Performance of Health Literacy Tests Among Older Adults with Diabetes

Kirk, Julienne K.; Grzywacz, Joseph G.; Arcury, Thomas A.; Ip, Edward H.; Nguyen, Ha; Bell, Ronny A.; Saldana, Santiago; Quandt, Sara A.

doi:10.1007/s11606-011-1927-y

Cited by 61 publications

(65 citation statements)

References 18 publications

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“…In studies conducted abroad, the NVS scores and the rate of adequate health literacy were relatively higher than in Turkey. Adequate health literacy levels were found in 55.9% of adults in Serbia (19), 26.0-50.0% in the United States of America (USA) (20)(21)(22), 79.0% in Australia (23), 75.5% in Japan (24), 61.0% in England (25) and 43.0% in Ireland (26). When comparing the level of health literacy between the current study and other studies we found similar results with our study and Mississippi in the USA (22).…”

Section: Discussionmentioning

confidence: 99%

Health literacy among schoolteachers in Çorum, Turkey

Yılmazel

Çetinkaya

2015

Easter Mediterr Health J

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Teachers' health literacy is an important part of school health promotion programmes. This study in 2013 assessed health literacy and related factors in schoolteachers in Çorum, Turkey. In a cross-sectional study, 500 primary and secondary teachers answered a questionnaire about self-reported health behaviours and completed the 6-item Newest Vital Sign tool. The mean score on the health literacy scale was 2.12 (SD 1.82). Overall, 44.0% of the teachers had very limited, 29.8% limited and 26.2% adequate health literacy. Adequate health literacy levels were significantly higher among those without chronic disease, non-smokers, non-alcohol users and those interested in healthy lifestyle topics in the media. In binary logistic regression analysis, the risk of limited health literacy was significantly greater in the older age groups, in men and in those whose partner was an educator or a housewife. In view of the low health literacy levels, we suggest that teacher candidates could benefit from health education programmes after graduation. RÉSUMÉ Les connaissances en matière de santé des enseignants sont une part importante des programmes de promotion de la santé en milieu scolaire. La présente étude menée en 2013 a évalué les connaissances en santé des enseignants ainsi que les facteurs en la matière à Çorum (Turquie). Dans une étude transversale, 500 enseignants d'établissements primaires et secondaires ont répondu à un questionnaire sur leurs comportements en santé autodéclarés puis aux questions de l'instrument en 6 items intitulé Newest Vital Sign scale. Le score moyen sur l'échelle des connaissances en matière de santé était de 2,12 (ET 1,82). Globalement, 44,0 % des enseignants avaient des connaissances très limitées, 29,8 % des connaissances limitées et 26,2 % des connaissances en santé adéquates. Les niveaux de connaissances en santé adéquats étaient nettement supérieurs chez les enseignants qui n'étaient pas atteints d'une maladie chronique, qui ne fumaient pas, qui ne consommaient pas d'alcool, ainsi que chez ceux qui s'intéressaient aux sujets portant sur les modes de vie sains dans les médias. À l'analyse de régression logistique binaire, le risque lié aux connaissances en santé limitées était significativement plus important dans les groupes plus âgés, chez les hommes et chez ceux dont le/la partenaire était un éducateur ou une femme au foyer. À la lumière de ces faibles niveaux de connaissances en santé, nous suggérons que les futurs enseignants puissent bénéficier de programmes d'éducation en santé après l'obtention de leur diplôme. ‫برتكيا‬ ‫تشوروم‬ ‫يف‬ ‫املدارس‬ ‫معلمي‬ ‫لدى‬ ‫الصحية‬ ‫املعلومات‬‫املتوسط‬ ‫لرشق‬ ‫الصحية‬ ‫املجلة‬ ‫العرشون‬ ‫و‬ ‫احلادي‬ ‫املجلد‬ ‫الثامن‬ ‫العدد‬ 599

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Section: Discussionmentioning

confidence: 99%

Health literacy among schoolteachers in Çorum, Turkey

Yılmazel

Çetinkaya

2015

Easter Mediterr Health J

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“…8,9 Regarding self-management capacity, we also agree that it should not be used alone in samples with very low expected health literacy. If it is important to assess the numeracy component of health literacy (to assess skills related to timing, scheduling, and dosing of medications as well as numeric concepts needed to understand and act upon directions and recommendations, such as in the assessment of risk perception of an intervention) 10 in elderly samples, the NVS could be used in combination with another very brief instrument such as the Medical Term Recognition Test (METER), which has not displayed a floor effect.…”

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confidence: 70%

“…5 Moreover, the study by Schillinger et al 6 cited by the authors to illustrate this point used the short version of the TOFHLA, 7 an instrument composed of two short cloze passages (an exercise where key words are deleted from a text and respondents are asked to fill in the blanks) and four very easy numeracy questions, which is quite unlike the NVS, as findings from studies using both the instruments can confirm. 8,9 Regarding self-management capacity, we also agree that it should not be used alone in samples with very low expected health literacy. If it is important to assess the numeracy component of health literacy (to assess skills related to timing, scheduling, and dosing of medications as well as numeric concepts needed to understand and act upon directions and recommendations, such as in the assessment of risk perception of an intervention) 10 in elderly samples, the NVS could be used in combination with another very brief instrument such as the Medical Term Recognition Test (METER), which has not displayed a floor effect.…”

