Patient education and validating understanding

They are not intended to be used as advice or in place of a consultation with your physician about your health care.Communication with your personal physician is the best way to seek advice and to make decisions about your health care.Trained RAs recruited eligible patients, consented patients who were interested in participation, and conducted individual, in-person interviews to collect demographic information, administer validated measures of health literacy, objective numeracy, subjective numeracy, medication understanding, and medication adherence, and administer the newly developed GHNT.In an effort to minimize the impact of patients’ health literacy status on their numeracy skills, RAs first verbally administered the Rapid Estimate of Adult Learning in Medicine (REALM) and if a patient scored ≤44 on this instrument (i.e., they were categorized as having low health literacy) the remaining measures were verbally administered.Because existing numeracy measures may not optimally assess 'health numeracy', we developed and validated the General Health Numeracy Test (GHNT).

Respondents are asked to read aloud 66 health-related words arranged in order of increasing difficulty [27].

The score assigns health literacy skills into four categories of grade-equivalent reading level.

Correct pronunciation of 0–44 words represents a 6 Edition (WRAT-3) is a validated instrument that evaluates the ability to compute solutions to math problems [17].

On average, participants were 55.0±13.8 years old, 64.9% female, 29.8% non-White, and 51.7% had incomes ≤K with 14.4±2.9 years of education.

The GHNT-21 and GHNT-6 had acceptable-good internal consistency reliability (KR-20 = 0.87 vs. Both versions were positively associated with income, education, health literacy, objective numeracy, and subjective numeracy (all p Literacy includes a host of skills including print literacy, oral literacy, and quantitative (numeracy) skills.

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Psychometric testing produced a 6-item version (GHNT-6).

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