Sand-Jecklin Kari, Coyle Sue
West Virginia University School of Nursing, Morgantown, WV, USA
West Virginia University School of Nursing, Morgantown, WV, USA.
Clin Nurs Res. 2014 Dec;23(6):581-600. doi: 10.1177/1054773813488417. Epub 2013 May 30.
Although health literacy limitations are common among patient populations, no efficient yet comprehensive health literacy assessment tool is available to nurses for use in busy health care settings. This study presents beginning evidence for the validity and reliability of a new health literacy assessment tool, the Brief Health Literacy Screen (BHLS). One hundred patients attending four primary care clinics completed the BHLS and the Test of Functional Health Literacy in Adults (TOFHLA) short form and answered questions about the health literacy tools. Findings indicated significant correlations between BHLS and shortened version of the TOFHLA (S-TOFHLA) scores, with higher correlations between BHLS items addressing written health literacy and the S-TOFHLA. Comparative discrimination findings were significant at BHLS cut point of 18 and S-TOFHLA cut point less than 23. Patients rated the BHLS significantly less difficult to complete than the S-TOFHLA. Results of preliminary testing indicate the BHLS is a potentially efficient, effective, and patient-friendly screening tool for health literacy.
尽管健康素养受限在患者群体中很常见，但在繁忙的医疗环境中，护士没有可用的高效且全面的健康素养评估工具。本研究为一种新的健康素养评估工具——简易健康素养筛查工具（BHLS）的有效性和可靠性提供了初步证据。100名在四家初级保健诊所就诊的患者完成了BHLS和成人功能性健康素养测试（TOFHLA）简版，并回答了有关健康素养工具的问题。结果表明，BHLS与TOFHLA简版（S - TOFHLA）得分之间存在显著相关性，其中BHLS中涉及书面健康素养的项目与S - TOFHLA之间的相关性更高。在BHLS临界点为18且S - TOFHLA临界点小于23时，比较性区分结果显著。患者认为完成BHLS的难度明显低于S - TOFHLA。初步测试结果表明，BHLS是一种潜在高效、有效且对患者友好的健康素养筛查工具。
