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Volumn 19, Issue , 2014, Pages 302-333

Health literacy measurement: An inventory and descriptive summary of 51 instruments

Author keywords

[No Author keywords available]

Indexed keywords

EDUCATION; HEALTH LITERACY; HUMAN; PROCEDURES; PSYCHOMETRY; REPRODUCIBILITY; STATISTICS AND NUMERICAL DATA;

EID: 84908149929     PISSN: 10810730     EISSN: 10870415     Source Type: Journal    
DOI: 10.1080/10810730.2014.936571     Document Type: Review
Times cited : (301)

References (87)
  • 1
    • 33646342228 scopus 로고    scopus 로고
    • The case for development of a new test of health literacy
    • Agre, P., Stieglitz, E., &, Milstein, G. (2006). The case for development of a new test of health literacy. Oncology Nursing Forum, 33, 283-289.
    • (2006) Oncology Nursing Forum , vol.33 , pp. 283-289
    • Agre, P.1    Stieglitz, E.2    Milstein, G.3
  • 10
    • 4444378670 scopus 로고    scopus 로고
    • Brief questions to identify patients with inadequate health literacy
    • Chew, L. D., Bradley, K. A., &, Boyko, E. J. (2004). Brief questions to identify patients with inadequate health literacy. Family Medicine, 36, 588-594.
    • (2004) Family Medicine , vol.36 , pp. 588-594
    • Chew, L.D.1    Bradley, K.A.2    Boyko, E.J.3
  • 11
    • 84872392201 scopus 로고    scopus 로고
    • All Aspects of Health Literacy Scale (AAHLS): Developing a tool to measure functional, communicative and critical health literacy in primary healthcare settings
    • Chinn, D., &, McCarthy, C. (2013). All Aspects of Health Literacy Scale (AAHLS): Developing a tool to measure functional, communicative and critical health literacy in primary healthcare settings. Patient Education and Counseling, 90, 247-253.
    • (2013) Patient Education and Counseling , vol.90 , pp. 247-253
    • Chinn, D.1    McCarthy, C.2
  • 12
    • 84870841448 scopus 로고    scopus 로고
    • Functional health literacy in Switzerland-Validation of a German, Italian, and French health literacy test
    • Connor, M., Mantwill, S., &, Schulz, P. J. (2013). Functional health literacy in Switzerland-Validation of a German, Italian, and French health literacy test. Patient Education and Counseling, 90, 12-17.
    • (2013) Patient Education and Counseling , vol.90 , pp. 12-17
    • Connor, M.1    Mantwill, S.2    Schulz, P.J.3
  • 15
    • 33947111835 scopus 로고    scopus 로고
    • Development and validation of the Rapid Estimate of Adolescent Literacy in Medicine (REALM-Teen): A tool to screen adolescents for below-grade reading in health care settings
    • Davis, T. C., Wolf, M. S., Arnold, C. L., Byrd, R. S., Long, S. W., Springer, T.,., Bocchini, J. A. (2006). Development and validation of the Rapid Estimate of Adolescent Literacy in Medicine (REALM-Teen): A tool to screen adolescents for below-grade reading in health care settings. Pediatrics, 118, e1707-e1714.
    • (2006) Pediatrics , vol.118 , pp. 1707-e1714
    • Davis, T.C.1    Wolf, M.S.2    Arnold, C.L.3    Byrd, R.S.4    Long, S.W.5    Springer, T.6    Bocchini, J.A.7
  • 16
    • 33847203945 scopus 로고    scopus 로고
    • Development of a reliable and construct valid measure of nutritional literacy in adults
    • Diamond, J. J. (2007). Development of a reliable and construct valid measure of nutritional literacy in adults. Nutrition Journal, 6, 5.
    • (2007) Nutrition Journal , vol.6 , pp. 5
    • Diamond, J.J.1
  • 17
    • 37848999038 scopus 로고    scopus 로고
    • The rapid estimate of adult literacy in genetics (REAL-G): A means to assess literacy deficits in the context of genetics
    • Erby, L. H., Roter, D., Larson, S., &, Cho, J. (2008). The rapid estimate of adult literacy in genetics (REAL-G): A means to assess literacy deficits in the context of genetics. American Journal of Medical Genetics Part A, 146A, 174-181.
