Efficiently Assessing Patient Health Literacy: The BHLS Instrument

Clinical Nursing Research

Volumn 23, Issue 6, 2014, Pages 581-600

  Sand Jecklin, Kari ^a   Coyle, Sue ^a  

^a WEST VIRGINIA UNIVERSITY SCHOOL OF NURSING   (United States)

Author keywords

health literacy; measures; patient; screening

Indexed keywords

ADULT; AGED; HEALTH LITERACY; HUMAN; MIDDLE AGED; PATIENT EDUCATION; QUESTIONNAIRE; YOUNG ADULT;

ADULT; AGED; HEALTH LITERACY; HUMANS; MIDDLE AGED; PATIENT EDUCATION AS TOPIC; SURVEYS AND QUESTIONNAIRES; YOUNG ADULT;

EID: 84908615022     PISSN: 10547738     EISSN: 15523799     Source Type: Journal    
DOI: 10.1177/1054773813488417     Document Type: Article

References (60)

1. Low health literacy linked to higher risk of death and more emergency room visits and hospitalizations. Rockville, MD: Press Release; 2011:
2. Baker D. W.The meaning and the measure of health literacy.Journal of General Internal Medicine. 2006;21:878-883
3. Baker D. W.,Gazmararian J. A.,Williams M. V.,Scott T.,Parker R. M.,Green D.,Peel J.Functional health literacy and the risk of hospital admission among Medicare managed care enrollees.American Journal of Public Health. 2002;92:1278-1283
4. Baker D. W.,Williams M. V.,Parker R. M.,Gazmararian J. A.,Nurss J.Development of a brief test to measure functional health literacy.Patient Education and Counseling. 1999;38:33-42
5. Baker D. W.,Wolf M. S.,Feinglass J.,Thompson J. A.,Gazmararian J. A.,Huang J.Health literacy and mortality among elderly persons.Archives of Internal Medicine. 2007;167:1503-1509
6. Bass L.Health literacy: Implications for teaching the adult patient.Journal of Infusion Nursing. 2005;28 (1): 15-22
7. Bergsma L. J..Paper presented at the Health Literacy Annual Research Conference 2010; 2010Bethesda, MD; 2010.
8. Berkman N. D.,Sheridan S. L.,Donahue K. E.,Halpern D. J.,Viera A.,Crotty K.,Viswanathan M.Health literacy interventions and outcomes: An updated systematic review, executive summary, evidence report/technology assessment: Number 199. Rockville, MD: Agency for Healthcare Research and Quality; 2011:
9. Chew L. D.,Bradley K. A.,Boyko E. J.Brief questions to identify patients with inadequate health literacy.Family Medicine. 2004;36:588-594
10. Chew L. D.,Griffin J. M.,Partin M. R.,Noorbaloochi S.,Grill J. P.,Snyder A.,Vanryn M.Validation of screening questions for limited health literacy in a large VA outpatient population.Journal of General Internal Medicine. 2008;23:561-566
11. CornettS. (2009, September30). Assessing and addressing health literacy. Online Journal of Issues in Nursing, 14(3, manuscript 2), 12. Retrieved from http://www.nursingworld.org/MainMenuCategories/ANAMarketplace/ANAPeriodicals/OJIN/TableofContents/Vol142009/No3Sept09/Assessing-Health-Literacy-.aspx
12. Cronbach L.,Snow R.Aptitudes and instructional methods: A handbook for research on interactions. New York, NY: Irvington; 1977:
13. Cutilli C. C.Health literacy in geriatric patients: An integrative review of the literature.Orthopaedic Nursing. 2007;26 (1): 43-48
14. Davis T. C.,Crouch M. A.,Long S. W.,Jackson R. H.,Bates P.,George R. B.,Bairnsfather L. E.Rapid assessment of literacy levels of adult promary care patients.Family Medicine. 1991;23:433-435
15. Davis T. C.,Long S. W.,Jackson R. H.,Mayeaux E. J.,George R. B.,Murphy P. W.,Crouch M. A.Rapid Estimate of Adult Literacy in Medicine: A shortened screening instrument.Family Medicine. 1993;25:391-395
16. Dewalt D. A.,Berkman N. D.,Sheridan S.,Lohr K. N.,Pignone M. P.Literacy and health outcomes: A systematic review of the literature.Journal of General Internal Medicine. 2004;19:1228-1239
17. DeWalt D. A.,Boone R. S.,Pignone M. P.Literacy and its relationship with self-efficacy, trust, and participation in medical decision making.American Journal of Health Behavior. 2007;31:S27-S35
