School of Nursing, Graduate Department, Rhode Island College, Providence, RI, United States of America.
Adult Nursing Department, University of Massachusetts Dartmouth, North Dartmouth, MA, United States of America.
Appl Nurs Res. 2019 Apr;46:50-56. doi: 10.1016/j.apnr.2019.02.007. Epub 2019 Feb 13.
To test concurrent validity and acceptability of the Single Item Literacy Screener (SILS), Test of Functional Health Literacy (S-TOFHLA) and the Newest Vital Sign (NVS) in hospitalized adults with heart failure (HF).
Health literacy is not routinely evaluated in adults hospitalized with HF. Low health literacy is linked to poor HF self-care and hospital readmissions.
SILS, NVS and S-TOFHLA were completed by 85 patients with HF. Measures were examined for internal consistency reliability and acceptability. The NVS and S-TOFHLA were correlated with the SILS to establish concurrent validity.
The NVS (α = 0.70) and S-TOFHLA (α = 0.88) were reliable. The SILS significantly correlated with the S-TOFHLA (r = -0.308). The S-TOFHLA (M = 6.16) and NVS (M = 6.10) were acceptable measures.
The S-TOFHLA and NVS were reliable and acceptable measures of health literacy in hospitalized HF population. The SILS correlated with the S-TOFHLA and may predict low health literacy when hospitalized. NVS total scores in this population aligned with the recent NAAL survey. Hospitalized adults with HF agreed to share the health literacy scores with their providers.
测试住院心力衰竭（HF）成人中单项目文化程度筛查器（SILS）、功能性健康文化程度测试（S-TOFHLA）和最新生命体征（NVS）的同时效度和可接受性。
HF 住院成人中未常规评估健康文化程度。低健康文化程度与 HF 自我护理不良和医院再入院相关。
85 例 HF 患者完成 SILS、NVS 和 S-TOFHLA。评估措施的内部一致性可靠性和可接受性。NVS 和 S-TOFHLA 与 SILS 相关，以建立同时效度。
NVS（α=0.70）和 S-TOFHLA（α=0.88）可靠。SILS 与 S-TOFHLA 显著相关（r=-0.308）。S-TOFHLA（M=6.16）和 NVS（M=6.10）是可接受的措施。
S-TOFHLA 和 NVS 是 HF 住院人群健康文化程度可靠和可接受的测量方法。SILS 与 S-TOFHLA 相关，可能预测住院时的低健康文化程度。该人群的 NVS 总分数与最近的 NAAL 调查一致。HF 住院成人同意与提供者分享健康文化程度评分。