    • (2008) American Journal of Medical Genetics Part A , vol.146 A , pp. 174-181
    • Erby, L.H.1    Roter, D.2    Larson, S.3    Cho, J.4
  • 18
    • 71649098207 scopus 로고    scopus 로고
    • European Commission Commission of the European Communities. Retrieved from
    • European Commission. (2007). Together for health: A strategic approach for the EU 2008-2013. Commission of the European Communities. Retrieved from http://ec.europa.eu/health/ph-overview/Documents/strategy-wp-en.pdf
    • (2007) Together for Health: A Strategic Approach for the EU 2008-2013
  • 20
    • 0013397206 scopus 로고    scopus 로고
    • Foundation for Critical Thinking Retrieved from
    • Foundation for Critical Thinking. (2013). Defining critical thinking. Retrieved from http://www.criticalthinking.org/pages/defining-critical-thinking/766
    • (2013) Defining Critical Thinking
  • 22
    • 84884219211 scopus 로고    scopus 로고
    • Establishing content validity for the Nutrition Literacy Assessment Instrument
    • Gibbs, H., &, Chapman-Novakofski, K. (2013). Establishing content validity for the Nutrition Literacy Assessment Instrument. Preventing Chronic Disease, 10, E109.
    • (2013) Preventing Chronic Disease , vol.10 , pp. 109
    • Gibbs, H.1    Chapman-Novakofski, K.2
  • 25
    • 80053472411 scopus 로고    scopus 로고
    • Health literacy assessment using talking touchscreen technology (Health LiTT): A new item response theory-based measure of health literacy
    • Hahn, E. A., Choi, S. W., Griffith, J. W., Yost, K. J., &, Baker, D. W. (2011). Health literacy assessment using talking touchscreen technology (Health LiTT): A new item response theory-based measure of health literacy. Journal of Health Communication, 16 (Suppl. 3), 150-162.
    • (2011) Journal of Health Communication , vol.16 , pp. 150-162
    • Hahn, E.A.1    Choi, S.W.2    Griffith, J.W.3    Yost, K.J.4    Baker, D.W.5
  • 26
    • 51649129961 scopus 로고    scopus 로고
    • The Demographic Assessment for Health Literacy (DAHL): A new tool for estimating associations between health literacy and outcomes in national surveys
    • Hanchate, A. D., Ash, A. S., Gazmararian, J. A., Wolf, M. S., &, Paasche-Orlow, M. K. (2008). The Demographic Assessment for Health Literacy (DAHL): A new tool for estimating associations between health literacy and outcomes in national surveys. Journal of General Internal Medicine, 23, 1561-1566.
    • (2008) Journal of General Internal Medicine , vol.23 , pp. 1561-1566
    • Hanchate, A.D.1    Ash, A.S.2    Gazmararian, J.A.3    Wolf, M.S.4    Paasche-Orlow, M.K.5
  • 27
    • 0031065073 scopus 로고    scopus 로고
    • Developing a medical achievement reading test to evaluate patient literacy skills: A preliminary study
    • Hanson-Divers, E. C. (1997). Developing a medical achievement reading test to evaluate patient literacy skills: A preliminary study. Journal of Health Care for the Poor and Underserved, 8, 56-69.
    • (1997) Journal of Health Care for the Poor and Underserved , vol.8 , pp. 56-69
    • Hanson-Divers, E.C.1
  • 28
    • 84867534248 scopus 로고    scopus 로고
    • Measurement variation across health literacy assessments: Implications for assessment selection in research and practice
    • Haun, J., Luther, S., Dodd, V., &, Donaldson, P. (2012). Measurement variation across health literacy assessments: Implications for assessment selection in research and practice. Journal of Health Communication, 17 (Suppl. 3), 141-159.
    • (2012) Journal of Health Communication , vol.17 , pp. 141-159
    • Haun, J.1    Luther, S.2    Dodd, V.3    Donaldson, P.4
  • 29
    • 84857305135 scopus 로고    scopus 로고
    • Testing a health literacy screening tool: Implications for utilization of a BRIEF Health Literacy Indicator
    • Haun, J., Noland Dodd, V. J., Graham-Pole, J., Rienzo, B., &, Donaldson, P. (2009). Testing a health literacy screening tool: Implications for utilization of a BRIEF Health Literacy Indicator. Federal Practitioner, 26, 24-31.