18. EgbertN.NannaK. M. (2009). Health literacy: Challenges and strategies. Online Journal of Issues in Nursing, 14(3), 9. Retrieved from http://www.nursingworld.org/MainMenuCategories/ANAMarketplace/ANAPeriodicals/OJIN/TableofContents/Vol142009/No3Sept09/Health-Literacy-Challenges.aspx
19. Evangelista L. S.,Rasmusson K. D.,Laramee A. S.,Barr J.,Ammon S. E.,Dunbar S.,Yancy C. W.Health literacy and the patient with heart failure—Implications for patient care and research: A consensus statement of the Heart Failure Society of America.Journal of Cardiac Failure. 2010;16:9-16
20. Foytik M. D.,Gates R. H..Paper presented at the Health Literacy Annual Research Conference 2010; 2010Bethesda, MD; 2010.
21. Gates R. H..Paper presented at the Health Literacy Annual Research Conference 2010; 2010Bethesda, MD; 2010.
22. Ginde A. A.,Weiner S. G.,Pallin D. J.,Camargo C. A.Multicenter study of limited health literacy in emergency department patients.Academic Emergency Medicine. 2008;15:577-580
23. Hahn E. A.,Garcia S. F.,Du H.,Cella D.Patient attitudes and preferences regarding literacy screening in ambulatory cancer care clinics.Patient Related Outcome Measures. 2010;1:19-27
24. Heinrich C.Health literacy: The sixth vital sign.Journal of the American Academy of Nurse Practitioners. 2012;24:218-223
25. Huan J.,Luther C. R.,Dodd V.,Donaldson P.Measurement variation across health literacy assessments: Implications for assessment selection in research and practice.Journal of Health Communication. 2012;17:141-159
26. Health literacy: A prescription to end confusion. Nielsen-Bohlman L.Panzer A. M.Kindig D. A., ed. Washington, DC: Institite of medicine, Board on Neuroscience and Behavioral Health, Committee on Health literacy; 2004:
27. Jeppesen K. M.,Coyle J. D.,Miser W. F.Screening questions to predict limited health literacy: A cross-sectional study of patients with diabetes mellitus.Annals of Family Medicine. 2009;7 (1): 24-30
28. Johnson K.,Weiss B. D.How long does it take to assess literacy skills in clinical practice.Journal of the American Board of Family Medicine. 2008;21:211-214
29. Jukkala A.,Deupree J.,Graham S.Knowledge of limited health literacy at an academic health center.Journal of Continuing Education in Nursing. 2009;40:298-302
30. Kalyuga S.Expertise reversal effect and its implications for learner-tailored instruction.Educational Psychology Review. 2007;19:509-539
31. Kalyuga S.,Renkl A.Expertise reversal effect and its instructional implications: Introduction to the special issue.Instructional Science. 2010;38:209-215
32. Katz M. G.,Jacobson T. A.,Veledar E.,Kripalani S.Patient literacy and question-asking behavior during the medical encounter: A mixed-methods analysis.Journal of General Internal Medicine. 2007;22:782-786
33. Kelly P. A.,Haidet P.Physician overestimation of patient literacy: A potential source of health care disparities.Patient Education and Counseling. 2007;66:119-122
34. Kirk J. K.,Grzywacz J. G.,Arcury T. A.,Ip E. H.,Nguyen H. T.,Bell R. A.,Quandt S. A.Performance of health literacy tests among older adults with diabetes.Journal of General Internal Medicine. 2012;27:534-540
35. Kutner M.,Greenburg E.,Jin Y.,Paulsen C.The health literacy of America’s Adults: Results from the 2003 National Assessment of Adulty Literacy. Washington, DC: U.S. Department of Education: National Center for Education Statistics; 2006:
36. Mancuso J. M.Assessment and measurement of health literacy: An integrative review of the literature.Nursing and Health Sciences. 2009;11:77-89
37. Miller M. J.,Allison J. J.,Schmitt M. R.,Ray M. N.,Funkhouser E. M.,Cobaugh D. J.,LaCivita C.Using single-item health literacy screening questions to identify patients who read written nonsteroidal anti-inflammatory medicine information provided at pharmacies.Journal of Health Communication. 2010;15:413-427
38. Nurss J.,Parker M. W.,Baker D.TOFHLA: Test of Functional Health Literacy in Adults. Hartford, MI: Peppercorn Books & Press; 2001:
