Evidence map›Paper›PMID 29692290›Full record

Trial reportPublic health nutrition2018

Canadian adaptation of the Newest Vital Sign©, a health literacy assessment tool.

Elizabeth D Mansfield, Rana Wahba, Doris E Gillis, Barry D Weiss, Mary L'Abbé

Open access · bronzeAbstract readRandomized Controlled Trial
In one paragraph

Trial report in Public health nutrition, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 30 papers.

0numbers the graph read from it
0cells of the map it votes in
30citing papers in PubMed
10.2field-weighted citation impact, top 2% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

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.

3 · Its place in the literature

Who cites it

30 citing papers in PubMed, 44 citations in OpenAlex.

  1. Trial
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  6. Functional Nutrition Literacy and Healthy and Sustainable Eating Efforts Across Diverse Populations.Journal of human nutrition and dietetics : the official journal of the British Dietetic Association · 2026
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  11. Pedagogically Aligned Objectives Create Reliable Automatic Cloze Tests.Proceedings of the conference. Association for Computational Linguistics. North American Chapter. Meeting · 2024
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  13. Review
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  16. Validation of the PAM-13 instrument in the Hungarian general population 40 years old and above.The European journal of health economics : HEPAC : health economics in prevention and care · 2022
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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

5 authors at 4 institutions in 2 countries.

Elizabeth D Mansfield1Bureau of Nutritional Sciences,Food Directorate,Health Canada,251 Sir Frederick Banting Driveway,Tunney's Pasture,Ottawa,Ontario,Canada,K1A 0K9.
Rana Wahba1Bureau of Nutritional Sciences,Food Directorate,Health Canada,251 Sir Frederick Banting Driveway,Tunney's Pasture,Ottawa,Ontario,Canada,K1A 0K9.
Doris E Gillis2Department of Human Nutrition,St. Francis Xavier University,Antigonish,Nova Scotia,Canada.
Barry D Weiss3University of Arizona College of Medicine,Tucson,AZ,USA.
Mary L'Abbé4Department of Nutritional Sciences,University of Toronto,Toronto,Ontario,Canada.
Health Canada · CASt. Francis Xavier University · CAUniversity of Arizona · USUniversity of Toronto · CA

Funding

CIHR 201403CIHR MOP 137037
6 · The paper itself

Abstract

objectiveThe Newest Vital Sign© (NVS) was developed in the USA to measure patient health literacy in clinical settings. We adapted the NVS for use in Canada, in English and French, and created a computerized version. Our objective was to evaluate the reliability of the Canadian NVS as a self-administered computerized tool.

designWe used a randomized crossover design with a washout period of 3-4 weeks to compare health literacy scores obtained using the computerized version with scores obtained using the standard interviewer-administered NVS. ANOVA models and McNemar's tests assessed differences in outcomes assessed with each version of the NVS and order effects of the testing.

settingParticipants were recruited from multicultural catchment areas in Ontario and Nova Scotia. SUBJECTS: English- and French-speaking adults aged 18 years or older.

resultsA total of 180 (81 %) of the 222 adults (112 English/110 French) initially recruited completed both the interviewer-NVS and computer-NVS. Scores for those who completed both assessments ranged from 0 to 6 with a mean of 3·63 (sd 2·11) for the computerized NVS and 3·41 (sd 2·21) for the interview-administered NVS. Few (n 18; seven English, eleven French) participants' health literacy assessments differed between the two versions.

conclusionsOverall, the computerized Canadian NVS performed as well as the interviewer-administered version for assessing health literacy levels of English- and French-speaking participants. This Canadian adaptation of the NVS provides Canadian researchers and public health practitioners with an easily administered health literacy assessment tool that can be used to address the needs of Canadians across health literacy levels and ultimately improve health outcomes.

Indexed as

AdultCanadaCross-Over StudiesFemaleHealth LiteracyHumansLanguageMalePsychometricsReproducibility of ResultsSurveys and QuestionnairesTranslationsCanadaComputerized assessmentHealth literacyNewest Vital Sign

Identifiers

PMID29692290
PMCPMC10260894
OpenAlexW2803011700

What OpenQuestion holds

Textmetadata
Read underepoch 390

Registered trials

None linked

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.