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Cervical Cancer Literacy Assessment Tool

C-CLAT Cervical Cancer Literacy Assessment Tool Karen Williams

Williams, K.P., & Templin, T.N. (2013). Bringing the real world to psychometric evaluation of cervical cancer literacy assessments with Black, Latina, and Arab women in real-world settings. J Cancer Educ, 28(4):738-43.

2013

Cervical cancer focused HL measure

1 16

Range:0-16, ↑scores = ↑HBP-HL

543 15 minutes

Development and evaluation of a new scale for assessing functional cervical cancer health literacy

Internal consistency: α=0.72 TOT, α=0.73 Black, α=0.76 Latina, and α= 0.60 Arab

Karen.Williams@ht.msu.edu Obstetrics, Gynecology & Reproductive Biology, College of Human Medicine, East Fee Hall, 965 Fee Rd, Rm 627, East Lansing, MI, United States of America http://www.ncbi.nlm.nih.gov/pubmed/24072456 /sites/default/files/webform/suggest-measure/421/c-clat20spanish.pdf Prose: Comprehension United States of America Paper and pencil Cancer Adults: 18 to 64 years English Objective

Breast Cancer Literacy Assessment Tool

B-CLAT Breast Cancer Literacy Assessment Tool Karen Williams

Williams, K.P., Templin, T.N., & Hines, R.D. (2013). Answering the call: a tool that measures functional breast cancer literacy. J Health Commun, 18(11):1310-25.

2013

Breast cancer focused HL measure, administered orally to participants

1 21

Range:0-30, ↑scores = ↑HBP-HL

543

Test the reliability and validity, in a culturally diverse sample of women, of a revised Breast Cancer Literacy Assessment Tool (Breast-CLAT) designed to measure functional understanding of breast cancer in English, Spanish, and Arabic

Internal consistency: α=0.73, α=0.81 Black, α=0.61 Latina, and α=0.68 Arab

Williams.5963@osu.edu Obstetrics, Gynecology & Reproductive Biology, College of Human Medicine, East Fee Hall, 965 Fee Rd, Rm 627, East Lansing, MI, United States of America http://www.ncbi.nlm.nih.gov/pubmed/23905580 /sites/default/files/webform/suggest-measure/426/breast-clat20english.pdf Prose: Comprehension United States of America Paper and pencil Cancer Adults: 18 to 64 years English Objective

Hong Kong Oral Health Literacy Assessment Task for Pediatric Dentistry

HKOHLAT-P Hong Kong Oral Health Literacy Assessment Task for Pediatric Dentistry Hai Ming Wong

Wong, H.M., Bridges, S.M., Yiu, C.K., McGrath, C.P., Au, T.K., & Parthasarathy, D.S. (2013, September). Validation of the Hong Kong Oral Health Literacy Assessment Task for paediatric dentistry (HKOHLAT-P). Int J Paediatr Dent, 23(5):366-75.

2013

Measure that focuses on pediatric dentistry which is contextually relevant for those living in Hong Kong (Cantonese speakers)

3 52

Possible range: 0-52, ↑scores = ↑ Oral HL

200

For the generation of items and to develop the HKOHLAT-P, the materials were collected from different dentally related areas, which includes oral health TV and radio programs from Hong Kong local broadcasts, oral health education videos and oral health instructions in Prince Philip Dental Hospital (Faculty of Dentistry, The University of Hong Kong), oral health brochures from the Department of Health (Oral Health Education Unit) in Hong Kong Special Administrative Region, and Hong Kong local newspapers. These materials were then used to develop a Chinese corpus database in dentistry. The materials and texts and the activities associated with them were drawn from various dental health-related contexts and were selected to have reading levels similar to materials used for TOFHLiD and OHLI, from which we modelled some of the items for the HKOHLAT-P. Original items were developed to expand the text types of reading stimuli and give variety in item design.

