235574 Comparison of two screening methods to assess limited health literacy among Chinese adults

Tuesday, November 1, 2011

Li-Chun Chang , Department of Nursing, Chang-Gung University of Science and Technology, Taoyuan County 33303, Taiwan, ROC., Taiwan
We performed this study to assess the levels of health literacy by using Rapid Estimate of Adult Literacy in Medicine (REALM) and Chinese version of short version of TOFHLA (C-S-TOFHLA) for Chinese Adults. Participants (n=309) from two hospitals and four communities completed in-person Interviews. REALM and S-TOFHLA tests were translated and modified into the Chinese language by translation-back translation process. The c-sTOFHLAd had good internal consistency reliability (Conbrach's alpha = .85) and excellent test-retest reliability (r= .95, p< .001). The prevalence of inadequate health literacy for C-S-TOFHLA and REALM were 8.9% and 9.2%, respectively. Area under the receiver operating characteristic curve for predicting inadequate health literacy was 0.74 [95% confidence interval (CI), 0.650.75; P < 0.001] for the S-TOFHLA Chinese version and 0.67 (95% CI, 0.630.73; P < 0.001) for the REALM Chinese version. Individual with inadequate health literacy would be more likely to smoke, did not know information from health professionals and has depressive feeling. The S-TOFHLA Chinese version has good reliability and validity and it could be used in the clinical or community setting to screen for low health literacy among Chinese adults.

KEY WORDS: health literacy, prevalence, measurement, Chinese adults

Learning Areas:
Public health or related education
Public health or related nursing

Learning Objectives:
1.Leaners will know the validity and reliability of Chinese version of short version of TOFHLA (C-S-TOFHLA) and Rapid Estimate of Adult Literacy in Medicine (REALM). 2.Leaners will know the prevalence of low health literacy by using REALM and C-S-TOFHLA for Chinese Adults. 3.Leaners will know whether is the effective tool between the two measurements in detecting inadequate health literacy. 4.Learners will know the impact of health literacy on health for Chinese adults.

Keywords: Adult Health, Health Literacy

Presenting author's disclosure statement:

Qualified on the content I am responsible for because: I am qualified to present because I conducted a series of the programs such as health literacy assessment for adolescents and intervention for enhancing health literacy for adults in Taiwan
Any relevant financial relationships? No

I agree to comply with the American Public Health Association Conflict of Interest and Commercial Support Guidelines, and to disclose to the participants any off-label or experimental uses of a commercial product or service discussed in my presentation.