39. Ohl M.,Harris A.,Nurudtinova D.,Cai X.,Drohobyczer D.,Overton E. T.Do brief screening questions or provider perception accurately identify persons with low health literacy in the HIV primary care setting?.AIDS Patient Care and STDs. 2010;10:623-629
40. Osborn C. Y.,Weiss B. D.,Davis T. C.,Skripkauskas S.,Rodrigue C.,Bass P. F.,Wolf M. S.Measuring adult literacy in health care: performance of the Newest Vital Sign.American Journal of Health Behavior. 2007;31:S36-S46
41. Paasche-Orlow M. K.,Parker R. M.,Gazmararian J. A.,Nielsen-Bohlman L. T.,Rudd R. R.The prevalence of limited health literacy.Journal of General Internal Medicine. 2005;20 (2): 175-184
42. Paasche-Orlow M. K.,Wolf M. S.Evidence does not support clinical screening of literacy.Journal of General Internal Medicine. 2008;23 (1): 100-102
43. Parker R. M.,Baker D. W.,Williams M. V.,Nurss J. R.The test of functional health literacy in adults: A new instrument for measuring patients’ health literacy skills.Journal of General Internal Medicine. 1995;10:537-541
44. Patel P. J.,Steinberg J.,Goveas R.,Pedireddy S.,Saad S.,Rachmale R.,Cardozo L.Testing the utility of the Newest Vital Sign (NVS) health literacy assessment tool in older African-American patients.Patient Education and Counseling. 2011;85:505-507
45. Peterson P. N.,Shetterly S. M.,Clarke C. L.,Bekelman D. B.,Chan P. S.,Allen L. A.,Masoudi F. A.Health literacy and outcomes among patients with heart failure.Journal of the Americal Medical Association. 2011;305:1695-1701
46. Pleasant A.,McKinney J.,Rikard R. V.Health literacy measurement: A proposed research agenda.Journal of Health Communication. 2011;16:11-21
47. Pleaseant A.,McKinney J.Coming to consensus on health literacy measurement: An online discussion and consensus-gauging process.Nursing Outlook. 2011;59:95-106
48. Powers B. J.,Trinh J. V.,Bosworth H. B.Can this patient read and understand written health information?.Journal of the American Medical Association. 2010;304 (1): 76-84
49. Rogers E. S.,Wallace L. S.,Weiss B. D.Misperceptions of medical understanding in low-literacy patients: Implications for cancer prevention.Cancer Control. 2006;13:225-229
50. Sand-Jecklin K.,Chertok I. R. A..Paper presented at the Health Literacy Annual Research Conference 2010; 2010Bethesda, MD; 2010.
51. Schnotz W.Reanalyzing the expertise reversal effect.Instructional Science. 2010;38:315-323
52. Seligman H. K.,Wang F. F.,Palacios J. L.,Wilson C. C.,Daher C.,Piette J. D.,Schillinger D.Physician notification of their diabetes patients’ limited health literacy: A randomized controled trial.Journal of General Internal Medicine. 2005;20:1001-1007
53. The 2011 Statistical Abstract. Spauldings, MD: Author; 2011:
54. National action plan to improve health literacy. Washington, DC: Author; 2010:
55. VanGeest J. B.,Welch V. L.,Weiner S. J.Patients’ perceptions of screening for health literacy: Reactions to the newest vital sign.Journal of Health Communication. 2010;15:402-412
56. Wallace L. S.,Cassada D. C.,Rogers E. S.,Freeman M. B.,Grandas O. H.,Stevens S. L.,Goldman M. H.Can screening items identify surgery patients at risk of limited health literacy?.Journal of Surgical Research. 2007;140:208-213
57. Wallace L. S.,Rogers E. S.,Roskos S. E.,Holiday D. B.,Weiss B. D.Brief report: Screening items to identify patients with limited health literacy skills.Journal of General Internal Medicine. 2006;21:874-877
58. Weiss B. D.,Mays M. Z.,Martz W.,Castro K. M.,Dewalt D. A.,Pignone M. P.,Hale F. A.Quick assessment of literacy in primary care: The newest vital sign.Annals of Family Medicine. 2005;3:514-522
59. Wolf M. S.,Gazmararian J. A.,Baker D. W.Health literacy and functional health status among older adults.Archives of Internal Medicine. 2005;165:1943-1944
60. Wolf M. S.,Williams M. V.,Parker R. M.,Parikh N. S.,Nowlan A. W.,Baker D. W.Patients’ Shame and attitudes toward discussing the results of literacy screening.Journal of Health Communication. 2007;12:721-732