ArticleHealth services research2006
Development of an easy-to-use Spanish Health Literacy test.
Article in Health services research, 2006. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 76 papers, 4 of them syntheses that pooled it.
What it found
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The trial behind it
Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.
Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.
Who cites it
76 citing papers in PubMed, 4 syntheses or guidelines pooled it.
- Definitions and measurement of health literacy in health and medicine research: a systematic review.BMJ open · 2022Pooled it
- Measuring health literacy: A systematic review and bibliometric analysis of instruments from 1993 to 2021.PloS one · 2022Pooled it
- Health Literacy and Outcomes Among Patients With Heart Failure: A Systematic Review and Meta-Analysis.JACC. Heart failure · 2020Pooled it
- Health literacy screening instruments for eHealth applications: a systematic review.Journal of biomedical informatics · 2012Pooled it
- Testing the comparative effects of physical activity advice by humans vs. computers in underserved populations: The COMPASS trial design, methods, and baseline characteristics.Contemporary clinical trials · 2017Trial
- A Patient-Centered Prescription Drug Label to Promote Appropriate Medication Use and Adherence.Journal of general internal medicine · 2016Trial
- Trial
- A pilot study of yoga as self-care for arthritis in minority communities.Health and quality of life outcomes · 2013Trial
- Design of a randomized controlled trial for multiple cancer risk behaviors among Spanish-speaking Mexican-origin smokers.BMC public health · 2013Trial
- A randomized controlled trial to assess the efficacy of an interactive mobile messaging intervention for underserved smokers: Project ACTION.BMC public health · 2012Trial
- Rationale and methods of the multicenter randomised trial of a heart failure management programme among geriatric patients (HF-Geriatrics).BMC public health · 2011Trial
- Using information technology to reduce asthma disparities in underserved populations: a pilot study.The Journal of asthma : official journal of the Association for the Care of Asthma · 2010Trial
- Psychometric properties and validation of short health literacy screening (SHLS) to identify low health literacy.Health promotion perspectives · 2025Article
- Cross-Cultural Adaptation and Validation of the Spanish HLS-COVID-Q22 Questionnaire for Measuring Health Literacy on COVID-19 in Peru.Healthcare (Basel, Switzerland) · 2025Article
- Health inequity in metabolic disorders and lifestyle behaviors in under-resourced adolescents: a cross-sectional study from E-DUCASS Program.American journal of preventive cardiology · 2025Article
- Impact of a culturally adapted digital literacy intervention on older people and its relationship with health literacy, quality of life, and well-being.Frontiers in psychology · 2024Article
- Assessment Tools for Measuring Health Literacy and Digital Health Literacy in a Hospital Setting: A Scoping Review.Healthcare (Basel, Switzerland) · 2023Article
- Cultural and translation challenges in assessing health literacy among immigrants from the former Soviet Union.Health promotion international · 2023Article
- A Systematic Review of Health Literacy Measurement Instruments in Portugal.Portuguese journal of public health · 2023Review
- Association between Health Literacy and Prevalence of Obesity, Arterial Hypertension, and Diabetes Mellitus.International journal of environmental research and public health · 2022Article
16 more citing papers are in PubMed but not listed here.
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
4 authors.
Funding
Abstract
objectiveThe study was intended to develop and validate a health literacy test, termed the Short Assessment of Health Literacy for Spanish-speaking Adults (SAHLSA), for the Spanish-speaking population. STUDY
designThe design of SAHLSA was based on the Rapid Estimate of Adult Literacy in Medicine (REALM), known as the most easily administered tool for assessing health literacy in English. In addition to the word recognition test in REALM, SAHLSA incorporates a comprehension test using multiple-choice questions designed by an expert panel. DATA COLLECTION: Validation of SAHLSA involved testing and comparing the tool with other health literacy instruments in a sample of 201 Spanish-speaking and 202 English-speaking subjects recruited from the Ambulatory Care Center at UNC Health Care. PRINCIPAL
findingsWith only the word recognition test, REALM could not differentiate the level of health literacy in Spanish. The SAHLSA significantly improved the differentiation. Item response theory analysis was performed to calibrate the SAHLSA and reduce the instrument to 50 items. The resulting instrument, SAHLSA-50, was correlated with the Test of Functional Health Literacy in Adults, another health literacy instrument, at r=0.65. The SAHLSA-50 score was significantly and positively associated with the physical health status of Spanish-speaking subjects (p<.05), holding constant age and years of education. The instrument displayed good internal reliability (Cronbach's alpha=0.92) and test-retest reliability (Pearson's r=0.86).
conclusionsThe new instrument, SAHLSA-50, has good reliability and validity. It could be used in the clinical or community setting to screen for low health literacy among Spanish speakers.
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Registered trials
Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.