the correlation coefficients for all pairwise parisons of litery instruments into a multitrait-multimethod matrix. Internal reliability of TOFHL!

iD was assessed with Cronbh's alpha. Criterion-related predictive validity was tested by associations between the TOFHLiD scores and the three measures of oral health in multivariate regression analyses. RESULTS: The correlation coefficient for TOFHLiD and REALD-99 scores (otrait-heteromethod) was high (r = 0.82, P < 0.05). Coefficients between TOFHLiD and TOFHLA (heterotrait-omethod: r = 0.52) and REALM (heterotrait-heteromethod: r = 0.53) were smaller than coefficients for convergent validity Cronbh's alpha for TOFHLiD was 0.63. TOFHLiD was positively correlated with OHIP-14 (P < 0.05), but not with parent or child oral health. TOFHLA was not related to dental outes. CONCLUSIONS: TOFHLiD destrates good convergent validity but only moderate ability to discriminate between dental and ical health litery. Its predictive validity is only partially established, and internal consistency just meets the threshold for ceptability. Results provide solid suppor!

t for more research, but not widespread use in clinical or public heal

th prtice.

Publication Type

Evaluation Studies. Journal Article. Research Support, N.I.H., Extramural. Research Support, Non-U.S. Gov't. Validation Studies.

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Result <13. >

Unique Identifier

17557681

Status

MEDLINE

Authors

Richman JA. Lee JY. Rozier RG. Gong DA. Pahel BT. Vann WF Jr.

Authors Full Name

Richman, Julia A. Lee, Jessica Y. Rozier, R Gary. Gong, Debra A. Pahel, Bhavna T. Vann, William F Jr.

Institution

Department of Pediatric Dentistry CB 7450, University of North Carolina, Chapel Hill, NC 27599-7450, USA.

Title

Evaluation of a word recognition instrument to test health litery in dentistry: the REALD-99.

Source

Journal of Public Health Dentistry. 67(2):99-104, 2007.

Abstrt

OBJECTIVE: This study aims to evaluate a dental health litery word recognition instrument. METHODS: Based on a reading recognition test used in icine, the Rapid Estimate of Adult Litery in Medicine (REALM), we developed the Rapid Estimate of Adult Litery in Dentistry (REALD-99). Parents of pediatric dental patients were recruited from local dental clinics and asked to read aloud words in both REALM and REALD-99. REALD-99 scores had a possible range of 0 (low litery) to 99 (high litery); REALM scores ranged from 0 to 66. Oute measures included parents' perceived oral health for themselves and of their children, and oral health-related quality of life of the parent as measured by the short-form Oral Health Impt Profile (OHIP-14). To determine the validity, we tested bivariate correlations between REALM and REALD-99, REALM and perceived dental outes, and REALD-99 and perceived dental outes. We used ordinary least squares regression and logit models to !

further examine the relationship between REALD-99 and dental outes. We determined internal reliability using Cronbh's alpha. RESULTS: One hundred two parents of children were interviewed. The average REALD-99 and REALM-66 scores were high (84 and 62, respectively). REALD-99 was positively correlated with REALM (PCC = 0.80). REALM was not related to dental outes. REALD-99 was associated with parents' OHIP-14 score in multivariate analysis. REALD-99 had good reliability (Cronbh's alpha = 0.86). CONCLUSIONS: REALD-99 has promise for measuring dental health litery because it destrated good reliability and is quick and easy to administer. Additional studies are needed to examine the validity of REALD-99 using objective clinical oral health measures and more proximal outes such as behavior and pliance to specific health instructions.

Publication Type

Evaluation Studies. Journal Article. Research Support, N.I.H., Extramural. Research Support, Non-U.S. Gov't. Validation Studies.

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Result <14. >

Unique Identifier

17557680

Status

MEDLINE

Authors

Lee JY. Rozier RG. Lee SY. Bender D. Ruiz RE.

