How Do Subjective Health Literacy Measures Work in Young Adults? Specifying 'Online' or 'Paper-Based' Forms Impacts Results
| Autor: | Sydney E. Philpott-Streiff, Lindsay N. Fuzzell, Courtney Goodwin, Mary C. Politi, Angela Fagerlin, Xuechen Wang, Kimberly A. Kaphingst |
|---|---|
| Rok vydání: | 2020 |
| Předmět: |
young adults
media_common.quotation_subject Population Health literacy Article Literacy 03 medical and health sciences 0302 clinical medicine Numeracy 030212 general & internal medicine Young adult education media_common lcsh:R5-920 education.field_of_study Health Policy Public Health Environmental and Occupational Health Paper based Comprehension 030220 oncology & carcinogenesis measurement Health information lcsh:Medicine (General) Psychology health literacy Clinical psychology |
| Zdroj: | MDM Policy & Practice, Vol 5 (2020) MDM Policy & Practice |
| ISSN: | 2381-4683 |
| Popis: | Purpose. There is no gold-standard health literacy measure. The Single Item Literacy Screener (SILS) and Subjective Literacy Screener (SLS) ask people to self-report ability to understand health information. They were developed in older adults, before common use of electronic health information. This study explored whether the SILS and SLS related to objective literacy, numeracy, and comprehension among young adults, and whether specifying “online” or “paper-based” wording affected these relationships. Methods. Eligible individuals (18–35 years of age, English-speaking, US residents) from an online survey company were randomized to 1) original measures; 2) measures adding “paper-based” to describe health information/forms; or 3) measures adding “online” to describe health information/forms. We examined how each measure related to e-Health Literacy (eHEALS), subjective numeracy (SNS), objective numeracy (ONS), and comprehension of a short passage. Results. A total of 848/1342 respondents correctly answered attention-checks and were analyzed. The validated SILS related to comprehension ( P = 0.003), eHEALS ( P = 0.04), and ONS ( P < 0.001) but not SNS ( P = 0.44). When adding “paper-based,” SILS related to eHEALS ( P < 0.001) and ONS ( P = 0.003) but did not relate to comprehension ( P = 0.25) or SNS ( P = 0.35). When adding “online,” SILS related to comprehension ( P < 0.001), eHEALS ( P < 0.001), ONS ( P = 0.005), and SNS ( P = 0.03). The validated SLS related to comprehension ( P < 0.001), eHEALS ( P < 0.001), ONS ( P < 0.001), and SNS ( P < 0.001). When adding “paper-based,” the SLS only related to eHEALS ( P = |
| Databáze: | OpenAIRE |
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