Measuring Health Literacy in Caregivers of Children: A Comparison of the Newest Vital Sign and S-TOFHLA
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...
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Veröffentlicht in: | Clinical pediatrics 2014-11, Vol.53 (13), p.1264-1270 |
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description | 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. |
doi_str_mv | 10.1177/0009922814541674 |
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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.</description><identifier>ISSN: 0009-9228</identifier><identifier>EISSN: 1938-2707</identifier><identifier>DOI: 10.1177/0009922814541674</identifier><identifier>PMID: 25006116</identifier><identifier>CODEN: CPEDAM</identifier><language>eng</language><publisher>Los Angeles, CA: SAGE Publications</publisher><subject>Adult ; Caregivers ; Child ; Child, Preschool ; Children & youth ; Comparative analysis ; Cross-Sectional Studies ; Educational Measurement ; Female ; Health education ; Health Literacy ; Humans ; Infant ; Infant, Newborn ; Literacy ; Male ; Pediatrics ; United States</subject><ispartof>Clinical pediatrics, 2014-11, Vol.53 (13), p.1264-1270</ispartof><rights>The Author(s) 2014</rights><rights>The Author(s) 2014.</rights><rights>Copyright Westminster Publications, Inc. Nov 2014</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><cites>FETCH-LOGICAL-c373t-56e7b656ce318277eab21f862876447b41afad67431723e175721ff6eafc60b13</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://journals.sagepub.com/doi/pdf/10.1177/0009922814541674$$EPDF$$P50$$Gsage$$H</linktopdf><linktohtml>$$Uhttps://journals.sagepub.com/doi/10.1177/0009922814541674$$EHTML$$P50$$Gsage$$H</linktohtml><link.rule.ids>230,314,780,784,885,21819,27924,27925,43621,43622</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/25006116$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Morrison, Andrea K.</creatorcontrib><creatorcontrib>Schapira, Marilyn M.</creatorcontrib><creatorcontrib>Hoffmann, Raymond G.</creatorcontrib><creatorcontrib>Brousseau, David C.</creatorcontrib><title>Measuring Health Literacy in Caregivers of Children: A Comparison of the Newest Vital Sign and S-TOFHLA</title><title>Clinical pediatrics</title><addtitle>Clin Pediatr (Phila)</addtitle><description>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.</description><subject>Adult</subject><subject>Caregivers</subject><subject>Child</subject><subject>Child, Preschool</subject><subject>Children & youth</subject><subject>Comparative analysis</subject><subject>Cross-Sectional Studies</subject><subject>Educational Measurement</subject><subject>Female</subject><subject>Health education</subject><subject>Health Literacy</subject><subject>Humans</subject><subject>Infant</subject><subject>Infant, Newborn</subject><subject>Literacy</subject><subject>Male</subject><subject>Pediatrics</subject><subject>United States</subject><issn>0009-9228</issn><issn>1938-2707</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2014</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNp1kc9LwzAUx4Mobk7vnqTgxUs1L2mT9iJIUSdMvOg5pN3rltG1M2kH--9N2Rxz4Okdvp_3fT--hFwDvQeQ8oFSmqaMJRDFEQgZnZAhpDwJmaTylAx7Oez1AblwbkEpcBrzczJgMaUCQAwJf0ftOmvqWTBGXbXzYGJatLrYBKYOMm1xZtZoXdCUQTY31dRifUnOSl05vNrVEfl6ef7MxuHk4_Ute5qEBZe8DWOBMhexKJBDwqREnTMoE8ESKaJI5hHoUk_91hwk4wgyll4vBeqyEDQHPiKPW99Vly9xWmDdWl2plTVLbTeq0Ub9VWozV7NmrSL_jMh7jsjdzsA23x26Vi2NK7CqdI1N5xQImnIqOe1n3R6hi6aztT_PUxAzkcRp6im6pQrbOGex3C8DVPWJqONEfMvN4RH7ht8IPBBuAadneDD1P8Mf-g6RFA</recordid><startdate>20141101</startdate><enddate>20141101</enddate><creator>Morrison, Andrea K.</creator><creator>Schapira, Marilyn M.</creator><creator>Hoffmann, Raymond G.