    • (2009) Federal Practitioner , vol.26 , pp. 24-31
    • Haun, J.1    Noland Dodd, V.J.2    Graham-Pole, J.3    Rienzo, B.4    Donaldson, P.5
  • 31
    • 84875879932 scopus 로고    scopus 로고
    • The Health Literacy Management Scale (HeLMS): A measure of an individual's capacity to seek, understand and use health information within the healthcare setting
    • Jordan, J. E., Buchbinder, R., Briggs, A. M., Elsworth, G. R., Busija, L., Batterham, R., &, Osborne, R. H. (2013). The Health Literacy Management Scale (HeLMS): A measure of an individual's capacity to seek, understand and use health information within the healthcare setting. Patient Education and Counseling, 91, 228-235.
    • (2013) Patient Education and Counseling , vol.91 , pp. 228-235
    • Jordan, J.E.1    Buchbinder, R.2    Briggs, A.M.3    Elsworth, G.R.4    Busija, L.5    Batterham, R.6    Osborne, R.H.7
  • 33
    • 84856822049 scopus 로고    scopus 로고
    • Development and validation of a general health literacy test in Singapore
    • Ko, Y., Lee, J. Y., Toh, M. P. H. S., Tang, W., &, Tan, A. S. (2012). Development and validation of a general health literacy test in Singapore. Health Promotion International, 27, 45-51.
    • (2012) Health Promotion International , vol.27 , pp. 45-51
    • Ko, Y.1    Lee, J.Y.2    Toh, M.P.H.S.3    Tang, W.4    Tan, A.S.5
  • 34
    • 84858608623 scopus 로고    scopus 로고
    • New federal policy initiatives to boost health literacy can help the nation move beyond the cycle of costly "crisis care
    • Koh, H. K., Berwick, D. M., Clancy, C. M., Baur, C., Brach, C., Harris, L. M., &, Zerhusen, E. G. (2012). New federal policy initiatives to boost health literacy can help the nation move beyond the cycle of costly "crisis care." Health Affairs, 31, 434-443.
    • (2012) Health Affairs , vol.31 , pp. 434-443
    • Koh, H.K.1    Berwick, D.M.2    Clancy, C.M.3    Baur, C.4    Brach, C.5    Harris, L.M.6    Zerhusen, E.G.7
  • 35
    • 77956390142 scopus 로고    scopus 로고
    • Parental understanding of infant health information: Health literacy, numeracy and the Parental Health Literacy Activities Test (PHLAT)
    • Kumar, D., Sanders, L., Perrin, E. M., Lokker, N., Patterson, B., Gunn, V., Finkle, J., Franco, V., Choi, L., &, Rothman, R. L. (2010). Parental understanding of infant health information: Health literacy, numeracy and the Parental Health Literacy Activities Test (PHLAT). Academic Pediatrics, 10 (5), 309-316. doi: 10.1016/j.acap.2010.06.007
    • (2010) Academic Pediatrics , vol.10 , Issue.5 , pp. 309-316
    • Kumar, D.1    Sanders, L.2    Perrin, E.M.3    Lokker, N.4    Patterson, B.5    Gunn, V.6    Finkle, J.7    Franco, V.8    Choi, L.9    Rothman, R.L.10
  • 38
    • 34248401619 scopus 로고    scopus 로고
    • Development of a word recognition instrument to test health literacy in dentistry: The REALD-30. A brief communication
    • Lee, J. Y., Rozier, R. G., Lee, S. D., Bender, D., &, Ruiz, R. E. (2007). Development of a word recognition instrument to test health literacy in dentistry: The REALD-30. A brief communication. Journal of Public Health Dentistry, 67, 94-98.
    • (2007) Journal of Public Health Dentistry , vol.67 , pp. 94-98
    • Lee, J.Y.1    Rozier, R.G.2    Lee, S.D.3    Bender, D.4    Ruiz, R.E.5
  • 39
    • 33746337882 scopus 로고    scopus 로고
    • Development of an easy-to-use Spanish health literacy test
    • Lee, S. D., Bender, D. E., Ruiz, R. E., &, Cho, Y. I. (2006). Development of an easy-to-use Spanish health literacy test. Health Services Research, 41 (4 Pt 1), 1392-1412.
