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The right pick: Does a self-assessment measurement tool correctly identify health care consumers with inadequate health literacy?
Umeå University, Faculty of Medicine, Department of Public Health and Clinical Medicine, Section of Sustainable Health.
Umeå University, Faculty of Medicine, Department of Public Health and Clinical Medicine, Cardiology. (Arcum)
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2022 (English)In: Patient Education and Counseling, ISSN 0738-3991, E-ISSN 1873-5134, Vol. 105, no 4, p. 926-932Article in journal (Refereed) Published
Abstract [en]

Objectives: The aim of this study was to investigate whether a self-report measurement instrument (the Brief Health Literacy Screen, BHLS) correctly identifies healthcare consumers with inadequate health literacy. The yardstick for assessing the tool was the Newest Vital Sign (NVS).

Methods: The study used baseline data from the Västerbotten Intervention Programme - VIsualiZation of Asymptomatic Atherosclerotic disease for Optimum Cardiovascular Prevention (VIPVIZA), a randomized controlled trial that is nested within the Västerbotten Intervention Program (VIP) in Sweden. Our analyses were computed on a subsample of 460 persons who underwent the measure of both health literacy scales. ROC analysis was used for the crucial computations.

Results: The potential of the BHLS to identify healthcare consumers with inadequate health literacy remained unsatisfying for the complete sample, but reached an acceptable level for women and persons with only basic education.

Conclusions: The relationship is somewhat weaker than in comparable research in various other European countries. The differences might partly have been caused by the use of self-perception questions. Self-delusions, invariably a part of self-perception, may have affected the respective measure. Practice implications: Caution is advised when patients’ health literacy is assessed by only a few questions for self-report.

Place, publisher, year, edition, pages
Elsevier, 2022. Vol. 105, no 4, p. 926-932
Keywords [en]
Brief Health Literacy Screen (BHLS), Health literacy, Self-report measures, Newest Vital Signs (NVS), Performance-based measures
National Category
Public Health, Global Health, Social Medicine and Epidemiology
Identifiers
URN: urn:nbn:se:umu:diva-186967DOI: 10.1016/j.pec.2021.07.045ISI: 000803703100017PubMedID: 34366227Scopus ID: 2-s2.0-85112665821OAI: oai:DiVA.org:umu-186967DiVA, id: diva2:1588603
Funder
Swedish Heart Lung Foundation, 20170481Region Västerbotten, ALFVLL- 298001Region Västerbotten, ALFVLL-643391Swedish Heart Lung Foundation, 20150369Swedish Research Council, 521-2013-2708Swedish Research Council, 2016-01891Swedish Research Council, 2017-02246Available from: 2021-08-27 Created: 2021-08-27 Last updated: 2022-08-04Bibliographically approved

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Lindahl, BerntNäslund, UlfNorberg, MargaretaNordin, Steven

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Lindahl, BerntNäslund, UlfNorberg, MargaretaNordin, Steven
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Section of Sustainable HealthCardiologyDepartment of Epidemiology and Global HealthDepartment of Psychology
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Patient Education and Counseling
Public Health, Global Health, Social Medicine and Epidemiology

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