Measuring adult literacy in health care: Performance of the newest vital sign

Chandra Y. Osborn; Barry D. Weiss; Terry C. Davis; Silvia Skripkauskas; Christopher Rodrigue; Pat F. Bass; Michael S. Wolf

doi:10.5993/ajhb.31.s1.6

Measuring adult literacy in health care: Performance of the newest vital sign

Chandra Y. Osborn^*, Barry D. Weiss, Terry C. Davis, Silvia Skripkauskas, Christopher Rodrigue, Pat F. Bass, Michael S. Wolf

^*Corresponding author for this work

Medicine, General Medicine Division

Research output: Contribution to journal › Article › peer-review

152 Scopus citations

Abstract

Objective: To compare performance of the newest vital sign (NVS) with existing literacy measures. Methods: We administered the NVS and REALM to 129 patients, and NVS and S-TOFHLA to 119 patients all in public clinics. Results: The NVS demonstrated high sensitivity for detecting limited literacy and moderate specificity (area under the receiver operating characteristic [AUROC] curve 0.71-0.73). The NVS was less effective than the S-TOFHLA for predicting health outcomes. Con-clusion: The NVS is able to identify patients with limited literacy skills, but may misclassify those with adequate literacy according to the REALM and S-TOFHLA. NVS scores were not associated with health outcomes.

Original language	English (US)
Pages (from-to)	s36-s46
Journal	American Journal of Health Behavior
Volume	31
Issue number	SUPPL. 1
DOIs	https://doi.org/10.5993/ajhb.31.s1.6
State	Published - 2007

Keywords

Health literacy
Literacy
Measurement
Newest vital sign
Outcomes
Screening

ASJC Scopus subject areas

Health(social science)
Public Health, Environmental and Occupational Health
Social Psychology

UN SDGs

This output contributes to the following UN Sustainable Development Goals (SDGs)

Access to Document

10.5993/ajhb.31.s1.6

Cite this

@article{cdd61198e2124f61b5acb19bd693848b,

title = "Measuring adult literacy in health care: Performance of the newest vital sign",

abstract = "Objective: To compare performance of the newest vital sign (NVS) with existing literacy measures. Methods: We administered the NVS and REALM to 129 patients, and NVS and S-TOFHLA to 119 patients all in public clinics. Results: The NVS demonstrated high sensitivity for detecting limited literacy and moderate specificity (area under the receiver operating characteristic [AUROC] curve 0.71-0.73). The NVS was less effective than the S-TOFHLA for predicting health outcomes. Con-clusion: The NVS is able to identify patients with limited literacy skills, but may misclassify those with adequate literacy according to the REALM and S-TOFHLA. NVS scores were not associated with health outcomes.",

keywords = "Health literacy, Literacy, Measurement, Newest vital sign, Outcomes, Screening",

author = "Osborn, {Chandra Y.} and Weiss, {Barry D.} and Davis, {Terry C.} and Silvia Skripkauskas and Christopher Rodrigue and Bass, {Pat F.} and Wolf, {Michael S.}",

year = "2007",

doi = "10.5993/ajhb.31.s1.6",

language = "English (US)",

volume = "31",

pages = "s36--s46",

journal = "American Journal of Health Behavior",

issn = "1087-3244",

publisher = "PNG Publications",

number = "SUPPL. 1",

}

TY - JOUR

T1 - Measuring adult literacy in health care

T2 - Performance of the newest vital sign

AU - Osborn, Chandra Y.

AU - Weiss, Barry D.

AU - Davis, Terry C.

AU - Skripkauskas, Silvia

AU - Rodrigue, Christopher

AU - Bass, Pat F.

AU - Wolf, Michael S.

PY - 2007

Y1 - 2007

N2 - Objective: To compare performance of the newest vital sign (NVS) with existing literacy measures. Methods: We administered the NVS and REALM to 129 patients, and NVS and S-TOFHLA to 119 patients all in public clinics. Results: The NVS demonstrated high sensitivity for detecting limited literacy and moderate specificity (area under the receiver operating characteristic [AUROC] curve 0.71-0.73). The NVS was less effective than the S-TOFHLA for predicting health outcomes. Con-clusion: The NVS is able to identify patients with limited literacy skills, but may misclassify those with adequate literacy according to the REALM and S-TOFHLA. NVS scores were not associated with health outcomes.

AB - Objective: To compare performance of the newest vital sign (NVS) with existing literacy measures. Methods: We administered the NVS and REALM to 129 patients, and NVS and S-TOFHLA to 119 patients all in public clinics. Results: The NVS demonstrated high sensitivity for detecting limited literacy and moderate specificity (area under the receiver operating characteristic [AUROC] curve 0.71-0.73). The NVS was less effective than the S-TOFHLA for predicting health outcomes. Con-clusion: The NVS is able to identify patients with limited literacy skills, but may misclassify those with adequate literacy according to the REALM and S-TOFHLA. NVS scores were not associated with health outcomes.

KW - Health literacy

KW - Literacy

KW - Measurement

KW - Newest vital sign

KW - Outcomes

KW - Screening

UR - http://www.scopus.com/inward/record.url?scp=34548568991&partnerID=8YFLogxK

UR - http://www.scopus.com/inward/citedby.url?scp=34548568991&partnerID=8YFLogxK

U2 - 10.5993/ajhb.31.s1.6

DO - 10.5993/ajhb.31.s1.6

M3 - Article

C2 - 17931135

AN - SCOPUS:34548568991

SN - 1087-3244

VL - 31

SP - s36-s46

JO - American Journal of Health Behavior

JF - American Journal of Health Behavior

IS - SUPPL. 1

ER -

Measuring adult literacy in health care: Performance of the newest vital sign

Abstract

Keywords

ASJC Scopus subject areas

UN SDGs

Access to Document

Other files and links

Fingerprint

Cite this