Concurrent: Self-Reading r=0.43 and Reading to child r=0.12 (N/S); Convergent: TOFHLiD r=0.39 and HKREALD-30 r=0.36

Test-retest: ICC=0.63 wonghmg@hkucc.hku.hk Faculty of Dentistry, Prince Philip Dental Hospital, 34 Hospital Road, Sai Ying Pun, Hong Kong, China http://www.ncbi.nlm.nih.gov/pubmed/23947421 Prose: Comprehension China No Paper and pencil Dental Health Adults: 18 to 64 years, Adolescents: 10 to 17 years Cantonese Objective

Health Literacy Measure for High School Students

healthlite Health Literacy Measure for High School Students Amery Wu

Wu, A.D., Begoray, D.L., Macdonald, M., Wharf Higgins, J., Frankish, J., Kwan, B., Fung, W., & Rootman, I. (2010, December). Developing and evaluating a relevant and feasible instrument for measuring health literacy of Canadian high school students. Health Promot Int, 25(4):444-52.

2010

HL measure that assesses how well high school students understand and evaluate health information

3 47

Range: 0-107, with 30 ‘understand’ items at 2 points/each and 17 ‘evaluate’ items, ranging from 1-4 points/each

275

Health-related ‘passages’ were located on the Internet or in health centers and were obtained from health education and media materials (e.g. pamphlets and letters to the editor). All passages were in English and covered a range of topics including nutrition and sexual health. Permission to use copyrighted passages was obtained from the authors/publishers.

Convergent: Age r=-0.17, Male gender r=-0.18, Age came to Canada r=-0.22, Non-English speaker r=-0.15, Mother’s education r=0.19, Father’s education r=0.22, GPA r=0.48, Time reading/study r=0.40 ‘fair’

ameryw@yahoo.com The University of British Columbia, Vancouver, British Columbia, Canada http://www.ncbi.nlm.nih.gov/pubmed/20466776 Numeracy, Information seeking: Document Canada Paper and pencil General Adolescents: 10 to 17 years English Objective

Media Health Literacy Measure

MHL Media Health Literacy Measure Diane Levin- Zamir

Levin-Zamir, D., Lemish, D., & Gofin, R. (2011). Media Health Literacy (MHL): development and measurement of the concept among adolescents. Health Education Research, 26(2):323-335.

2011

Instrument developed to measure the concept of Media Health Literacy

3 6

Dichotomous (0/1)

1316

Focus groups were conducted along with participant media diaries to establish media health literacy conceptual model.

MHL and sources of health information: 4.12 (SD 1.65, range 1-6); MHL and health impowerment: 78.32 (SD 12.35, range 5-111, out of a potential 0-125); MHL, empowerment and health behavior: mean score 6.32 (SD 1.72, range 0-9 out of 12)

Coefficient of reproducibility was 0.90 for 5 of the 6 television segments and 0.84 for the 6th segment diamos@zahav.net.il Department of Health Education and Promotion, Clalit Health Services, 101 Arlozorov St., Tel Aviv, Israel http://www.ncbi.nlm.nih.gov/pubmed/21422003 Communication: Listener Israel No Paper and pencil, Face-to-face, Computer-based General Adolescents: 10 to 17 years English Objective 0.740

Diabetes Numeracy Test (adolescents)

DNT-14 Diabetes Numeracy Test (adolescents) Shelagh Mulvaney

Mulvaney, S., Lilley, J.S., Cavanaugh, K.L., Pittel, E.J., & Rothman, R.L. (2013). Validation of the Diabetes Numeracy Test with adolescents with Type 1 Diabetes. J of Hlth Comm, 18:(7)795-804.

2013

Adaptatation of the Diabetes Numeracy Test (DNT) to measure diabetes numeracy in adolescents (14-item version)

3 14

Percent correct

133

Instrument was adapted from the Diabetes Numeracy Test scale (15-item version) which had previously been validated for type 2 diabetes in adults. Items specific to type 2 diabeses were removed fro this version of the instrument.

In addition to receiving the DNT-14, sample completed demographic and clinical diabetes items, and the parent version of the Diabetes Family Responsibility Questionnaire as well as the Diabetes Behavior Rating Scale and Diabetes Problem Solving for Adolescents.

