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Measuring health literacy in caregivers of children: a comparison of the newest vital sign and S-TOFHLA. Clin Pediatr (Phila) 2014 Nov;53(13):1264-70

Date

07/10/2014

Pubmed ID

25006116

Pubmed Central ID

PMC4416472

DOI

10.1177/0009922814541674

Scopus ID

2-s2.0-84909636134   24 Citations

Abstract

OBJECTIVE: We examined the performance of the Newest Vital Sign (NVS) and the Short Test of Functional Health Literacy in Adults (S-TOFHLA) in caregivers of children.

METHOD: Caregivers of children ≤12 years old seeking care for their child in a pediatric emergency department (ED) were tested using the NVS and the S-TOFHLA to measure health literacy. The results were compared with ED use outcomes.

RESULT: The S-TOFHLA was found to have a ceiling effect as compared to the NVS; few caregivers scored in low literacy categories (P < .0001). This finding was demonstrated in both lower (P = .01) and higher (P < .001) educational attainment groups. The NVS was predictive of ED use outcomes (P = .02 and P < .01) whereas the S-TOFHLA was not (P = .21 and P = .11).

CONCLUSIONS: The measures do not seem to function similarly nor predict health outcomes equally. The NVS demonstrates sensitivity in identifying limited health literacy in younger adult populations.

Author List

Morrison AK, Schapira MM, Hoffmann RG, Brousseau DC

Authors

David Brousseau MD Chief, Professor in the Pediatrics department at Medical College of Wisconsin
Andrea Morrison MD Associate Professor in the Pediatrics department at Medical College of Wisconsin




MESH terms used to index this publication - Major topics in bold

Adult
Caregivers
Child
Child, Preschool
Cross-Sectional Studies
Educational Measurement
Female
Health Literacy
Humans
Infant
Infant, Newborn
Male
United States