Authors Full Name

Lee, Jessica Y. Rozier, R Gary. Lee, Shoou-Yih Daniel. Bender, Deborah. Ruiz, Rafael E.

Institution

Department of Pediatric Dentistry, CB 7450 Brauer Hall, Carolina Campus, Chapel Hill, NC 27599-7450, USA. u

Title

Development of a word recognition instrument to test health litery in dentistry: the REALD-30--a brief munication.

Source

Journal of Public Health Dentistry. 67(2):94-8, 2007.

Abstrt

OBJECTIVE: This study aims to develop and pilot test a dental word recognition instrument. METHODS: The development of our instrument was based on the Rapid Estimate of Adult Litery in Medicine (REALM), an efficient word recognition instrument used to assess health litery in the ical arena. Our instrument, Rapid Estimate of Adult Litery in Dentistry (REALD-30), consisted of 30 dental words with various degrees of difficulty. It was administered to 202 English-speaking adults recruited from outpatient ical clinics. We examined the instrument's internal reliability using Cronbh's alpha and its validity by correlating the REALD-30 score to two dental outes (perceived dental health status and oral health-related quality of life) and ical health litery. RESULTS: REALD-30 scores were significantly correlated with REALM scores. REALD-30 was significantly related to perceived dental health status in the bivariate analysis. It also was significantly rel!

ated to oral health-related quality of life in a multivariate analysis. In contrast, ical health litery was not related to either of the dental oute measures. CONCLUSIONS: The new REALD-30 instrument displays good reliability but only partial validity. Results suggest that dental health litery may be distinct from ical health litery and may have an independent effect on dental health outes.

Publication Type

Journal Article. Research Support, N.I.H., Extramural. Research Support, U.S. Gov't, P.H.S..

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Result <15. >

Unique Identifier

17178765

Status

MEDLINE

Authors

Shea JA. Guerra CE. Ravenell KL. McDonald VJ. Henry CA. Asch DA.

Authors Full Name

Shea, Judy A. Guerra, Carmen E. Ravenell, Karima L. McDonald, Vanessa J. Henry, Camille A N. Asch, David A.

Institution

Center for Health Equity Research and Promotion, Philadelphia Vetrans Affairs Medical Center, Philadelphia, PA, USA. enn.

Title

Health litery weakly but consistently predicts primary care patient dissatisftion.

Source

International Journal for Quality in Health Care. 19(1):45-9, 2007 Feb.

Abstrt

OBJECTIVES: To study relationships between health litery and multiple satisftion domains. Health litery is related to some domains of patient satisftion such as munication and understanding, but little is known about relationships of health litery with other satisftion domains. Moreover, the importance of health litery in predicting satisftion pared with other patient sociodemographics is underexplored. DESIGN: Cross-sectional survey. SETTING: Primary care waiting areas with a Veterans Administration Medical Center and a university health system. PARTICIPANTS: One thousand five hundred and twenty-eight primary care patients. MAIN OUTCOME MEASURES: A brief demographics questionnaire, the Rapid Estimate of Adult Litery in Medicine, the Veterans Affairs ambulatory care patient satisftion survey, and an adaptation of the Charlson Comorbidity Index. RESULTS: In unadjusted regression analyses, lower health litery level was a significant predictor of w!

orse satisftion in 7 of 10 domains (P < 0.01). When adjusting for patient sociodemographics, predicted relationships remained significant in six of the seven domains (P < 0.05), with eh unit change in the 4-stage litery classification associated with a 3-6 point decrease in dissatisftion scores (0-100 scale). Health litery did not predict overall dissatisftion (P = 0.55). CONCLUSIONS: These results suggest that health litery, as assessed through a proniation exercise that is closely related to more prehensive measures of litery, has a consistent, albeit weak relationship with patient satisftion. Future work is needed to clarify if patients with lower litery are really receiving different care than those with higher litery and to pinpoint the sources of their more negative responses.

Publication Type

Journal Article. Research Support, U.S. Gov't, Non-P.H.S..