Kudor-Richardson reliability coefficient

shelagh.mulvaney@vanderbilt.edu Vanderbilt University Medical Center, 461 21st Avenue South, Nashville, TN, United States of America https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3817720/pdf/nihms-523257.pdf Application/function United States of America No Face-to-face Diabetes Adolescents: 10 to 17 years English Objective 0.820

Japanese Functional Health Literacy Test

JFHLT Japanese Functional Health Literacy Test Katsuyuki Nakagami

Nakagami, K., Yamauchi, T., Noguchi, H., Maeda, T., & Nakagami, T. (2013). Development and validation of a new instrument for testing functional health literacy in Japanese adults. Nurs Health Sci, 16(2):201-208.

2014

To measure functional health literacy in a clinical Japanese setting

3 16

One point scored for each correct item

0 minutes 535 12 minutes

Consultation with experts to asssess content validity and comparison with external criteria (the Japanese Health Knowledge Test)

Moderate validity with the Japanese Health Knowledge Test (J-HKT): 0.37 (P<0.001)

pellakonk@gmail.com 1-Kawasumi, Mizuho-cho, Mizuho-ku, Nagoya, Aichi, Japan http://www.ncbi.nlm.nih.gov/pubmed/23991825 http://www.healthlitt.org/HealthLiteracyMeasures/Demo/Pages/default.aspx Prose: Comprehension Japan No Paper and pencil General Older Adults: 65+ years, Adults: 18 to 64 years Japanese Objective 0.810

eHealth Literacy Scale

eHEALS eHealth Literacy Scale Cameron Norman

Norman, C., & Skinner, H. (2006). eHEALS: The eHealth Literacy Scale. J Med Internet Res, 8(4):e27.

2006

To assess consumers' perceived skills at using information technology for health and to aid in determining the fit between eHealth programs and consumers

3 8

5-point Likert scale with response options ranging from "strongly agree" to "strongly disagree"

664

Conducted literature review to develop theoretical model as well as expert and youth review of item pool and pilot testing

eHealth literacy scores were calculated at each interval time (time 1 to time 4) and were modestly correlated between administrations of the eHEALS ranging from r = 0.49 to 6.8. The intra-class correlation between the different scores was 0.49 suggesting that the eHEALS had most stability over time. cameron.norman@utoronta.ca Department of Public Health Sciences, University of Toronto, 155 College Street, Room 586, Toronto, ON, Canada http://www.ncbi.nlm.nih.gov/pubmed/17213046 Information seeking: Interactive media navigation Canada No Paper and pencil General Adolescents: 10 to 17 years English Self-reported 0.880

HIV-Related Health Literacy Scale

HIV-HL HIV-Related Health Literacy Scale Raymond Ownby

Ownby, R., Waldrop-Valverde, D., Hardigan, P., Caballero, J., Jacobs, R., & Acevedo, A. (2013) Development and validation of a brief computer-administered HIV-related Health Literacy Scale (HIV-HL). Aids Behav, 17: 710-718.

2012

The HIV-HL scale specifically targets health literacy in people treated for HIV.

2 20 1

One point scored for each correct item

120 13 minutes

Conducted pilot study to seek feedback on initial set of questions

Significantly correlated with both subtests of the TOFHLA, the Information subscale of the LifeWindows Scale, and with both immediate and delayed recall of verbal information (WMS-IV Logical Memory subtests I and II)

rjacobs@nova.edu 3200 South University Drive, Room 1477, Fort Lauderdale, FL, United States of America https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3562365/pdf/nihms406510.pdf http://www.flightvidas.org/hivhl/ Prose: Comprehension, Information seeking: Interactive media navigation, Communication: Listener United States of America No Computer-based HIV Adults: 18 to 64 years English Objective 0.690

eHealth Literacy Scale (Dutch version)

eHEALS eHealth Literacy Scale (Dutch version) Rosalie van der vaart

van der Vaart, R., van Deursen, A.J., Drossaert, C.H., Taal, E., van Dijk, J.A., & van de Laar, M.A. (2011, November 9). Does the eHealth Literay Scale (eHEALS) measure what it indends to measure? Validation of a Dutch version of the eHEALS in two adult populations. J Med Internet Res, 13(4):e86.

