A systematic review of instruments to measure health literacy of patients in emergency departments

Hesselink, Gijs; Cheng, Joey T.; Schoon, Yvonne

doi:10.1111/acem.14428

Cited by 12 publications

(11 citation statements)

References 48 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…These constructs do not fully represent the range of skills required by a parent who must provide care to a child with cancer, which involves properly adhering to medication schedules, understanding infection risks, administering medications correctly, and recognizing when to seek emergent medical care (Haugen et al, 2016). In a systematic review, Hesselink et al (2022) reported inconsistent validity of the BHLS when tested against other more comprehensive measures of health literacy. Additionally, when using the NAAL, a more in-depth 28-item assessment of health literacy, investigators found that 46% and 48% of parents, respectively, failed to correctly perform at least one of two medicationrelated or immunization-related tasks (Yin et al, 2009).…”

Section: Discussionmentioning

confidence: 99%

“…Using data from these studies, Landier et al (2016) convened an expert panel to evaluate the evidence and develop recommendations, establishing the importance of limiting parent education at the time of diagnosis to include only essential elements, with the goal of reducing information overload. Recently, Hockenberry et al (2021) provided evidence that a standardized new diagnosis pediatric oncology discharge education plan can be successfully implemented across multiple institutions. Hockenberry et al (2021) also established that discharge plans focused on symptom management, compared with those focused on coping with a new cancer diagnosis, were most helpful to parents.…”

Section: Introductionmentioning

confidence: 99%

“…Recently, Hockenberry et al (2021) provided evidence that a standardized new diagnosis pediatric oncology discharge education plan can be successfully implemented across multiple institutions. Hockenberry et al (2021) also established that discharge plans focused on symptom management, compared with those focused on coping with a new cancer diagnosis, were most helpful to parents. These studies all contribute to establishing an understanding of the essential components of pediatric oncology parent education for children newly diagnosed with cancer.…”

Section: Introductionmentioning

confidence: 99%

See 2 more Smart Citations

Health Literacy in Parents of Children Newly Diagnosed With Cancer and Comprehension of Key Concepts Related to Their Child's Care

Keith

Wadhwa

York

et al. 2023

Journal of Pediatric Hematology/Oncology Nursing

View full text Add to dashboard Cite

Background: There is a paucity of literature regarding health literacy in pediatric oncology. We sought to understand the relationship between health literacy and comprehension of key new diagnosis education concepts in parents of children newly diagnosed with cancer. Methods: Using data from a study evaluating a structured new diagnosis discharge teaching intervention, we performed a secondary analysis to understand the relationship between parental health literacy (Brief Health Literacy Screener: BHLS) and comprehension of six key concepts (child's diagnosis, primary oncologist, and treatment plan; seeking emergent care; fever definition; re-dosing medication). We also evaluated the association between parents self-reported sociodemographic characteristics, preferred learning style (one-item ordinal assessment) and health literacy. We tested relationships using Fisher's exact tests, independent samples t-tests, and Pearson correlations. Results: Fifty parents participated (age 35.4 ± 8.2 years [ M ± SD]; 86% female; 60% non-Hispanic white; 24% with ≤high school education); nine parents (18%) scored in the BHLS low literacy range; 80% correctly responded to all six items on the key concepts questionnaire (100% comprehension). Health literacy was not significantly related to 100% comprehension or to individual key concept responses, with the exception of “child's treatment plan” (correct responses: 55.6% in low vs. 100% in adequate literacy groups; p < .001). Parental sociodemographic characteristics and preferred learning styles were not significantly related to health literacy. Discussion:Despite variability in health literacy levels, 80% of the parents comprehended all key concepts, suggesting that the intervention was effective for most parents, regardless of health literacy level.

show abstract

Section: Discussionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

See 1 more Smart Citation

Health Literacy in Parents of Children Newly Diagnosed With Cancer and Comprehension of Key Concepts Related to Their Child's Care

Keith

Wadhwa

York

et al. 2023

Journal of Pediatric Hematology/Oncology Nursing

View full text Add to dashboard Cite

show abstract

“…Most of them also involve more cognitive effort and could stigmatize or embarrass patients with low health literacy [23]. Accordingly [24], self-reported health literacy instruments, which are easy to apply in a clinical setting, have become increasingly popular in recent decades. Rapid and accurate screening tools for identifying patients with low health literacy could help guide interventions and improve care in primary care settings.…”

