Single-item or two-item literacy screener to predict the S-TOFHLA among adult hemodialysis patients

Brice, Jane H.; Foster, Mark; S, Principe; Moss, Chailee; Shofer, Frances S.; Falk, Ronald J.; Ferris, Maria; DeWalt, Darren A.

doi:10.1016/j.pec.2013.09.020

Cited by 31 publications

(37 citation statements)

References 14 publications

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“…Ethnicity data were unavailable for one study (total of 95 patients) (41), and age data were unavailable for two studies (total of 322 patients) (24,41). From the remaining data, the median proportion of participants of nonwhite ethnicity was 48% (IQR, 23%-64%), and mean or median age ranged from 47 to 72 years old.…”

Section: Resultsmentioning

confidence: 99%

“…Twelve studies included only English speakers. Three studies included Spanish speakers and used health literacy measures translated into Spanish (24,39,43).…”

Section: Resultsmentioning

confidence: 99%

“…For studies where more than one validated health literacy measure was used, scores from the Short Test of Functional Health Literacy in Adults (STOFHLA) are presented here because of its use as a reference measure to validate health literacy screening tools (23,24,33). Analyses were then repeated using scores from other measures to establish if this altered the overall results.…”

Section: Methodsmentioning

confidence: 99%

“…Analyses were performed using the user-written commands metaprop and metareg in Stata 12 (StataCorp LP). Figure 1 shows the study selection process, which identified 433 unique studies, 15 of which met the inclusion criteria (23,24,(34)(35)(36)(37)(38)(39)(40)(41)(42)(43)(44)(45)(46) with full agreement between the two reviewers. Table 1 summarizes the 15 new studies in addition to five studies included in the 2012 review (18)(19)(20)(21)47).…”

Section: Methodsmentioning

confidence: 99%

“…Since this review, investigation of limited health literacy as a barrier to effective clinician-patient communication has been identified as a research priority in CKD (22). Health literacy measures specific to CKD have been developed and validated (23,24). A Cochrane review of health literacyfocused interventions in CKD is underway (25).…”

Section: Introductionmentioning

confidence: 99%

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A Systematic Review of the Prevalence and Associations of Limited Health Literacy in CKD

Taylor

Fraser

Bradley

et al. 2017

CJASN

149

124

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Limited health literacy is common in CKD, especially among individuals with low socioeconomic status and nonwhite ethnicity. This has implications for the design of self-management and decision-making initiatives to promote equity of care and improve quality. Lower prevalence among patients with transplants may reflect selection of patients with higher health literacy for transplantation either because of less comorbidity in this group or as a direct effect of health literacy on access to transplantation.

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Section: Resultsmentioning

confidence: 99%

“…Twelve studies included only English speakers. Three studies included Spanish speakers and used health literacy measures translated into Spanish (24,39,43).…”

Section: Resultsmentioning

confidence: 99%

Section: Methodsmentioning

confidence: 99%

Section: Methodsmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

See 3 more Smart Citations

A Systematic Review of the Prevalence and Associations of Limited Health Literacy in CKD

Taylor

Fraser

Bradley

et al. 2017

CJASN

149

124

View full text Add to dashboard Cite

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The impact of health literacy on medico‐social follow‐up visits among French cancer survivors 5 years after diagnosis: The national VICAN survey

et al. 2020

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Background Long‐term medico‐social follow‐up of cancer survivors is a challenge because of frequent subsequent troubles. In particular survivors with lower health literacy (HL) have poorer health and might more often use primary care services. However, the impact of HL on cancer survivors’ medico‐social follow‐up visits is not known. Our aim was to study medico‐social follow‐up and its associated determinants with a focus on HL 5 years after diagnosis. Methods VICAN is a national survey of French adult cancer survivors 5 years after a primary cancer. The Single‐Item Literacy Screener was used to define functional HL in this sample. We also asked patients to report the frequency of follow‐up visits with a general practitioner (GP) and/or social worker (SW) regarding their cancer disease. Results The 4045 participants were 57.4 ± 12.9 years old at diagnosis (range 20‐82) and 1495 (37%) were classified as having inadequate HL. Most cancer survivors (66.7%) were followed up by a GP regarding their cancer while only 14.5% had contact with a SW. After adjustment for sociodemographic, medical, and psychosocial characteristics, medico‐social follow‐ups (GP and SW visits) were more frequent among survivors with low HL. Furthermore, low income, unemployment, impaired mental health, treatment by chemotherapy, and perception of sequelae and fatigue were also associated with more frequent medico‐social follow‐up. Cancer localization association with medico‐social follow‐up was heterogeneous. Conclusion French cancer survivors with limited HL, lower socioeconomic status, and more severe cancer were more likely to use GP care and social services. Raising awareness and training GPs and SWs on medico‐social follow‐up for patients with limited HL seem necessary to support these vulnerable survivors.

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Promoting Informed Decisions About Colorectal Cancer Screening in Older Adults (PRIMED Study): a Physician Cluster Randomized Trial

et al. 2022

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Background For adults aged 76–85, guidelines recommend individualizing decision-making about whether to continue colorectal cancer (CRC) testing. These conversations can be challenging as they need to consider a patient’s CRC risk, life expectancy, and preferences. Objective To promote shared decision-making (SDM) for CRC testing decisions for older adults. Design Two-arm, multi-site cluster randomized trial, assigning physicians to Intervention and Comparator arms. Patients were surveyed shortly after the visit to assess outcomes. Analyses were intention-to-treat. Participants and Setting Primary care physicians affiliated with 5 academic and community hospital networks and their patients aged 76–85 who were due for CRC testing and had a visit during the study period. Interventions Intervention arm physicians completed a 2-h online course in SDM communication skills and received an electronic reminder of patients eligible for CRC testing shortly before the visit. Comparator arm received reminders only. Main Measures The primary outcome was patient-reported SDM Process score (range 0–4 with higher scores indicating more SDM); secondary outcomes included patient-reported discussion of CRC screening, knowledge, intention, and satisfaction with the visit. Key Results Sixty-seven physicians (Intervention n=34 and Comparator n=33) enrolled. Patient participants (n=466) were on average 79 years old, 50% with excellent or very good self-rated overall health, and 66% had one or more prior colonoscopies. Patients in the Intervention arm had higher SDM Process scores (adjusted mean difference 0.36 (95%CI (0.08, 0.64), p=0.01) than in the Comparator arm. More patients in the Intervention arm reported discussing CRC screening during the visit (72% vs. 60%, p=0.03) and had higher intention to follow through with their preferred approach (58.0% vs. 47.1, p=0.03). Knowledge scores and visit satisfaction did not differ significantly between arms. Conclusion Physician training plus reminders were effective in increasing SDM and frequency of CRC testing discussions in an age group where SDM is essential. Trial Registration The trial is registered on clinicaltrials.gov (NCT03959696).

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Single-item or two-item literacy screener to predict the S-TOFHLA among adult hemodialysis patients

Cited by 31 publications

References 14 publications

A Systematic Review of the Prevalence and Associations of Limited Health Literacy in CKD

A Systematic Review of the Prevalence and Associations of Limited Health Literacy in CKD

The impact of health literacy on medico‐social follow‐up visits among French cancer survivors 5 years after diagnosis: The national VICAN survey

Promoting Informed Decisions About Colorectal Cancer Screening in Older Adults (PRIMED Study): a Physician Cluster Randomized Trial

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