Davis T C, Long S W, Jackson R H, Mayeaux E J, George R B, Murphy P W, Crouch M A
Department of Internal Medicine, Louisiana State University Medical Center School of Medicine, Shreveport.
Fam Med. 1993 Jun;25(6):391-5.
This study was conducted to validate a shortened version of the Rapid Estimate of Adult Literacy in Medicine (REALM). This screening instrument is designed to be used in public health and primary care settings to identify patients with low reading levels. It provides reading grade estimates for patients who read below a ninth-grade level. The REALM can be administered in one to two minutes by personnel with minimal training.
Two hundred and three patients in four university hospital clinics (internal medicine, family practice, ambulatory care, and obstetrics/gynecology) were given the REALM and three other standardized reading tests: the reading recognition section of the Peabody Individual Achievement Test-Revised (PIAT-R), the Wide Range Achievement Test-Revised (WRAT-R), and the Slosson Oral Reading Test-Revised (SORT-R). One hundred inmates at a state prison were also given the REALM twice, one week apart, to determine test-retest reliability.
The REALM correlated well with the three other tests. (Correlation coefficients were 0.97 [PIAT-R], 0.96 [SORT-R], and 0.88 [WRAT-R].) All correlations were significant at P < .0001. Test-retest reliability was 0.99 (P < .001).
The REALM provides an estimate of patient reading ability, displays excellent concurrent validity with standardized reading tests, and is a practical instrument for busy primary care settings.
本研究旨在验证医学成人识字快速评估简版（REALM）。该筛查工具旨在用于公共卫生和初级保健环境中，以识别阅读水平较低的患者。它为阅读水平低于九年级的患者提供阅读年级估计。经过最少培训的人员可在一到两分钟内完成REALM测试。
在四家大学医院诊所（内科、家庭医学、门诊护理和妇产科）的203名患者接受了REALM测试以及其他三项标准化阅读测试：皮博迪个人成就测试修订版（PIAT-R）的阅读识别部分、广泛成就测试修订版（WRAT-R）和斯洛森口语阅读测试修订版（SORT-R）。一所州立监狱的100名囚犯也接受了两次REALM测试，间隔一周，以确定重测信度。
REALM与其他三项测试的相关性良好。（相关系数分别为0.97 [PIAT-R]、0.96 [SORT-R]和0.88 [WRAT-R]。）所有相关性在P < .0001时均具有显著性。重测信度为0.99（P < .001）。
REALM可评估患者的阅读能力，与标准化阅读测试具有出色的同时效度，是繁忙的初级保健环境中的实用工具。