2011

To measure skills that Dutch health care consumers must have to obtain and evaluate online health information

1 8

Unidimensional scale; 5-point Likert scale with response options ranging from "strongly agree" to "strongly disagree"

0 minutes 277 5 minutes

Original English version of the eHEALS was translated into Dutch with forward and backward translation, according to the World Health Organization guidelines

r.vandervaart@fsw.leidenuniv.nl Leiden University, Faculty of Social Sciences, Health, Medical and Neuropsychology Unit, P.O. Box 9555, Leiden, The Netherlands http://www.ncbi.nlm.nih.gov/pubmed/22071338 /sites/default/files/webform/suggest-measure/466/ehealth20literacy20scale20-20dutch20version.pdf Information seeking: Interactive media navigation The Netherlands No Paper and pencil General Adults: 18 to 64 years Dutch Self-reported

The Short Assessment of Health Literacy for Portuguese-speaking Adults (18 item)

SAHLPA-18 The Short Assessment of Health Literacy for Portuguese-speaking Adults (18 item) Daniel Apolinario

Apolinario, D., Braga, R.C., Magaldi, R.M., et al. (2012). Short assessment of health literacy for Portuguese-speaking adults. Rev Saude Publica, 46:702–11.

2012

To assess an individual's ability to correctly pronounce and understand common medical terms

1 18 0

Sum score

226 1 minutes

Instrument derived from the validated "Short Assessment of Health Literacy for Spanish-Speaking Adults (SAHLSA)". Instrument translated from Spanish to Portuguese and then back into Spanish by independent professionals.

SAHLPA score had high correlation with formal education (Spearman's r=0.65), self-reported functional literacy (Spearman's r=0.76), and a Mini-Mental State Examination (MMSE) score (Spearman's r=0.63), all statistically significant.

95% CI 0.76; 0.96

SAHLPA-18 had satisfactory internal consistency.

daniel.apolinario@usp.br Division of Geriatrics, Department of Internal Medicine, University of São Paulo Medical School, Av. Dr. Eneas de Carvalho Aguiar, 155, 8° Andar, Bloco 3, São Paulo, SP, Brazil http://www.ncbi.nlm.nih.gov/pubmed/22782124 Prose: Pronunciation, Prose: Comprehension Brazil No Face-to-face Health Promotion Adults: 18 to 64 years Portuguese Objective 0.900

Chinese version of the eHealth Literacy Scale

C-eHEALS Chinese version of the eHealth Literacy Scale Malcolm Koo

Koo, M., Norman, C., & Chang, H.M. (2012). Psychometric evaluation of a Chinese version of the eHealth Literacy Scale (eHEALS) in school age children. International Journal of Health Education, 15:29-36.

2012

To assess consumers' combined knowledge, comfort, and percieved skills at finding, evaluating, and applying electronic health information to health problems

2 8

5-point Likert scale ranging from "strongly disagree" to "strongly agree", yielding a score for each item from 1-5

0 minutes 216

English version of the eHEALS was translated into Chinese by a bilingual Chinese-native speaker. A pilot version of the C-eHEALS was reviewed by 4 elementatry school teachers whose native language was Mandarin to explore the readability and age appropriateness of the language in the instrument. The questionnaire was also administered to 30 school children who were asked to indicate whether they understood the questions or found them difficult to answer.

m.koo@utoronto.ca Graduate Institute of Natural Healing Sciences, Nanhua University, Dalin, Chiayi, Taiwan http://eric.ed.gov/?id=EJ970361 http://js.sagamorepub.com/gjhep/article/view/4219/3690 Information seeking: Interactive media navigation Taiwan No Paper and pencil, Face-to-face Health Promotion Adolescents: 10 to 17 years Mandarin Self-reported 0.920

Test of Functional Health Literacy in Adults - Serbian

Serb-TOFHLA Test of Functional Health Literacy in Adults - Serbian Aleksandra Jović-Vraneš

Jović-Vraneš, A.,Bjegović-Mikanović, V., Marinković, J., & Vuković, D.(2014, December) Evaluation of a health literacy screening tool in primary care patients: evidence from Serbia, Health Promot Int, 29(4):601-7. doi: 10.1093/heapro/dat011.

2013

To evaluate the translated and cross-culturally adapted TOFHLA and STOFHLA in the Serbian language

3 67

Inadequate literacy (0-59), marginal literacy (60-74), and adaquate literacy (75-100)

120 22 minutes

Original English version of the TOFHLA (long and short form) was translated into the Serbian language by a multidisciplanary team. The TOFHLA was then adminstered to 10 Serbian primary care patients to verify the Serbian population understood and interpreted the Serbian version of the TOFHLA.

