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
Hauptverfasser: Morrison, Andrea K., Schapira, Marilyn M., Hoffmann, Raymond G., Brousseau, David C.
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container_end_page 1270
container_issue 13
container_start_page 1264
container_title Clinical pediatrics
container_volume 53
creator Morrison, Andrea K.
Schapira, Marilyn M.
Hoffmann, Raymond G.
Brousseau, David C.
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.
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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 &lt; .0001). This finding was demonstrated in both lower (P = .01) and higher (P &lt; .001) educational attainment groups. The NVS was predictive of ED use outcomes (P = .02 and P &lt; .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. 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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 &lt; .0001). This finding was demonstrated in both lower (P = .01) and higher (P &lt; .001) educational attainment groups. The NVS was predictive of ED use outcomes (P = .02 and P &lt; .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. 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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 &lt; .0001). This finding was demonstrated in both lower (P = .01) and higher (P &lt; .001) educational attainment groups. The NVS was predictive of ED use outcomes (P = .02 and P &lt; .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. 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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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