Rapid Estimate of Inadequate Health Literacy (REIHL): development and validation of a practitioner-friendly health literacy screening tool for older adults

Introduction: This study aimed to develop and validate a brief practitioner-friendly health literacy screening tool, called Rapid Estimate of Inadequate Health Literacy (REIHL), that estimates patients’ health literacy inadequacy in demanding clinical settings. Methods: This is a methodological stud...

Full description

Saved in:
Bibliographic Details
Published in:Hong Kong medical journal = Xianggang yi xue za zhi 2020-10, Vol.26 (5), p.404-412
Main Authors: Leung, Angela YM, Yu, Esther YT, James KH Luk, Chau, PH, Levin-Zamir, Diane, Isaac SH Leung, Cheung, K T, Chi, Iris
Format: Article
Language:English
Subjects:
Achievement tests
Adults
Age
Chronic illnesses
Diabetes
Health education
Health literacy
Mental depression
Older people
Patients
Sociodemographics
Validity
Online Access:Get full text
Tags: Add Tag
No Tags, Be the first to tag this record!
Description
Summary:Introduction: This study aimed to develop and validate a brief practitioner-friendly health literacy screening tool, called Rapid Estimate of Inadequate Health Literacy (REIHL), that estimates patients’ health literacy inadequacy in demanding clinical settings. Methods: This is a methodological study of 304 community-dwelling older adults recruited from one community health centre and five district elderly community centres. Logistic regression models were used to identify the coefficients of the REIHL score’s significant factors. Receiver operating characteristic (ROC) curve analysis was then used to assess the REIHL’s sensitivity and specificity. Path analysis was employed to examine the REIHL’s criterion validity with the Chinese Health Literacy Scale for Chronic Care and concurrent validity with self-rated health scale and the Geriatric Depression Scale–15. Results: The REIHL has scores ranging from 0 to 23. It had 76.9% agreement with the Chinese Health Literacy Scale for Chronic Care. The area under the ROC curve for predicting health literacy inadequacy was 0.82 (95% confidence interval=0.78-0.87, P
ISSN:1024-2708
2226-8707
DOI:10.12809/hkmj208395