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Result <16. >

Unique Identifier

16881950

Status

MEDLINE

Authors

Walle LS. Rogers ES. Roskos SE. Holiday DB. Weiss BD.

Authors Full Name

Walle, Lorraine S. Rogers, Edwin S. Roskos, Steven E. Holiday, David B. Weiss, Barry D.

Institution

Department of Family Medicine, University of Tennessee Graduate School of Medicine, Knoxville, TN 37920, USA. ck.

Title

Brief report: screening items to identify patients with limited health litery skills.

Source

Journal of General Internal Medicine. 21(8):874-7, 2006 Aug.

Other ID

Source: NLM. PMC1831582

Abstrt

BACKGROUND: Patients with limited litery skills are routinely encountered in clinical prtice, but they are not always identified by clinicians. OBJECTIVE: To evaluate 3 candidate questions to determine their cury in identifying patients with limited or marginal health litery skills. METHODS: We studied 305 English-speaking adults attending a university-based primary care clinic. Demographic items, health litery screening questions, and the Rapid Estimate of Adult Litery in Medicine (REALM) were administered to patients. To determine the cury of the candidate questions for identifying limited or marginal health litery skills, we plotted area under the receiver operating charteristic (AUROC) curves for eh item, using REALM scores as a reference standard. RESULTS: The mean age of subjects was 49.5; 67.5% were female, 85.2% Caucasian, and 81.3% insured by TennCare and/or Medicare. Fifty-four (17.7%) had limited and 52 (17.0%) had marginal health liter!

y skills. One screening question, "How confident are you filling out ical forms by yourself?" was curate in detecting limited (AUROC of 0.82; 95% confidence interval [CI]=0.77 to 0.86) and limited/marginal (AUROC of 0.79; 95% CI=0.74 to 0.83) health litery skills. This question had significantly greater AUROC than either of the other questions (P<.01) and also a greater AUROC than questions based on demographic charteristics. CONCLUSIONS: One screening question may be sufficient for detecting limited and marginal health litery skills in clinic populations.

Publication Type

Comparative Study. Journal Article.

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Result <17. >

Unique Identifier

19531559

Status

MEDLINE

Authors

Barber MN. Staples M. Osborne RH. Clerehan R. Elder C. Buchbinder R.

Authors Full Name

Barber, Melissa N. Staples, Margaret. Osborne, Richard H. Clerehan, Rosemary. Elder, Catherine. Buchbinder, Rhelle.

Institution

Monash Department of Clinical Epidemiology, Cabrini Hospital, Melbourne, Australia. rhelle.ash..au

Title

Up to a quarter of the Australian population may have suboptimal health litery depending upon the measurement tool: results from a population-based survey.[Erratum appears in Health Promot Int. 2009 Dec;24(4):445]

Source

Health Promotion International. 24(3):252-61, 2009 Sep.

Abstrt

The objective of this paper is to measure health litery in a representative sample of the Australian general population using three health litery tools; to consider the congruency of results; and to determine whether these assessments were associated with socio-demographic charteristics. Fe-to-fe interviews were conducted in a stratified random sample of the adult Victorian population identified from the 2004 Australian Government Electoral Roll. Participants were invited to participate by mail and follow-up telephone call. Health litery was measured using the Rapid Estimate of Adult Litery in Medicine (REALM), Test of Ftional Health Litery in Adults (TOFHLA) and Newest Vital Sign (NVS). Of 1680 people invited to participate, 89 (5.3%) were ineligible, 750 (44.6%) were not conttable by phone, 531 (32%) refused and 310 (response rate 310/1591, 19.5%) agreed to participate. Compared with the general population, participants were slightly older, better ed!

ucated and had a higher annual ine. The proportion of participants with less than adequate health litery levels varied: 26.0% (80/308) for the NVS, 10.6% (51 33/310) for the REALM and 6.8% (21/309) for the TOFHLA. A varying but significant proportion of the general population was found to have limited health litery. The health litery measures we used, while moderately correlated, appear to measure different but related constructs and use different cut offs to indicate poor health litery.

