Dumenci Levent, Matsuyama Robin K, Kuhn Laura, Perera Robert A, Siminoff Laura A
Virginia Commonwealth University.
Commun Methods Meas. 2013 Jun 18;7(2):134-143. doi: 10.1080/19312458.2013.789839.
Originally developed to measure the literacy level of patients, the Rapid Estimate of Adult Literacy in Medicine (REALM) scale is one of the most widely used instruments to measure the construct of health literacy. This article critically examines the validity of the REALM as a measure of health literacy. Logical analysis of content coverage led to the conclusion that scores on the REALM should not be used to make inferences about a person's level of health literacy. Rather, the REALM should be used to make inferences about the ability of a person to read and pronounce health related terms. Evidence from an analysis of a sample of 1,037 respondents to the REALM with a cancer diagnosis supports the quality of the REALM as a measure of reading and pronunciation ability. Other uses of the REALM in health literacy research are discussed.
成人医学快速识字评估量表（REALM）最初是为测量患者的识字水平而开发的，是测量健康素养结构最广泛使用的工具之一。本文批判性地审视了REALM作为健康素养测量工具的有效性。对内容覆盖范围的逻辑分析得出结论，不应使用REALM的分数来推断一个人的健康素养水平。相反，REALM应用于推断一个人阅读和发音与健康相关术语的能力。对1037名患有癌症诊断的REALM受访者样本进行分析的证据支持了REALM作为阅读和发音能力测量工具的质量。文中还讨论了REALM在健康素养研究中的其他用途。
