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首页> 外文期刊>Health education & behavior: the official publication of the Society for Public Health Education >Screening Hospitalized Patients for Low Health Literacy: Beyond the REALM of Possibility?
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Screening Hospitalized Patients for Low Health Literacy: Beyond the REALM of Possibility?

机译：对低健康筛查住院病人识字:超越可能性范围的?

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As patient-centered education efforts increase, assessing health literacy (HL) becomes more salient. The verbal Brief Health Literacy Screen (BHLS) may have clinical and feasibility advantages over written tools, including the Rapid Estimate of Adult Literacy in Medicine-Revised (REALM-R) and Short Test of Functional Health Literacy in Adults (S-TOFHLA); however, the BHLS's utility among inpatients remains unresolved. Hospitalized adults were enrolled; HL was assessed using three tools. Categorical comparisons used chi-square; area under the receiver operating characteristic curve was calculated (reference: REALM-R). The prevalence of low HL among participants (n = 260) was higher for the BHLS than S-TOFHLA (29% vs. 17%, p < .001) and higher for the REALM-R than both the BHLS (44% vs. 29%, p = .004) and S-TOFHLA (44% vs. 17%, p < .001). The areas under the receiver operating characteristic curve were.58 for BHLS and .66 for S-TOFHLA. The different prevalence of low HL among the participants based on each tool likely reflects the complexity of measuring HL and differing domains captured by each tool. The BHLS can be considered a viable inpatient HL screening tool, given its increased feasibility and verbal administration.
机译：以病人为中心的教育努力增加,评估健康素质(HL)变得更加突出。(BHLS)可能有临床和可行性优势写工具,包括成人识字率的快速估计Medicine-Revised (REALM-R)和短的考验功能性健康成人识字率(S-TOFHLA);然而,BHLS住院病人之间的效用仍未得到解决。登记;分类比较采用卡方检验;接受者操作特性曲线计算(参考:REALM-R)。患病率较低的HL参与者(n = 260)为BHLS高于S-TOFHLA (29% vs。17%, p <措施)和更高的REALM-R比BHLS(44%比29%,p = 04)S-TOFHLA(44%比17%,p <措施)。接受者操作特性曲线是。不同的低HL在流行根据每个工具可能反映了参与者测量HL和不同的复杂性域被每个工具。考虑一个可行的住院HL筛查工具,鉴于其可行性和口头增加管理。

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