Publication Type

Journal Article. Research Support, Non-U.S. Gov't.

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Result <18. >

Unique Identifier

16338915

Status

MEDLINE

Authors

Weiss BD. Mays MZ. Martz W. Castro KM. DeWalt DA. Pignone MP. Mockbee J. Hale FA.

Authors Full Name

Weiss, Barry D. Mays, Mary Z. Martz, William. Castro, Kelley Merriam. DeWalt, Darren A. Pignone, Michael P. Mockbee, Joy. Hale, Frank A.

Institution

University of Arizona College of Medicine, Department of Family and Community Medicine, Tucson 85719, USA. bdweiss@u.arizona.

Title

Quick assessment of litery in primary care: the newest vital sign.[Erratum appears in Ann Fam Med. 2006 Jan-Feb;4(1):83]

Source

Annals of Family Medicine. 3(6):514-22, 2005 Nov-Dec.

Other ID

Source: NLM. PMC1466931

Abstrt

PURPOSE: Current health litery screening instruments for health care settings are either too long for routine use or available only in English. Our objective was to develop a quick and curate screening test for limited litery available in English and Spanish. METHODS: We administered candidate items for the new instrument and also the Test of Ftional Health Litery in Adults (TOFHLA) to English-speaking and Spanish-speaking primary care patients. We measured internal consistency with Cronbh's alpha and assessed criterion validity by measuring correlations with TOFHLA scores. Using TOFLHA scores <75 to define limited litery, we plotted receiver-operating charteristics (ROC) curves and calculated likelihood ratios for cutoff scores on the new instrument. RESULTS: The final instrument, the Newest Vital Sign (NVS), is a nutrition label that is panied by 6 questions and requires 3 minutes for administration. It is reliable (Cronbh alpha >0.76 in English a!

nd 0.69 in Spanish) and correlates with the TOFHLA. Area under the ROC curve is 0.88 for English and 0.72 for Spanish versions. Patients with more than 4 correct responses are unlikely to have low litery, whereas fewer than 4 correct answers indicate the possibility of limited litery. CONCLUSION: NVS is suitable for use as a quick screening test for limited litery in primary health care settings.

Publication Type

Journal Article. Research Support, Non-U.S. Gov't.

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Result <19. >

Unique Identifier

15343422

Status

MEDLINE

Authors

Davis TC. Wolf MS.

Authors Full Name

Davis, Terry C. Wolf, Michael S.

Title

Health litery: implications for family icine. [Review] [17 refs]

Source

Family Medicine. 36(8):595-8, 2004 Sep.

Abstrt

As many as 90 million Americans have difficulty understanding and ting on health information. This health litery epidemic is increasingly recognized as a problem that influences health care quality and cost. Yet many physicians do not recognize the problem or lk the skills and confidence to approh the subject with patients. In this issue of Family Medicine, several articles address health litery in family icine. Walle and Lennon examined the readability of American Academy of Family Physicians patient cation materials available via the Internet. They found that three of four handouts were written above the average reading level of American adults. Rosenthal and colleagues surveyed residents and found they lked the confidence to screen and counsel adults about litery. They used a Reh Out and Read program with panying resident cation sessions to provide a prtical and effective means for incorporating litery assessment and counseling into p!

rimary care. Chew and colleagues presented an alternative to existing health litery screening tests by asking three questions to detect inadequate health litery. Likewise, Shea and colleagues reviewed the prospect of shortening the Rapid Estimate of Adult Litery in Medicine (REALM), a ly used health litery screening tool. Both the Chew and Shea articles highlight the need for improved methods for recognizing litery problems in the clinical setting. Further research is required to identify effective interventions that will strengthen the skills and coping strategies of both patients and providers and also prevent and limit poor reading and numery ability in the next generation. [References: 17]

Publication Type

Editorial. Review.