No statistical differences were found between the long and short form of the Serbian version of the TOHFLA.

aljivranes@yahoo.co.uk Institute of Social Medicine, Medical School Belgrade University, Dr Subotica 15, Belgrade, Serbia http://www.ncbi.nlm.nih.gov/pubmed/23445940 Prose: Comprehension, Numeracy Serbia Yes Paper and pencil General Adults: 18 to 64 years Serbian Objective

Serbian version of the Test of Functional Health Literacy in Adults Short Form (STOFHLA)

Serb-STOFHLA Serbian version of the Test of Functional Health Literacy in Adults Short Form (STOFHLA) Aleksandra Jović-Vraneš

Jović-Vraneš, A.,Bjegović-Mikanović, V., Marinković, J., & Vuković, D.(2014, December) Evaluation of a health literacy screening tool in primary care patients: evidence from Serbia, Health Promot Int, 29(4):601-7. doi: 10.1093/heapro/dat011.

2013

To evaluate the translated and cross-culturally adapted TOFHLA and STOFHLA in the Serbian language

3 36 1

Inadequate literacy (0-16), marginal literacy (17-22), and adequaate literacy (23-36)

120 7 minutes

Original English version of the TOFHLA (long and short form) was translated into the Serbian language by a multidisciplanary team. The TOFHLA was then adminstered to 10 Serbian primary care patients to verify the Serbian population understood and interpreted the Serbian version of the TOFHLA.

No statistical differences were found between the long and short form of the Serbian version of the TOHFLA.

aljivranes@yahoo.co.uk Institute of Social Medicine, Medical School Belgrade University, Dr Subotica 15, Belgrade, Serbia http://www.ncbi.nlm.nih.gov/pubmed/23445940 Prose: Comprehension Serbia Yes Paper and pencil Health Promotion Adults: 18 to 64 years Serbian Objective 0.900

Test of Functional Health Literacy for Adults (Spanish version)

TOFHLA-SPR Test of Functional Health Literacy for Adults (Spanish version) Ruth Parker

Parker, R. M., Baker, D.W., Williams, M.V., & Nurss, J. R. (1995). A new instrument for measuring patients' literacy skills. J Gen Internal Med, 10:537-541.

1995

General functional HL test using fill in the blank comprehension questions and numeric calculations

2 67 1

3 categories: inadequate, marginal, and adequate

22 minutes 203 rpark01@emory.edu Department of Medicine, Emory University School of Medicine, 69 Butler Street SE, Atlanta, GA, United States of America http://www.ncbi.nlm.nih.gov/pubmed/8576769 http://www.peppercornbooks.com/catalog/product_info.php?products_id=2514&osCsid… Prose: Comprehension, Numeracy, Information seeking: Document United States of America Yes Paper and pencil, Face-to-face General Adults: 18 to 64 years Spanish Objective 0.980

Newest Vital Sign Spanish Version

NVS-SP Newest Vital Sign Spanish Version Barry Weiss

Weiss, B.D., Mays, M.Z., Martz, W., Castro, K.M., DeWalt, D.A., Pignone, M.P., Mockbee, J., & Hale, F.A. (2005). Quick assessment of literacy in primary care: the newest vital sign. Ann Fam Med, 3(6):514-22.

2005

General health literacy test using an ice cream nutritional label; Spanish version also available

1 6

Sum score (0–6) categorized, with (0–1) high likelihood limited literacy, (2–3) possibility of limited literacy, and (4–6) adequate literacy

0 minutes 148 3 minutes

Convergent: TOFHLA, r=0.56; ROC¥ analysis: vs. TOFHLA: AUROC=0.72 Spanish ver.; cut-off score = 4; 100% sensitivity; 64% specificity

bdweiss@u.arizona.edu University of Arizona College of Medicine, Department of Family and Community Medicine, Tucson, AZ, United States of America https://www.ncbi.nlm.nih.gov/pmc/articles/PMC1466931/pdf/0030514.pdf /sites/default/files/webform/suggest-measure/496/320-20newest20vital20sign20nutrition20label20spanish.pdf Prose: Comprehension, Numeracy United States of America Yes Face-to-face Nutrition Adults: 18 to 64 years Spanish Objective

Health Literacy Skills Instrument

HLSI Health Literacy Skills Instrument Lauren McCormack

McCormack, L., Bann, C., Squiers, L., Berkman, N., Squire, C., Schillinger, D., Ohene-Frempong, J., & Hibbard, J. Measuring health literacy: A pilot study of a new skills-based Instrument, Journal of Health Communication, 15:51-71.

