SynthesisAcademic emergency medicine : official journal of the Society for Academic Emergency Medicine2022
A systematic review of instruments to measure health literacy of patients in emergency departments.
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Who cites it
10 citing papers in PubMed, 1 synthesis or guideline pooled it.
- A systematic review of instruments to measure health literacy of patients in emergency departments.Academic emergency medicine : official journal of the Society for Academic Emergency Medicine · 2022Pooled it
- Rate, Mode, Reasons and Factors Associated With Re-Presentation in People Diagnosed With Musculoskeletal Conditions at a Single Emergency Department: A Cross-Sectional Exploratory Study.Emergency medicine Australasia : EMA · 2025Article
- 1. Improving Care and Promoting Health in Populations: Standards of Care in Diabetes-2025.Diabetes care · 2025Review
- Automating risk stratification for geriatric syndromes in the emergency department.Journal of the American Geriatrics Society · 2024Article
- Public Health Literacy and Emergency Department Utilization in Saudi Arabia: A Cross-Sectional Study.Risk management and healthcare policy · 2024Article
- Assessment Tools for Measuring Health Literacy and Digital Health Literacy in a Hospital Setting: A Scoping Review.Healthcare (Basel, Switzerland) · 2023Article
- Health literacy in female patients affected by anorexia nervosa and bulimia nervosa: a cross-sectional study with pair-matched controls.Eating and weight disorders : EWD · 2023Article
- Measuring Health Literacy in Primary Healthcare: Adaptation and Validation of a French-Language Version of the Brief Health Literacy Screening among Patients with Chronic Conditions Seen in Primary Care.International journal of environmental research and public health · 2022Article
- The Determinants of Vaccine Literacy in the Italian Population: Results from the Health Literacy Survey 2019.International journal of environmental research and public health · 2022Article
- Defining and identifying laboratory literacy as a component of health literacy: An assessment of existing health literacy tools.Academic pathologyArticle
Corrections and comments
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Authors and funding
3 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
objectivesKnowledge of patient's health literacy (HL) in the emergency department (ED) can facilitate care delivery and reduce poor health outcomes. This systematic review investigates HL measurement instruments used in the ED and their psychometric properties, accuracy in detecting limited HL, and feasibility.
methodsWe searched in five biomedical databases for studies published between 1990 and January 2021, evaluating HL measurement instruments tested in the ED on internal consistency, criterion validity, diagnostic accuracy, or feasibility. Reviewers screened studies for relevance and assessed methodologic quality with published criteria. Data were synthesized around study and instrument characteristics and outcomes of interest.
resultsOf the 2,376 references screened, seven met our inclusion criteria. Studied instruments varied in objective (n = 5) and subjective (n = 6) measurement of HL skills, and in HL constructs measured. The Brief Health Literacy Screen (BHLS) and the Subjective Numeracy Scale demonstrate acceptable and good internal consistency across studies. None of the instruments perform consistently well on criterion validity. The Rapid Estimate of Adult Literacy in Medicine-Revised and the Newest Vital Sign, both objective tests with short administration times, demonstrate good accuracy in one study with high risk of bias. The BHLS, a short subjective measure, shows moderate accuracy across studies including one with low risk of bias.
conclusionsSeveral short instruments seem valid in measuring HL and accurate in detecting limited HL among ED patients, each with its practical advantages and disadvantages and specific measurement of HL. Additional research is necessary to develop a robust evidence base supporting these instruments.
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