Section: Of 11mentioning

confidence: 99%

Measuring Health Literacy in Primary Healthcare: Adaptation and Validation of a French-Language Version of the Brief Health Literacy Screening among Patients with Chronic Conditions Seen in Primary Care

Chouinard

Lambert

Lavoie

et al. 2022

IJERPH

View full text Add to dashboard Cite

Background: The Brief Health Literacy Screening (BHLS) is a short self-report instrument developed to identify patients with inadequate health literacy. This study aimed to translate the BHLS into French Canadian (BHLS-FCv) and to evaluate its psychometric properties among patients with chronic conditions in primary care. Methods: The BHLS was translated into French using the Hawkins and Osborne’s method. Content validity was evaluated through cognitive interviews. A validation study of the BHLS-FCv was conducted in two primary care clinics in the province of Quebec (Canada) among adult patients with chronic conditions. Psychometric properties evaluated included: internal consistency (Cronbach’s alpha); test–retest reliability (intraclass correlation coefficient); and concurrent validity (Spearman’s correlations with the Health Literacy Questionnaire (HLQ)). Results: 178 participants completed the questionnaire at baseline and 47 completed the questionnaire two weeks later over the telephone. The average score was 13.3. Cronbach’s alpha for internal consistency was 0.77. The intraclass correlation coefficient for test–retest reliability was 0.69 (95% confidence interval: 0.45–0.83). Concurrent validity with Spearman’s correlation coefficient with three subscales of HLQ ranged from 0.28 to 0.58. Conclusions: The BHLS-FCv demonstrated acceptable psychometric properties and could be used in a population with chronic conditions in primary care.

show abstract

“…Among other obstacles, the implementation of geriatric screening is often limited by the perception that it is not a priority or is too time consuming, 6 in addition to a cultural resistance to providing these services which are seen as outside of the ED's core mission to provide timely acute care 8,9 . Moreover, EDs are already required by government mandate and other national guidelines to screen patients for a variety of conditions including alcohol abuse, 10 domestic violence, 11 suicide risk, 12 and low literacy 13 . There are many more competing demands for screening than there are minutes to ask additional questions during an ED encounter, and little enthusiasm from providers for adding additional screening to the ED workflow 8,14,15 …”

Section: Introductionmentioning

confidence: 99%

Automating risk stratification for geriatric syndromes in the emergency department

Haimovich,

Shah,

Southerland

et al. 2023

J American Geriatrics Society

View full text Add to dashboard Cite

BackgroundGeriatric emergency department (GED) guidelines endorse screening older patients for geriatric syndromes in the ED, but there have been significant barriers to widespread implementation. The majority of screening programs require engagement of a clinician, nurse, or social worker, adding to already significant workloads at a time of record‐breaking ED patient volumes, staff shortages, and hospital boarding crises. Automated, electronic health record (EHR)‐embedded risk stratification approaches may be an alternate solution for extending the reach of the GED mission by directing human actions to a smaller subset of higher risk patients.MethodsWe define the concept of automated risk stratification and screening using existing EHR data. We discuss progress made in three potential use cases in the ED: falls, cognitive impairment, and end‐of‐life and palliative care, emphasizing the importance of linking automated screening with systems of healthcare delivery.ResultsResearch progress and operational deployment vary by use case, ranging from deployed solutions in falls screening to algorithmic validation in cognitive impairment and end‐of‐life care.ConclusionsAutomated risk stratification offers a potential solution to one of the most pressing problems in geriatric emergency care: identifying high‐risk populations of older adults most appropriate for specific GED care. Future work is needed to realize the promise of improved care with less provider burden by creating tools suitable for widespread deployment as well as best practices for their implementation and governance.

show abstract

A systematic review of instruments to measure health literacy of patients in emergency departments

Cited by 12 publications

References 48 publications

Health Literacy in Parents of Children Newly Diagnosed With Cancer and Comprehension of Key Concepts Related to Their Child's Care

Health Literacy in Parents of Children Newly Diagnosed With Cancer and Comprehension of Key Concepts Related to Their Child's Care

Measuring Health Literacy in Primary Healthcare: Adaptation and Validation of a French-Language Version of the Brief Health Literacy Screening among Patients with Chronic Conditions Seen in Primary Care

Automating risk stratification for geriatric syndromes in the emergency department

Contact Info

Product

Resources

About