    • (2006) Health Services Research , vol.41 , Issue.4 , pp. 1392-1412
    • Lee, S.D.1    Bender, D.E.2    Ruiz, R.E.3    Cho, Y.I.4
  • 48
    • 33645887235 scopus 로고    scopus 로고
    • The Single Item Literacy Screener: Evaluation of a brief instrument to identify limited reading ability
    • Morris, N. S., MacLean, C. D., Chew, L. D., &, Littenberg, B. (2006). The Single Item Literacy Screener: Evaluation of a brief instrument to identify limited reading ability. BMC Family Practice, 7 (1), 21.
    • (2006) BMC Family Practice , vol.7 , Issue.1 , pp. 21
    • Morris, N.S.1    MacLean, C.D.2    Chew, L.D.3    Littenberg, B.4
  • 49
    • 0035525306 scopus 로고    scopus 로고
    • Development and validation of a literacy assessment tool for persons with diabetes
    • Nath, C. R., Sylvester, S. T., Yasek, V., &, Gunel, E. (2001). Development and validation of a literacy assessment tool for persons with diabetes. The Diabetes Educator, 27, 857-864.
    • (2001) The Diabetes Educator , vol.27 , pp. 857-864
    • Nath, C.R.1    Sylvester, S.T.2    Yasek, V.3    Gunel, E.4
  • 50
    • 84896537135 scopus 로고    scopus 로고
    • National Cancer Institute Retrieved from
    • National Cancer Institute. (2012). DCCPS: Behavioral Research Program: Research tools. Retrieved from http://cancercontrol.cancer.gov/brp/gem.html
    • (2012) DCCPS: Behavioral Research Program: Research Tools
  • 52
    • 0033808121 scopus 로고    scopus 로고
    • Health literacy as a public health goal: A challenge for contemporary health education and communication strategies into the 21st century
    • Nutbeam, D. (2000). Health literacy as a public health goal: A challenge for contemporary health education and communication strategies into the 21st century. Health Promotion International, 15, 259-267.
    • (2000) Health Promotion International , vol.15 , pp. 259-267
    • Nutbeam, D.1
  • 53
    • 56349131282 scopus 로고    scopus 로고
    • The evolving concept of health literacy
    • Nutbeam, D. (2008). The evolving concept of health literacy. Social Science & Medicine, 67, 2072-2078. doi: 10.1016/j.socscimed.2008.09.050
    • (2008) Social Science & Medicine , vol.67 , pp. 2072-2078
    • Nutbeam, D.1
  • 54
    • 77949331267 scopus 로고    scopus 로고
    • Health literacy in the context of HIV treatment: Introducing the Brief Estimate of Health Knowledge and Action (BEHKA)-HIV version
    • Osborn, C. Y., Davis, T. C., Bailey, S. C., &, Wolf, M. S. (2010). Health literacy in the context of HIV treatment: Introducing the Brief Estimate of Health Knowledge and Action (BEHKA)-HIV version. AIDS and Behavior, 14, 181-188.
    • (2010) AIDS and Behavior , vol.14 , pp. 181-188
    • Osborn, C.Y.1    Davis, T.C.2    Bailey, S.C.3    Wolf, M.S.4
  • 56
    • 84880111156 scopus 로고    scopus 로고
    • The grounded psychometric development and initial validation of the Health Literacy Questionnaire (HLQ)
    • Osborne, R. H., Batterham, R. W., Elsworth, G. R., Hawkins, M., &, Buchbinder, R. (2013). The grounded psychometric development and initial validation of the Health Literacy Questionnaire (HLQ). BMC Public Health, 13, 658.
    • (2013) BMC Public Health , vol.13 , pp. 658
    • Osborne, R.H.1    Batterham, R.W.2    Elsworth, G.R.3    Hawkins, M.4    Buchbinder, R.5
  • 57
    • 84871591042 scopus 로고    scopus 로고
    • A short form of the Taiwan Health Literacy Scale (THLS) for Chinese-speaking adults
    • Pan, F. C. (2010). A short form of the Taiwan Health Literacy Scale (THLS) for Chinese-speaking adults. World Academy of Science, Engineering and Technology, 37, 1-25.