</creator><creator>Brousseau, David C.</creator><general>SAGE Publications</general><general>Westminster Publications, Inc</general><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7QP</scope><scope>7QR</scope><scope>7T5</scope><scope>7TK</scope><scope>7U9</scope><scope>8FD</scope><scope>FR3</scope><scope>H94</scope><scope>K9.</scope><scope>M7N</scope><scope>NAPCQ</scope><scope>P64</scope><scope>7X8</scope><scope>5PM</scope></search><sort><creationdate>20141101</creationdate><title>Measuring Health Literacy in Caregivers of Children</title><author>Morrison, Andrea K. ; Schapira, Marilyn M. ; Hoffmann, Raymond G. ; Brousseau, David C.</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c373t-56e7b656ce318277eab21f862876447b41afad67431723e175721ff6eafc60b13</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2014</creationdate><topic>Adult</topic><topic>Caregivers</topic><topic>Child</topic><topic>Child, Preschool</topic><topic>Children & youth</topic><topic>Comparative analysis</topic><topic>Cross-Sectional Studies</topic><topic>Educational Measurement</topic><topic>Female</topic><topic>Health education</topic><topic>Health Literacy</topic><topic>Humans</topic><topic>Infant</topic><topic>Infant, Newborn</topic><topic>Literacy</topic><topic>Male</topic><topic>Pediatrics</topic><topic>United States</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Morrison, Andrea K.</creatorcontrib><creatorcontrib>Schapira, Marilyn M.</creatorcontrib><creatorcontrib>Hoffmann, Raymond G.</creatorcontrib><creatorcontrib>Brousseau, David C.</creatorcontrib><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>Calcium & Calcified Tissue Abstracts</collection><collection>Chemoreception Abstracts</collection><collection>Immunology Abstracts</collection><collection>Neurosciences Abstracts</collection><collection>Virology and AIDS Abstracts</collection><collection>Technology Research Database</collection><collection>Engineering Research Database</collection><collection>AIDS and Cancer Research Abstracts</collection><collection>ProQuest Health & Medical Complete (Alumni)</collection><collection>Algology Mycology and Protozoology Abstracts (Microbiology C)</collection><collection>Nursing & Allied Health Premium</collection><collection>Biotechnology and BioEngineering Abstracts</collection><collection>MEDLINE - Academic</collection><collection>PubMed Central (Full Participant titles)</collection><jtitle>Clinical pediatrics</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Morrison, Andrea K.</au><au>Schapira, Marilyn M.</au><au>Hoffmann, Raymond G.</au><au>Brousseau, David C.</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Measuring Health Literacy in Caregivers of Children: A Comparison of the Newest Vital Sign and S-TOFHLA</atitle><jtitle>Clinical pediatrics</jtitle><addtitle>Clin Pediatr (Phila)</addtitle><date>2014-11-01</date><risdate>2014</risdate><volume>53</volume><issue>13</issue><spage>1264</spage><epage>1270</epage><pages>1264-1270</pages><issn>0009-9228</issn><eissn>1938-2707</eissn><coden>CPEDAM</coden><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.</abstract><cop>Los Angeles, CA</cop><pub>SAGE Publications</pub><pmid>25006116</pmid><doi>10.1177/0009922814541674</doi><tpages>7</tpages></addata></record> |
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subjects | Adult Caregivers Child Child, Preschool Children & youth Comparative analysis Cross-Sectional Studies Educational Measurement Female Health education Health Literacy Humans Infant Infant, Newborn Literacy Male Pediatrics United States |
title | Measuring Health Literacy in Caregivers of Children: A Comparison of the Newest Vital Sign and S-TOFHLA |
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