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Result <20. >

Unique Identifier

15343419

Status

MEDLINE

Authors

Shea JA. Beers BB. McDonald VJ. Quistberg DA. Ravenell KL. Asch DA.

Authors Full Name

Shea, Judy A. Beers, Benjamin B. McDonald, Vanessa J. Quistberg, D Alex. Ravenell, Karima L. Asch, David A.

Institution

Center for Health Equity Research and Promotion (CHERP), Philadelphia Veterans Affairs Medical Center, PA 19104-6021, USA. enn.

Title

Assessing health litery in African American and Caucasian adults: disparities in rapid estimate of adult litery in icine (REALM) scores.

Comments

Comment in: Fam Med. 2005 Apr;37(4):234; PMID: 15812684]

Source

Family Medicine. 36(8):575-81, 2004 Sep.

Abstrt

BACKGROUND AND OBJECTIVES: The influence of litery on health and health care is an important area of investigation. Studies with a litery focus are most valuable when litery is assessed with psychometrically sound instruments. METHODS: This study used a prospective cohort sample of 1,610 primary care patients. Patients provided sociodemographics and took the Rapid Estimate of Adult Litery in Medicine (REALM), a 66-item word proniation litery test. RESULTS: The sample was 65% African American; 66% were men; 51% had a high school cation or less. REALM scores were significantly related to cation, age, and re but not gender. When stratified by cation, differences between African Americans and Caucasians remained significant. Using 19 different strategies to shorten the 66-item instrument, reliability coefficients above.80 were maintained. CONCLUSIONS: The REALM is a robust assessment of health litery. However, the discordance in scores between African!

Americans and Caucasians with similar cational attainment needs to be further addressed. A much shorter instrument would still have internally consistent scores and potentially be more useful in clinical settings.

Publication Type

Comparative Study. Journal Article. Research Support, U.S. Gov't, Non-P.H.S..

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Result <21. >

Unique Identifier

14528569

Status

MEDLINE

Authors

Baker DW. Williams MV. Parker RM. Gazmararian JA. Nurss J.

Authors Full Name

Baker, D W. Williams, M V. Parker, R M. Gazmararian, J A. Nurss, J.

Institution

Department of Medicine, Department of Epidemiology and Biostatistics, MetroHealth Medical Center, Case Western Reserve University, Cleveland, OH 44109-1998, USA. u.

Title

Development of a brief test to measure ftional health litery.

Source

Patient Education & Counseling. 38(1):33-42, 1999 Sep.

Abstrt

We describe the development of an abbreviated version of the Test of Ftional Health Litery in Adults (TOFHLA) to measure patients' ability to read and understand health-related materials. The TOFHLA was rced from 17 Numery items and 3 prose passages to 4 Numery items and 2 prose passages (S-TOFHLA). The maximum time for administration was rced from 22 minutes to 12. In a group of 211 patients given the S-TOFHLA, Cronbh's alpha was 0.68 for the 4 Numery items and 0.97 for the 36 items in the 2 prose passages. The correlation (Spearman) between the S-TOFHLA and the Rapid Estimate of Adult Litery in Medicine (REALM) was 0.80, although there were important disagreements between the two tests. The S-TOFHLA is a prtical measure of ftional health litery with good reliability and validity that can be used by health cators to identify individuals who require special assistance to hieve learning goals.

Publication Type

Comparative Study. Journal Article. Validation Studies.

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Result <22. >

Unique Identifier

9768381

Status

MEDLINE

Authors

Davis TC. Michielutte R. Askov EN. Williams MV. Weiss BD.

Authors Full Name

Davis, T C. Michielutte, R. Askov, E N. Williams, M V. Weiss, B D.

Institution

Department of Internal Medicine and Pediatrics, Louisiana State University Medical Center, School of Medicine, LA 71130-3932, USA. mc.