    • (2010) World Academy of Science, Engineering and Technology , vol.37 , pp. 1-25
    • Pan, F.C.1
  • 58
  • 59
    • 0028882180 scopus 로고
    • The Test of Functional Health Literacy in Adults: A new instrument for measuring patients literacy skills
    • Parker, R. M., Baker, D. W., Williams, M. V., &, Nurss, J. R. (1995). The Test of Functional Health Literacy in Adults: A new instrument for measuring patients literacy skills. Journal of General Internal Medicine, 10, 537-541.
    • (1995) Journal of General Internal Medicine , vol.10 , pp. 537-541
    • Parker, R.M.1    Baker, D.W.2    Williams, M.V.3    Nurss, J.R.4
  • 60
    • 84884924306 scopus 로고    scopus 로고
    • PIAAC Numeracy Expert Group Paris, France: Organisation for Economic Co-operation and Development. Retrieved from
    • PIAAC Numeracy Expert Group. (2009). PIAAC numeracy: A conceptual framework (OECD Education Working Papers). Paris, France: Organisation for Economic Co-operation and Development. Retrieved from http://www.oecd-ilibrary.org/content/workingpaper/220337421165
    • (2009) PIAAC Numeracy: A Conceptual Framework (OECD Education Working Papers)
  • 61
    • 34548369349 scopus 로고    scopus 로고
    • Programme for International Student Assessment (PISA). (2006). Paris, France: Organisation for Economic Co-operation and Development
    • Programme for International Student Assessment (PISA). (2006). Assessing scientific, reading and mathematical literacy: A framework for PISA 2006. (2006). Paris, France: Organisation for Economic Co-operation and Development.
    • (2006) Assessing Scientific, Reading and Mathematical Literacy: A Framework for PISA 2006
  • 64
    • 34547820258 scopus 로고    scopus 로고
    • Responsibility for health: Personal, social, and environmental
    • Resnik, D. B. (2007). Responsibility for health: personal, social, and environmental. Journal of Medical Ethics, 33, 444-445.
    • (2007) Journal of Medical Ethics , vol.33 , pp. 444-445
    • Resnik, D.B.1
  • 67
    • 14544291734 scopus 로고    scopus 로고
    • April Educational Testing Service. Retrieved from
    • Rudd, R., Kirsch, I., &, Yomamoto, K. (2004, April). Literacy and health in America. Educational Testing Service. Retrieved from http://www.ets.org/Media/Research/pdf/PICHEATH.pdf
    • (2004) Literacy and Health in America
    • Rudd, R.1    Kirsch, I.2    Yomamoto, K.3
  • 70
    • 0030666187 scopus 로고    scopus 로고
    • The role of numeracy in understanding the benefit of screening mammography
    • Schwartz, L. M., Woloshin, S., Black, W. C., &, Welch, H. G. (1997). The role of numeracy in understanding the benefit of screening mammography. Annals of Internal Medicine, 127, 966-972.
    • (1997) Annals of Internal Medicine , vol.127 , pp. 966-972
    • Schwartz, L.M.1    Woloshin, S.2    Black, W.C.3    Welch, H.G.4
  • 71
    • 18844415321 scopus 로고    scopus 로고
    • Can patients interpret health information? An assessment of the medical data interpretation test
    • Schwartz, L. M., Woloshin, S., &, Welch, H. G. (2005). Can patients interpret health information? An assessment of the medical data interpretation test. Medical Decision Making, 25, 290-300.
    • (2005) Medical Decision Making , vol.25 , pp. 290-300
    • Schwartz, L.M.1    Woloshin, S.2    Welch, H.G.3
  • 74
    • 3142578302 scopus 로고    scopus 로고
    • Retrieved from
    • Snow, C. (2002). Reading for understanding. Retrieved from http://www.rand.org/pubs/monograph-reports/MR1465.html
    • (2002) Reading for Understanding
    • Snow, C.1
  • 76
    • 84885145700 scopus 로고    scopus 로고
    • Measuring health literacy in populations: Illuminating the design and development process of the European Health Literacy Survey Questionnaire (HLS-EU-Q)
    • Sørensen, K., Broucke, S. V. den., Pelikan, J. M., Fullam, J., Doyle, G., Slonska, Z.,., Brand, H. (2013). Measuring health literacy in populations: Illuminating the design and development process of the European Health Literacy Survey Questionnaire (HLS-EU-Q). BMC Public Health, 13, 948.