2010

An instrument to measure health literacy using a skills-based approach

4 25

Percentage of items scored correctly, with 3 categories used for overall scoring on the instrument: proficient literacy (score of 82 or more), basic literacy (score of 70-81), and below basic literacy (score of 70 or less)

889 12 minutes

Expert panel included in development process. Uses real world stimuli as part of items. Development included user pre-testing.

As hypothesized, the HLSI was moderated correlated with the S-TOFHLA (r=0.36). Correlations between the health literacy domains in the HLSI and the S-TOFHLA were highest for the print-prose, print-document, and print-quantitative skill area and much lower for the Internet and oral literacy domains as expected.

Lmac@rti.org RTI International, 3040 Cornwallis Road, Research Triangle Park, NC, United States of America http://www.ncbi.nlm.nih.gov/pubmed/20845193 https://www.rti.org/impact/health-literacy-skills-instrument-hlsi Prose: Comprehension, Numeracy, Information seeking: Document, Application/function United States of America Yes Computer-based Health Promotion Adults: 18 to 64 years English Objective 0.860

Development and Validation of the Rapid Estimate of Adolescent Literacy in Medicine (REALM-Teen)

REALM-Teen Development and Validation of the Rapid Estimate of Adolescent Literacy in Medicine (REALM-Teen) Terry Davis

Davis, T., Wolf, M., Arnold, C., Byrd, R., Long, S., Springer, T., Kennen, E., & Bocchini, J. Development and validation of the rapid estimate of adolescent literacy in medicin (REALM-Teen): A tool to screen adolescents for below grade reading in health care settings.

2006

A word recognition test in English that can be used as a brief literacy-screening tool in health care settings

1 66 0

5 categories: score of 0-105 = below 3rd grade, 106-139 = 4th-5th grade, 140-169 = 6th-7th grade, 170-183 = 8th-9th grade, and 184-213 = 10th or above

0 minutes 1533 2 minutes

Words taken from AAP adolescent patient education materials

Based on correlations b/t REALM-teen raw scores and the SORT-R (r=0.93) and WRAT-3 raw scores (r=0.83).

0.98 Terry.davis@lsuhs.edu 1501 Kings Highway, Shreveport, LA, United States of America http://www.ncbi.nlm.nih.gov/pubmed/17142495 /sites/default/files/webform/suggest-measure/6/realm20teen20-20word20list.pdf Prose: Pronunciation United States of America Yes Face-to-face Health Promotion Adolescents: 10 to 17 years English Objective 0.940

Short Assessment of Health Literacy-Spanish & English (SAHL-S&E)

SAHLE Short Assessment of Health Literacy-Spanish & English (SAHL-S&E) Shoou-Yih Lee

Lee, S.Y., Stucky, B.D., Lee, J.Y., Rozier, R.G., & Bender, D.E. (2010, August). Short assessment of health literacy-Spanish and English: a comparable test of health literacy for Spanish and English speakers. Health Serv Res, 45(4):1105-20.

2010

General medical word recognition and matching test, shortened (18 items)

2 18

2 categories: <15 is inadequate

403 2 minutes

Word recognition test: English version was correlated against the REALM and English TOFHLA.

Convergent (SAHL-E): REALM r=0.94 and TOFHLA r=0.68

α = 0.89 English version

leesd@vcu.edu Department of Health Administration, VCU College of Health Professions, 900 E. Leigh, Richmond, VA, United States of America http://www.ncbi.nlm.nih.gov/pubmed/20500222 http://www.ahrq.gov/professionals/quality-patient-safety/quality-resources/tool… Prose: Pronunciation, Information seeking: Interactive media navigation United States of America Yes Paper and pencil, Face-to-face General Adults: 18 to 64 years English Objective
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