Evaluating health literacy in people with mental illness using the Test of Functional Health Literacy in Adults

Galletly, Cherrie; Neaves, Aaron; Burton, Cassandra; Liu, Dennis; Denson, Linley A.

doi:10.1016/j.outlook.2012.01.003

Cited by 22 publications

(32 citation statements)

References 37 publications

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“…Also important is the increased incidence of physical and chronic diseases within the population with mental illness. In considering the decreased level of health literacy due in part to mental illness, as well as the increased prevalence of preventable chronic diseases, it should be very clear that health literacy improvements may have great potential to impact health outcomes for a typically underserved population (Galletly et al 2012;Krishan et al 2012;Robson and Gray 2007).…”

Section: Discussionmentioning

confidence: 99%

“…However, to date, this notion of low health literacy level among individuals with mental illness, especially those with serious mental illness living in community settings, has not been researched to the extent that is necessary to further the progress in decreasing premature mortality among those with serious mental illness. Two recently published studies conducted in the US and Australia reported the prevalence of inadequate health literacy among individuals with serious mental illness attending outpatient clinics to range from 3 to 46 % (Galletly et al 2012;Krishan et al 2012). This large discrepancy may be partly due to differences in demographic and clinical characteristics of individuals included in the study samples as well as the use of different instruments to assess health literacy.…”

Section: Introductionmentioning

confidence: 99%

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Health Literacy Among People with Serious Mental Illness

Clausen

Watanabe‐Galloway

Baerentzen

et al. 2015

Community Ment Health J

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People diagnosed with a mental illness are at higher risk of developing preventable chronic diseases; thus, health literacy improvements may have great potential to impact health outcomes for this typically underserved population. However, there is a dearth of research on health literacy of persons with severe mental illness. The purpose of this research was to investigate aspects of health literacy and identify factors associated with low literacy among adults with severe mental illness using three literacy assessment tools. Seventy-one adults with serious mental illness were assessed and a high proportion had limited literacy levels: 42% with the Single Item Literacy Screener, 50% with the Rapid Estimate of Adult Literacy in Medicine-Short Form, and 67% with the Newest Vital Sign. Findings suggest that individuals with certain mental illnesses and lower functioning may have more difficulty understanding health information and have limited numerical literacy.

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Section: Discussionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Health Literacy Among People with Serious Mental Illness

Clausen

Watanabe‐Galloway

Baerentzen

et al. 2015

Community Ment Health J

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“…A study was done in outpatients with stable schizophrenia and depression in Australia and found inadequate health literacy was present in 1 patient in each group (6%); the national rate of inadequate health literacy was 2.6% 21. The authors surprisingly concluded that the rate of inadequate health literacy in the psychiatric patient population was similar to the national rate.…”

Section: Discussionmentioning

confidence: 98%

Provider and patient perception of psychiatry patient health literacy

Bacon

VandenBerg

May

2017

Pharm Pract (Granada)

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Background:Inadequate health literacy in adults is a nationwide issue that is associated with worse health outcomes. There is a paucity of literacy regarding rates of inadequate health literacy in psychiatric populations.Objective:The aim of the study was to identify an existing tool that would easily identify patients who had inadequate health literacy, so that a targeted intervention could be performed. Secondarily we attempted to compare rates of inadequate health literacy with providers’ perception of patients’ health literacy.Methods:We assessed health literacy in a psychiatric population by administering the Brief Health Literacy Survey (BHLS). Additionally, all psychiatry residents, psychiatrists, nurse practitioners, pharmacists, and social workers were surveyed to assess their perception of patient health literacy. Differences between patient health literacy and provider expectations of patient health literacy were compared.Results:Inadequate health literacy was identified in 31 out of 61 patients (50.8%) using 2 questions from the BHLS. Only 9 (29%) of patients who were identified as having inadequate health literacy were identified by both BHLS questions. In contrast, almost 100% of providers identified their patients, in general, as having inadequate health literacy.Conclusions:These results identify a higher rate of health literacy in a psychiatric inpatient population than in the general population. However, providers at this institution likely over-identify health literacy. This highlights the need for a health literacy tool that can easily target patients with inadequate health literacy for an intervention.

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“…The focus on cardiac disease is in keeping with diseases of the heart as the leading cause of death for the Hispanic population in the U.S. from 1980 to 2010 (National Center for Health Statistics, 2014), with a disease burden of 20.8% in 2010 (Heron, 2013). Inclusion of health literacy as a study variable is in keeping with the National Action Plan to Improve Health Literacy initiative of the U.S. Department of Health and Human Services (Galletly, Neaves, Burton, Liu, & Denson, 2012).…”

Section: Concepts and Concept Dimensionsmentioning

confidence: 99%