Optimal health literacy measurement for the clinical setting: A systematic review

Duell, Paul, Wright, David, Renzaho, Andre M N and Bhattacharya, Debi (2015) Optimal health literacy measurement for the clinical setting: A systematic review. Patient Education and Counseling, 98 (11). pp. 1295-1307. ISSN 0738-3991

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Objective To identify the optimal measurement instrument for assessing health literacy in a clinical setting. Methods Seven databases were searched for studies evaluating health literacy instruments used with patients. Standardised systematic review methods were used by two reviewers independently assessing eligibility, extracting data and evaluating study quality. A narrative summary was produced. Results The searches identified 626 articles of which 64 were eligible. Forty-three different health literacy instruments were identified. The quality of these instruments, based on their psychometric properties, varied considerably. The majority of health literacy instruments were found to only assess communicative health literacy. A problem identified within the systematic review was the inconsistent inclusion of a numeracy measuring element within the health literacy instruments used. The NVS instrument was found to be the most practical health literacy instrument to use. Conclusion There is an urgent need to develop and psychometrically test a more encompassing health literacy instrument applicable in clinical settings as well as health promotion in general. Practice implications In the absence of a more comprehensive health literacy instrument, the NVS is a practical instrument to quickly assess for health literacy in a clinical setting.

Item Type: Article
Uncontrolled Keywords: health literacy
Faculty \ School: Faculty of Science > School of Pharmacy
Depositing User: Pure Connector
Date Deposited: 05 Jan 2016 13:00
Last Modified: 22 Apr 2020 00:05
URI: https://ueaeprints.uea.ac.uk/id/eprint/56009
DOI: 10.1016/j.pec.2015.04.003

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