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confidence: 70%

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Resposta à Carta ao Editor: “Prevalência de Literacia em Saúde Inadequada em Portugal Medida com o Newest Vital Sign”

et al. 2018

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suggest that the Portuguese version of the Newest Vital Sign (NVS) should not be used to assess older adults in clinical practice because of a floor effect. We disagree. A floor effect is a problem when the performance on the test does not reflect the true performance in the domain being assessed.1 This is not the case here. We are not classifying older people incorrectly by using the NVS. Another study using a different health literacy instrument, one that asks people questions about their perceived difficulty performing health-related tasks, has also documented a very high proportion of limited health literacy in the older Portuguese population. 2In addition, it is also not the case that the educational level of the population used to validate the instrument was very different from that of the Portuguese population. The subgroup of 101 people from the general population in our study included 30.7% of participants with less than five years of schooling (the oldest of whom was 86 years old). This figure is close to schooling estimates from the Portuguese population near the time the study was conducted.3 Furthermore, when we compared this subgroup with the other more literate groups (physicians, health researchers, engineering researchers) we were not testing divergent validity (i.e. assessing whether constructs that are not supposed to be related are actually unrelated) but known-groups validity, which relies on administering the instrument to different groups that logically should have different levels of the construct to confirm whether the hypothesised difference was reflected in the scores of the groups. 4 We do agree with the authors in that the NVS should not be used as a proxy for poor health outcomes or poor medication self-management capacity. Concerning outcomes, the NVS can and has been used successfully to study the association between health literacy and health outcomes in studies that included older persons, but as a determinant and not as a proxy.5 Moreover, the study by Schillinger et al 6 cited by the authors to illustrate this point used the short version of the TOFHLA, 7 an instrument composed of two short cloze passages (an exercise where key words are deleted from a text and respondents are asked to fill in the blanks) and four very easy numeracy questions, which is quite unlike the NVS, as findings from studies using both the instruments can confirm. 8,9 Regarding self-management capacity, we also agree that it should not be used alone in samples with very low expected health literacy. If it is important to assess the numeracy component of health literacy (to assess skills related to timing, scheduling, and dosing of medications as well as numeric concepts needed to understand and act upon directions and recommendations, such as in the assessment of risk perception of an intervention) 10 in elderly samples, the NVS could be used in combination with another very brief instrument such as the Medical Term Recognition Test (METER), which has not displayed a floor effect.11 Nevertheless we argu...

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“…Participants read printed test items and answered orally. S-TOFHLA numeric has been used with immigrants (Shaw, Armin, Torres, Orzech, & Vivian, 2012) and seniors (Kirk et al, 2012). Although the full S-TOFHLA (prose and numeric components) was administered, we excluded the prose component from analyses because it was not directly relevant to our study hypothesis on self-efficacy and numeracy.…”

Section: Data and Measuresmentioning

confidence: 99%

Numeracy and Health Numeracy Among Chinese and Kenyan Immigrants to Canada

2014

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Mathematics self-efficacy plays an important role in the performance of quantitative tasks. The objective of this study was to examine the role of mathematics self-efficacy in numeracy and health numeracy among immigrants (60 Mandarinspeaking and 60 Kikuyu-speaking immigrants to Canada) for whom English was a second language (ESL). Two French Kit numeracy tasks (the addition, and the addition and subtraction correction tasks) constituted objective measures of numeracy, and the numeracy component of a health literacy instrument (The Short Test of Functional Health Literacy for Adults [S-TOFHLA]) constituted the health numeracy measure. We measured math self-efficacy using the Mathematics Self-Efficacy Scale (MSES) and the Subjective Numeracy Scale (SNS). All measures were presented in English. Kikuyu speakers had lower math self-efficacy (p < .05) compared with Mandarin speakers (p < .05). Mandarin speakers outperformed Kikuyu speakers in numeracy (p < .001) and health numeracy (p < .023) skills. In multiple regression analyses, 32% to 57 % of the variance in objective numeracy was explained by language, residency in Canada, and selfefficacy, adjusting for the other predictor variables; self-efficacy and format of numeric health information (numbers only vs. numbers with detailed text) consistently predicted health numeracy. Mathematics self-efficacy may be an important factor in numeracy, but not as important in health numeracy for Kikuyu-and Mandarin-speaking immigrants for whom English is a second language. Factors contributing to low numeracy may differ from those explaining low health numeracy in ESL immigrants.

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Performance of Health Literacy Tests Among Older Adults with Diabetes

Cited by 61 publications

References 18 publications

Health literacy among schoolteachers in Çorum, Turkey

Health literacy among schoolteachers in Çorum, Turkey

Resposta à Carta ao Editor: “Prevalência de Literacia em Saúde Inadequada em Portugal Medida com o Newest Vital Sign”

Numeracy and Health Numeracy Among Chinese and Kenyan Immigrants to Canada

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