    • (2013) BMC Public Health , vol.13 , pp. 948
    • Sørensen, K.1    Broucke, S.V.D.2    Pelikan, J.M.3    Fullam, J.4    Doyle, G.5    Slonska, Z.6    Brand, H.7
  • 77
    • 78651073593 scopus 로고    scopus 로고
    • Methodology and validation of health literacy scale development in Taiwan
    • Tsai, T., Lee, S. D., Tsai, Y., &, Kuo, K. N. (2011). Methodology and validation of health literacy scale development in Taiwan. Journal of Health Communication, 16, 50-61.
    • (2011) Journal of Health Communication , vol.16 , pp. 50-61
    • Tsai, T.1    Lee, S.D.2    Tsai, Y.3    Kuo, K.N.4
  • 78
    • 84908142806 scopus 로고    scopus 로고
    • U.S. Department of Health and Human Services. Healthy People 2010. Understanding and improving health and objectives for improving health 2nd ed. Washington DC: U.S. Government Printing Office. Retrieved from
    • U.S. Department of Health and Human Services. (2000). Healthy People 2010. Understanding and improving health and objectives for improving health (2nd ed., Vols. 1-2). Washington DC: U.S. Government Printing Office. Retrieved from http://www.healthypeople.gov/document/tableofcontents.htm
    • (2000) , vol.1-2
  • 79
    • 84908142805 scopus 로고    scopus 로고
    • University of California San Francisco Medical Center. (n.d.). Evaluating Health Information | Patient Education | UCSF Medical Center. Retrieved from
    • University of California San Francisco Medical Center. (n.d.). Evaluating Health Information | Patient Education | UCSF Medical Center. Retrieved from http://www.ucsfhealth.org/education/evaluating-health-information
  • 84
    • 33344456065 scopus 로고    scopus 로고
    • World Health Organization. (n.d.). WHO 11 August Retrieved from
    • World Health Organization. (n.d.). WHO | The Bangkok Charter for Health Promotion in a Globalized World (11 August 2005). Retrieved from http://www.who.int/healthpromotion/conferences/6gchp/bangkok-charter/en
    • (2005) The Bangkok Charter for Health Promotion in A Globalized World
  • 85
    • 78649252465 scopus 로고    scopus 로고
    • Developing and evaluating a relevant and feasible instrument for measuring health literacy of Canadian high school students
    • Wu, A. D., Begoray, D. L., Macdonald, M., Wharf Higgins, J., Frankish, J., Kwan, B.,., Rootman, I. (2010). Developing and evaluating a relevant and feasible instrument for measuring health literacy of Canadian high school students. Health Promotion International, 25, 444-452.
    • (2010) Health Promotion International , vol.25 , pp. 444-452
    • Wu, A.D.1    Begoray, D.L.2    MacDonald, M.3    Wharf Higgins, J.4    Frankish, J.5    Kwan, B.6    Rootman, I.7
  • 86
    • 84855849578 scopus 로고    scopus 로고
    • Assessment of health literacy and numeracy among Spanish-Speaking parents of young children: Validation of the Spanish Parental Health Literacy Activities Test (PHLAT Spanish)
    • Yin, H. S., Sanders, L. M., Rothman, R. L., Mendelsohn, A. L., Dreyer, B. P., White, R. O.,., Perrin, E. M. (2012). Assessment of health literacy and numeracy among Spanish-Speaking parents of young children: validation of the Spanish Parental Health Literacy Activities Test (PHLAT Spanish). Academic Pediatrics, 12, 68-74.
    • (2012) Academic Pediatrics , vol.12 , pp. 68-74
    • Yin, H.S.1    Sanders, L.M.2    Rothman, R.L.3    Mendelsohn, A.L.4    Dreyer, B.P.5    White, R.O.6    Perrin, E.M.7
  • 87
    • 77953463972 scopus 로고    scopus 로고
    • Development and validation of a functional health literacy test
    • Zhang, X., Thumboo, J., Fong, K., &, Li, S. (2009). Development and validation of a functional health literacy test. The Patient, 2, 169-178.
    • (2009) The Patient , vol.2 , pp. 169-178
    • Zhang, X.1    Thumboo, J.2    Fong, K.3    Li, S.4


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