ArticleMedicine2018
Simple screening tools to identify limited health literacy in a low-income patient population.
Article in Medicine, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 21 papers.
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The trial behind it
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Who cites it
21 citing papers in PubMed.
- Evaluating the efficacy of NoteAid on EHR note comprehension among US Veterans through Amazon Mechanical Turk.International journal of medical informatics · 2023Trial
- Evaluating the Effectiveness of NoteAid in a Community Hospital Setting: Randomized Trial of Electronic Health Record Note Comprehension Interventions With Patients.Journal of medical Internet research · 2021Trial
- Bridging the Gap: Health Education Needs Among Rural Populations with Chronic Illness and Low Health Literacy in Unincorporated Communities in Southern California.International journal of environmental research and public health · 2025Article
- Examining Health Literacy and Appropriateness of Commercially Developed Patient Education Materials for Adults Living With Diabetes on the U.S./Mexico Border.Clinical nursing research · 2025Article
- Article
- Health literacy and asthma: An update.The Journal of allergy and clinical immunology · 2024Review
- Article
- Social determinants of health literacy among parents and caregivers in the US-Affiliated Pacific.Health promotion international · 2024Article
- Racial Disparities in Medication Use During Pregnancy: Results from the NISAMI Cohort.Journal of multidisciplinary healthcare · 2024Article
- Health literacy in adolescents and young adults in Benin: French translation and validation of the health literacy measure for adolescents (HELMA).Frontiers in psychology · 2024Article
- Hesitant but vaccinated: assessing COVID-19 vaccine hesitancy among the recently vaccinated.Journal of behavioral medicine · 2023Article
- Article
- Dealing with the Vicissitudes and Abject Consequences of Head and Neck Cancer: A Vital Role for Psycho-Oncology.Current oncology (Toronto, Ont.) · 2022Article
- Physician Communication and Patient Understanding of Molecular Testing Terminology.The oncologist · 2021Article
- Health literacy among participants from neighbourhoods with different socio-economic statuses in the southern region of Hungary: a pilot study.BMC public health · 2020Article
- Can the Routine Use of Patient-Reported Outcome Measures Improve the Delivery of Person-Centered Diabetes Care? A Review of Recent Developments and a Case Study.Current diabetes reports · 2019Review
- Health Literacy Assessments May Be Inconsistently Conducted in IBD Patients.Inflammatory bowel diseases · 2019Article
- Medical expenditures and its determinants depending on receipt of public pension in South Korea.Medicine · 2019Article
- Low health literacy: Implications for managing cardiac patients in practice.The Nurse practitioner · 2018Article
- Health Literacy Among a Formerly Incarcerated Population Using Data from the Transitions Clinic Network.Journal of urban health : bulletin of the New York Academy of Medicine · 2018Article
Corrections and comments
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Authors and funding
6 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
Adults with limited health literacy have difficulty managing chronic conditions, higher hospitalization rates, and more healthcare expenditures. Simple screening tools have been developed, but limited work has evaluated instruments among low-income populations. This study assessed health literacy among primary care patients of a federally qualified health center, and compared a single screening question about perceived difficulty completing medical forms.A cross-sectional survey was administered to English-speaking patients ≥40 years. Both the Newest Vital Sign (NVS), a 6-item questionnaire, and a single-item screening question about perceived difficulty with completing medical forms, assessed health literacy. Logistic regression was used to identify predictors of inadequate health literacy and receiver operator curves compared the NVS and single-item question.Participants (n = 406) were, on average, aged 58.5 years (±11.3), 72.2% female, and identified as Hispanic/Latino (19.2%), non-Hispanic white (31.0%), non-Hispanic black (40.9%), or other (8.9%). Of the 406 participants, 335 (82.5%) completed the NVS. Patients who declined NVS were more likely to be older (P < .001) and male (P = .01). Only 13.7% had adequate health literacy. Older adults, Hispanic and non-Hispanic black patients, patients with missed office visits, and those reporting less confidence completing medical forms were significantly more likely to have inadequate health literacy. Perceived confidence completing medical forms demonstrated low sensitivity but high specificity at multiple thresholds.This is the first investigation to compare the NVS and confidence completing medical forms question. Many patients declined health literacy assessments, but health literacy screening may identify patients who need additional health education and resources.
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Registered trials
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