Title

Prtical assessment of adult litery in health care. [Review] [58 refs]

Source

Health Education & Behavior. 25(5):613-24, 1998 Oct.

Abstrt

Low litery is a pervasive and underrecognized problem in health care Approximately 21% of American adults are ftionally illiterate, and another 27% have marginal litery skills. Such patients may have difficulty reading and understanding discharge instructions, ication labels, patient cation materials, consent forms, or health surveys. Properly assessing the litery level of individual patients or groups may avoid problems in clinical care and research. This article reviews the use of litery assessments, discusses their application in a variety of health care settings, and cites issues providers need to consider before testing. The authors describe informal and formal methods of screening for reading and prehension in English and Spanish including the Rapid Estimate of Adult Litery in Medicine, the Wide Range Achievement Test-3, the Cloze procre, the Test of Ftional Health Litery in Adults, and others. Prtical implications and remendations !

for specific use are made. [References: 58]

Publication Type

Journal Article. Review.

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There are faxes for this order.

Essay Instructions: Research one multinational corporation headquartered in a foreign country with significant operations in the U.S.
Write an 8 page paper in which you:
1. Discuss how operating in multiple currencies impacts your specific corporation’s tax liability.
2. Determine whether the corporation you selected would be better off using a separate transactions accounting method or a profit and loss accounting method. Provide your rationale.
3. Provide tax planning advice to the corporation you selected if they were to liquidate a single U.S. operation and transfer all proceeds to the parent corporation in the foreign country.
4. Provide tax planning advice for how the corporation you selected should best manage both outbound transfers and nonoutbound transfers.
5. Include three (3) external sources to support your position.
Assignment must follow these formatting requirements:
• Be typed, double spaced, using Times New Roman font (size 12), with one-inch margins on all sides; references must follow APA format.
• The cover page and the reference page are not included in the required page length.

The specific course learning outcomes associated with this assignment are:
• Determine the tax implications of conducting business in non-U.S. currencies.
• Analyze the rules regulating international tax-free exchanges and the international sale of goods.
• Use technology and information resources to research issues in international tax planning and research.
• Write clearly and concisely about international tax planning and research using proper writing mechanics.

Essay Instructions: 1. Ang Lee, Crouching Tiger, Hidden Dragon (2001) Columbia Pictures
Please use at least ten words from this vocabulary list as you work on the essays below. Again, underline, define as you use the words, and cite your sources.
Do not submit a definition list.
a. Vocabulary:

Han
Manchurian
yin and yang
wu xia or wuxia
chivalry
fantasy
Peking
Taoism
Confuscianism
Gobi desert
excalibur
pinyin or pin yin

?Essays:

a. What does the end of the film mean? Is this a tragedy?
b. What are the characteristics of a hero/superhero in this film?
c. What is new about China in the new millennium?
d. What were five highlights of the Beijing Olympics, FROM THE POINT OF VIEW OF CHINA?

2. Islam: Empire of Faith (2002) PBS Home Video, 163 minutes. (ISLAM)
Available at this link for free: http://video.google.com/videoplay?docid=2

a. Vocabulary, Islam. Please submit a vocabulary list where you define these terms and cite your sources:
? Hagia Sophia
? jihad
? hijab
? Fatima
? Kaaba
? hajj
? muezzin
? imam
? Islamic calendar
? mosque
? minaret
? Sharia
? Khadija/Hadjiha
? hadith
? shia/Shiite
? Sunni
? Sufi
? minbar
? halal

b. A summary of the religion in skeletal form. Please include the following sections:
? Basic tenets and beliefs, including the five pillars
? Basic practices of the faith
c. A reaction to the portions of the Qur'an assigned for the reading

d. Holidays, dates and celebration practices:

? Ramadan
?
? Eid al-fitr
? Mawlid al-Nabi
? Muharram
? Eid al-Adha
e. Birth, wedding, death practices and beliefs

f. At least two sacred places and how they?re significant

g. Other information of interest to you

h. A reaction to the documentary assigned


3. Richard Attenborough, Gandhi (1982), 188 minutes, Carolina Bank Films. (HINDUISM)

a. Vocabulary--please submit a vocabulary list, citing sources as you write:
Remember this resource if you need help:
http://www.religioustolerance.org/glossary.htm??Hinduism:
? Karma
? Moksha
? Atman
? reincarnation
? pakriti
? guru
? yogi
? shastra
? Ahimsa
? ashram
? Krishna
? Shiva (as a Hindu term--not a period of mourning)
? Radha
? Vaishnavism and Vishnu
? Vridavan
? suttee
? nirvana
? Rig-Veda
b. Information on the faith:
? Basic tenets and beliefs
? Basic practices of the faith
c. A reaction to the portions of the Gita assigned for the reading

d. Holidays, including dates
Diwalli,
Holi,
Mahashivaratri (also called Shiva Ratri),
Ramnavami,
Dusserah
e. Birth, wedding, death practices and beliefs--some of these are available to you in the movie
f. At least two sacred places and how they?re significant
g. Other information of interest to you
h. Reactions to the movie assigned, relating specifically to Hinduism


4. Martin Scorcese, Kundun (1997) 134 minutes; DeFina Cappa Films (BUDDHISM)


a. Vocabulary--please submit the vocabulary list, using appropriate citation. Remember this resource if you need help:
http://www.religioustolerance.org/glossary.htm
Buddhism:
? mantra
? karma
? dharma
? dhamma [this is a different word from dharma]
? dukkha
? dana [not a woman's name or a goddess]
? bodhisattva
? Tipitaka
? paramis
? nirvana
? Bodhi tree
? enlightenment
? the 4 noble truths
? the 5 precepts
? Zen Buddhism
? Gotama/Gautama
? Ullambana
? lama
b. A list for the faith tradition. Underline the vocabulary words above as you use them [you need not use them all]:
? Basic tenets and beliefs
? Basic practices of the faith
? A reaction to the Buddha's sermon assigned for the reading
? Holidays, including dates and how they?re celebrated in a particular culture [non-U.S., please]
Bodhi Day
The Festival of the Tooth
Vesak
Magha Puja Day or Sangha Day
Dhamma Day
? Birth, wedding, death practices and beliefs
? At least two sacred places and how they?re significant
? Other information of interest to you
? Reactions to the movie assigned, relating to the target religion


CAN YOU WRITE EACH ANSWER SEPRATELY LIKE 1,2,3,4. NOT IN COUNTNIOUS PARAGRAPH. SO ITS EASSY TO UNDERSTAND. 2 REFERENCES FOR EACH ANSWER

Essay Instructions: I will be sending some additional material to help you familiarize with the Saudi Health system.


will focus on health care delivery in one country outside of the U.S. The student may choose to describe, in general the health care system of a non-U.S. nation or focus on a particular health care issue (e.g., aging & long-term care, infant mortality, etc.) and learn how public services are financed and delivered to the special population. The report may provide a description of the Swedish health care system and focus on the unique issues the country faces in trying to provide equitable services to its population OR it may focus on the long-term care needs of the aged population in Japan, and describe Japan’s approach in dealing with this issue. However, keep in mind that the focus of the report has to be on what the national government is doing to organize, coordinate and/or finance these services. Relationships with non-profit or otherwise private organizations may be involved but these organizations should NOT be leading the effort. For example, if the focus in the country is to reduce infant mortality, the program should not be a World Health Organization initiative. Be careful to distinguish the national government’s role from that of the private organization, if partnerships exist.


GENERAL INFORMATION REGARDING ALL WRITTEN ASSIGNMENTS:
• Papers must be typed and double-spaced.
• Pages must be consecutively numbered.
• Papers should be grammatically correct and free of misspelled words.
• All referenced material must be properly cited within the context of the written discussion. There are many bibliographic styles for citing and referencing work. Choose one and use it consistently!

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